Article in Japanese

A child case of severe fever with thrombocytopenia syndrome presenting multiple organ failure

Aiko NAKAYAMA¹⁾, Jun ABE¹⁾, Katsuya TASHIRO^1,2)

Severe fever with thrombocytopenia syndrome (SFTS) is a fatal systemic infection transmitted by ticks. Reports about cases in children are rare, and children with SFTS are not likely to demonstrate typical symptoms or manifest severe SFTS. We report a case of SFTS in a 12-year-old boy. He was admitted to our hospital because of high fever, general malaise, cervical lymphadenopathy, and diarrhea. He presented with leukopenia and thrombocytopenia. As results of our intensive examination, he received a diagnosis of SFTS. During the clinical course, he developed liver and renal dysfunction, in addition to abnormal hematological status. Fortunately, the patient recovered without any sequelae. It is generally said that SFTS in children is milder than in elder patients, but our case demonstrated that SFTS cases of children should also be treated strictly.

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1) Department of Pediatrics, Karatsu Red Cross Hospital
2) Department of Pediatrics, Faculty of Medicine, Saga University

Key words	child, severe fever with thrombocytopenia syndrome, SFTS
Received	March 15, 2018
Accepted	July 27, 2018

30 (3)：239─244,2018