title: A Pediatric Case of Severe Fever with Thrombocytopenia Syndrome in Korea.
abstract: Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease and elderly people living in rural areas have the greatest risk of infection. We report the first pediatric case of SFTS in Korea and the clinical characteristics and disease progression in children. A 10-year-old child from Chonnam province visited the hospital with myalgia and a history of fever over the previous 8 days. Her father noticed a tick on her head and removed it before fever developed. Because the symptoms continued, her father consulted the community health center and SFTS virus was detected both from the tick (Haemaphysalis longicornis) and the patient's blood. On hospitalization, fever and severe myalgia were improved and no gastrointestinal and hemorrhagic symptoms were observed. The patient was successfully treated with a combination of steroids, IVIG, and ribavirin. In this report, a pediatric case of SFTS presents a mild clinical course but close attention must be paid to the screening of children with mild symptoms consisting of SFTS.
authors.affiliation: Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
authors.forename: Tae Yang
authors.identifier: http://orcid.org/0000-0001-5543-8745
authors.initials: TY
authors.lastname: Song
authors.affiliation: Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea. emyang@chonnam.ac.kr.
authors.forename: Eun Mi
authors.identifier: http://orcid.org/0000-0001-9410-5855
authors.initials: EM
authors.lastname: Yang
authors.affiliation: Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
authors.forename: Chan Jong
authors.identifier: http://orcid.org/0000-0001-6519-2427
authors.initials: CJ
authors.lastname: Kim
mesh_terms: D000818:Animals; D000998:Antiviral Agents / Q000627:therapeutic use; D002648:Child; D005260:Female; D006801:Humans; D063806:Myalgia / Q000209:etiology; D010217:Phlebotomus Fever / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000821:virology; D016856:Phlebovirus / Q000302:isolation & purification*; D056910:Republic of Korea; D012254:Ribavirin / Q000627:therapeutic use; D013256:Steroids / Q000627:therapeutic use; D013921:Thrombocytopenia / Q000150:complications / Q000175:diagnosis*; D013987:Ticks / Q000821:virology
chemical_list: D000998:Antiviral Agents; D013256:Steroids; D012254:Ribavirin
keywords: Child; Korea; Phlebovirus; Severe Fever with Thrombocytopenia Syndrome Bunyavirus