A CASE OF TSUTSUGAMUSHI DISEASE SHOWED THE SEVERE ABDOMINAL PAIN AND THE DISSEMINATED INTRAVASCULAR COAGULATION (DIC). A STUDY ABOUT A STATE OF OCCURRENCE OF TSUTSUGAMUSHI DISEASE IN GUNMA PREFECTURE.

Abstract

A 33-years old female was referred to our hospital with the diagnosis of acute peritonitis, unknown origin.Hematological date showed the leucocytosis with neutrophilia, the slight decrease in platelet count (10 × 104/mm3), the severe decrease of serum fibrinogen (89mg/dl), and the moderate increase in serum FDP (10μg/dl), bleeding time (9min.), coagulating time (15min.), the culture of the blood resulted in no growth of bacteria, but Limulus test was positive.Our diagnosis is sepsis at the beginning, but we found small ulcer covered black crust at her right leg, and established Tsutsugamshi disease by serological test.The patient was completely recovered by the therapy with tetracycline, but this clinical course was abnormal, so we reported this case, and studied about a state of occurrence of Tsutsugamushi disease in Gunma prefecture, and investigated about new type of Tsutsugamushi disease in Japan.