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J Korean Soc Emerg Med > Volume 26(4); 2015 > Article
Journal of The Korean Society of Emergency Medicine 2015;26(4): 326-330.
Severe Fever with Thrombocytopenia Syndrome Mimicking Scrub Typhus: Three Case Reports
Sung Wook Song1, Seung Jin Yoo2, Jeong Rae Yoo2, Keun Hwa Lee3, Jae-Wang Kim4, Sang Taek Heo2
1Department of Emergency Medicine, Jeju National University School of Medicine, Jeju, Korea
2Division of Infectious Disease, Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea
3Department of Microbiology and Immunology, Jeju National University School of Medicine, Jeju, Korea
4Department of Dermatology, Jeju National University School of Medicine, Jeju, Korea
Correspondence  Sang Taek Heo ,Tel: 064) 754- 8151, Fax: 064) 717-1131, Email: neosangtaek@naver.com,
Received: March 13, 2015; Revised: March 17, 2015   Accepted: June 8, 2015.  Published online: August 31, 2015.
ABSTRACT
Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease in South Korea with clinical features similar to those of scrub typhus. Infected patients with these two diseases usually visited the emergency department (ED) complaining of fever that was not responsive to treatment in a local clinic. Aggressive management of SFTS is required in order to prevent rapid progression and human-to-human transmission, thus rapid and accurate differential diagnosis of the two diseases in the ED is important. We reported three laboratory confirmed cases of SFTS during 2013-2014 in a single center, with fever, skin lesions, and history of outdoor activities in order to help in differential diagnosis between SFTS and scrub typhus in the ED.
Key words: Severe fever with thrombocytopenia syndrome, Scrub typhus, Fever
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