title: A case of severe fever with thrombocytopenia syndrome caused by a novel bunyavirus in Zhejiang, China.
abstract: Two typical symptoms of severe fever with thrombocytopenia syndrome (SFTS) are fever and thrombocytopenia. Here we report a laboratory confirmed SFTS case with no fever during the entire hospitalization period, in Daishan County, Zhejiang Province, China. A 77-year-old woman was admitted to hospital with symptoms including nausea, retching, and anorexia. Laboratory tests revealed thrombocytopenia, leukopenia, and liver and brain damage. The case was later confirmed as a novel bunyavirus infection. Epidemiological investigations revealed that she had no history of tick bites or skin damage, and no known exposure to persons with a similar illness in the area prior to illness onset. The patient was hospitalized for 15 days, and during the whole admission period, she did not experience any fever. The patient recovered and was discharged.
authors: Daishan County Center for Disease Control and Prevention, Daishan, China.
authors: Ling
authors: L
authors: Ye
authors: Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
authors: Xiaopeng
authors: X
authors: Shang
authors: Daishan County Center for Disease Control and Prevention, Daishan, China.
authors: Zhongfa
authors: Z
authors: Wang
authors: Ningbo Municipal Center for Disease and Prevention, Ningbo, China.
authors: Fengjiao
authors: F
authors: Hu
authors: Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
authors: Xinyi
authors: X
authors: Wang
authors: Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
authors: Yuanyuan
authors: Y
authors: Xiao
authors: Ningbo Municipal Center for Disease and Prevention, Ningbo, China.
authors: Xuefei
authors: X
authors: Zhao
authors: Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
authors: Shelan
authors: S
authors: Liu
authors: Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
authors: Fan
authors: F
authors: He
authors: Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
authors: Fudong
authors: F
authors: Li
authors: Daishan County Center for Disease Control and Prevention, Daishan, China.
authors: Chengwei
authors: C
authors: Wang
authors: Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China. Electronic address: jjiangzjcdc@163.com.
authors: Jianmin
authors: J
authors: Jiang
authors: Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China. Electronic address: jflin@cdc.zj.cn.
authors: Junfen
authors: J
authors: Lin
mesh_terms: D000368:Aged; D002044:Bunyaviridae Infections / Q000175:diagnosis* / Q000821:virology; D002681:China; D005260:Female; D005334:Fever / Q000821:virology; D006801:Humans; D016856:Phlebovirus / Q000302:isolation & purification*; D013577:Syndrome; D013921:Thrombocytopenia / Q000175:diagnosis / Q000821:virology
keywords: Laboratory confirmed; No fever; Novel bunyavirus