重症熱性血小板減少症候群の回復後に肝硬変の増悪により死亡した1 例

抄録

We report the case of a 78-year-old male patient with decompensated liver cirrhosis who died from exacerbation of the liver cirrhosis after recovery from severe fever with thrombocytopenia syndrome (SFTS). The patient visited our hospital with complaints of fever, appetite loss, diarrhea and lightheadedness. Laboratory examination revealed leukopenia, thrombocytopenia, elevation of the liver enzyme levels, and hyponatremia. The patient was diagnosed as having SFTS by RT-PCR. He gradually recovered with supportive treatment and was discharged on day 68 after admission. However, he was readmitted 30 days later with generalized weakness and behavioral abnormalities. He died on day 135 after readmission due to progression of liver failure. This case suggests the need for further investigation to clarify the long-term course after recovery from SFTS and the influence of SFTS on pre-existing comorbidities.