Journal
INTERNAL MEDICINE
Volume 59, Issue 3, Pages 445-451Publisher
JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.3631-19
Keywords
Japanese spotted fever; rickettsiosis; hemophagocytic lymphohistiocytosis
Categories
Ask authors/readers for more resources
Japanese spotted fever (JSF) is an uncommon but potentially fatal infection transmitted by tick bites. We herein report a fulminant case of JSF infection that occurred in an immunocompetent adult that was complicated by disseminated intravascular coagulation and hemophagocytic lymphohistiocytosis (HLH). We discuss the difficulty in making the diagnosis and identifying the complication of HLH in our patient. HLH is a rare complication of rickettsiosis, and this is the first reported case in English of JSF complicated by HLH in an immunocompetent adult. Secondary HLH caused by rickettsiosis requires a different treatment from primary HLH. Rickettsiosis must therefore be considered in patients with HLH.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available