Table 1. Clinical features of 4 SFTS patients retrospectively confirmed using stored blood samples collected during 2008–2013 in Korea.
Characteristics | Patient 1 | Patient 2 | Patient 3 | Patient 4 | |
---|---|---|---|---|---|
Age, yr | 62 | 49 | 57 | 21 | |
Sex | Male | Male | Male | Male | |
Year of presentation | 2008 | 2008 | 2012 | 2012 | |
Outdoor activity | + | + | + | Unknown | |
Clinical findings | |||||
Fevera | + | + | + | + | |
Fatigue | + | + | + | − | |
Headache | + | − | − | + | |
Abdominal pain | − | − | − | − | |
Nausea or vomiting | + | + | + | + | |
Diarrhea | + | + | + | + | |
Bleeding tendency | − | − | − | − | |
Splenomegalya | + | + | + | + | |
Laboratory findings | |||||
Leukopeniaa | + | + | + | + | |
Anemiaa | − | − | − | − | |
Thrombocytopeniaa | + | + | + | + | |
Elevated aminotransferases | + | + | + | + | |
Elevated LDH | + | + | + | + | |
Elevated ferritina | + | + | + | + | |
Hypertriglyceridemiaa | + | + | − | + | |
Hypofibrinogenemiaa | − | − | − | + | |
Elevated IL-2 receptor alphaa | + | + | + | + | |
Hemophagocytosis in bone marrowa | + | + | + | + | |
Treatment | |||||
Antibiotics only | + | + | − | − | |
HLH-specific agentsb | − | − | + | + | |
Outcome | Survived | Survived | Died | Survived |
SFTS = severe fever with thrombocytopenia syndrome, LDH = lactate dehydrogenase, IL = interleukin, HLH = hemophagocytic lymphohistiocytosis.
aDiagnostic criteria for HLH; bEtoposide, dexamethasone, and intravenous immunoglobulin.