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Co-infection with Severe Fever with Thrombocytopenia Syndrome Virus and Rickettsia japonica after Tick Bite,Japan
Authors:Tatsuya Fujikawa  Tomoki Yoshikawa  Takeshi Kurosu  Masayuki Shimojima  Masayuki Saijo  Kyoko Yokota
Affiliation:Mitoyo General Hospital, Kanonji, Japan (T. Fujikawa);National Institute of Infectious Diseases, Tokyo, Japan (T. Yoshikawa, T. Kurosu, M. Shimojima, M. Saijo);Kagawa Prefectural Central Hospital, Takamatsu, Japan (K. Yokota)
Abstract:Severe fever with thrombocytopenia syndrome was diagnosed in a febrile woman in Japan after a tick bite. However, Rickettsia japonica DNA was retrospectively detected in the eschar specimen, suggesting co-infection from the bite. Establishment of the severe fever with thrombocytopenia syndrome virus infection might have overpowered the R. japonica infection.
Keywords:severe fever with thrombocytopenia syndrome   severe fever with thrombocytopenia syndrome virus   Japanese spotted fever   tickborne infectious diseases   co-infection   rickettsia   vector-borne infections   bacteria   Japan   Rickettsia japonica   viruses
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