2021年北京市门头沟区一例本地发热伴血小板减少综合征患者临床和流行病学特征分析

王志越 宋丽君 刘啸傲 窦相峰 孙玉兰

王志越, 宋丽君, 刘啸傲, 窦相峰, 孙玉兰. 2021年北京市门头沟区一例本地发热伴血小板减少综合征患者临床和流行病学特征分析[J]. 疾病监测, 2023, 38(10): 1178-1181. doi: 10.3784/jbjc.202304100154
引用本文: 王志越, 宋丽君, 刘啸傲, 窦相峰, 孙玉兰. 2021年北京市门头沟区一例本地发热伴血小板减少综合征患者临床和流行病学特征分析[J]. 疾病监测, 2023, 38(10): 1178-1181. doi: 10.3784/jbjc.202304100154
Wang Zhiyue, Song Lijun, Liu Xiaoao, Dou Xiangfeng, Sun Yulan. Clinical and epidemiological characteristics of a case of severe fever with thrombocytopenia syndrome in Mentougou district, Beijing in 2021[J]. Disease Surveillance, 2023, 38(10): 1178-1181. doi: 10.3784/jbjc.202304100154
Citation: Wang Zhiyue, Song Lijun, Liu Xiaoao, Dou Xiangfeng, Sun Yulan. Clinical and epidemiological characteristics of a case of severe fever with thrombocytopenia syndrome in Mentougou district, Beijing in 2021[J]. Disease Surveillance, 2023, 38(10): 1178-1181. doi: 10.3784/jbjc.202304100154

2021年北京市门头沟区一例本地发热伴血小板减少综合征患者临床和流行病学特征分析

doi: 10.3784/jbjc.202304100154
详细信息
    作者简介:

    王志越,男,北京市人,副主任技师,从事疾病预防控制工作,Email:mtgcdcwzy@sina.com

    通讯作者:

    孙玉兰,Tel:18511882596,Email:sylan9999@163.com

  • 中图分类号: R211;R510

Clinical and epidemiological characteristics of a case of severe fever with thrombocytopenia syndrome in Mentougou district, Beijing in 2021

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  • 摘要:   目的  描述北京市门头沟区发热伴血小板减少综合征(SFTS)患者感染来源、临床特征和流行病学特征,为制定SFTS防控措施提供科学依据。   方法  采用现场流调、查阅病历等方式获取患者临床、流行病学信息,采集血液标本进行核酸和抗体检测,进行媒介蜱和动物宿主调查。  结果   患者多年未出京,发病前活动范围为居住地周边。 实时荧光定量聚合酶链式反应检测方法显示,患者血清SFTS病毒核酸阳性;血清抗体检测显示,IgM抗体阳性,病毒含量为1.9×104 半数组织培养感染剂量(TCID50)/mL,临床症状以持续发热、进行性血小板减少、白细胞减少为主,服用抗病毒药利巴韦林后好转并逐渐痊愈,整个病程为20 d。 媒介生物调查显示:在患者村落周围环境捕获到的媒介长角血蜱5只,SFTS病毒核酸阴性。 病例家犬血液经检测显示SFTS病毒核酸和抗体均为阴性。  结论  该SFTS病例为北京市门头沟区首次报告,今后应加强病例监测,做好媒介生物监测和健康宣教。
  • 图  1  北京市门头沟区一例本地发热伴血小板减少综合征患者发病时间线

    Figure  1.  Time line of onset of a case of local Severe fever with thrombocytopenia syndrome in Mentougou district, Beijing

    图  2  北京市门头沟区一例本地发热伴血小板减少综合征患者所在村落周边环境

    Figure  2.  The surrounding environment of a local severe fever with thrombocytopenia syndrome patient in Mentougou district, Beijing

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出版历程
  • 收稿日期:  2023-04-10
  • 网络出版日期:  2023-08-16
  • 刊出日期:  2023-11-07

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