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KMID : 0384320060270090741
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Korean Journal of Family Medicine
2006 Volume.27 No. 9 p.741 ~ p.745
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A Case of Tsutusgamushi Disease with Atypical Symptom
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Kim Dae-Woo
Lee Kook-Huyng
Lee Sang-Yeoup
Min Hong-Gi
Kim Young-Joo
Kim Yun-Jin
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Abstract
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A 59 year old woman visited the hospital complaining of sore throat, chill, myalgia and whole body skin rash. There was abnormal finding of fever, sinus tachycardia, increased lactic dehydrogenase and elongation prothrombin time. We started treatment with acetaminophen and fluid because she had not specific history of visiting to the mountain or field, etc. After treatment increased aspartate aminotransferase/alanine aminotransferase and thrombocytopenia appeared without symptomatic improvement so that we investigated tsutsugamushi antibodies and diagnosed her condition as Tsutsugamushi disease with polyuria. But the clinical manifestation in our case showed atypical symptom which had polyuria. There is no report on that in Korea and over the world therefore the author et al. report of case of Tsutsugamushi disease with polyuria, atypical symptom. (J Korean Acad Fam Med 2006;27:741-745)
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KEYWORD
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skin rash, fever, thrombocytopenia, tsutsugamushi, polyuria, atypical symptom
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