Severe fever with thrombocytopenia syndrome

Last updated
Severe fever with thrombocytopenia syndrome
Bunyavirus china.JPG
SFTS bunyavirus isolated from patients in Central and Northeast provinces of China (red)
Specialty Infectious disease

Severe fever with thrombocytopenia syndrome (SFTS) is a tick-borne infection. [1] Signs and symptoms include fever, vomiting, diarrhea, loss of consciousness and heamorrhage. [1]

Contents

It is an emerging infectious disease caused by Dabie bandavirus also known as the SFTS virus, first reported between late March and mid-July 2009 in rural areas of Hubei and Henan provinces in Central China. [2] SFTS has fatality rates ranging from 12% to as high as 30% in some areas. The major clinical symptoms of SFTS are fever, vomiting, diarrhea, multiple organ failure, thrombocytopenia (low platelet count), leucopenia (low white blood cell count), and elevated liver enzyme levels.

Virology

SFTS virus (SFTSV) is a virus in the order Bunyavirales . Person-to-person transmission was not noted in early reports [2] but has since been documented. [3]

The life cycle of the SFTSV most likely involves arthropod vectors and animal hosts. Humans appear to be largely accidental hosts. SFTSV has been detected in Haemaphysalis longicornis ticks.[ citation needed ]

Epidemiology

SFTS occurs in China's rural areas from March to November with the majority of cases from April to July. In 2013, Japan and Korea also reported several cases with deaths. [4]

In July 2013, South Korea reported a total of eight deaths since August 2012. [5]

In July 2017, Japanese doctors reported that a woman had died of SFTS after being bitten by a cat that may have itself been infected by a tick. The woman had no visible tick bites, leading doctors to believe that the cat — which died as well — was the transmission vector. [6] [7]

In early 2020 an outbreak occurred in East China, more than 37 people were found with SFTS in Jiangsu province, while 23 more were found infected in Anhui province in August 2020. [8] Seven people have died. [9]

Evolution

The virus originated 50–150 years ago and has undergone a recent population expansion. [10]

History

In 2009 Xue-jie Yu and colleagues isolated the SFTS virus (SFTSV) from SFTS patients’ blood.[ citation needed ]

Related Research Articles

<span class="mw-page-title-main">Babesiosis</span> Malaria-like parasitic disease caused by infection with the alveoate Babesia or Theileria

Babesiosis or piroplasmosis is a malaria-like parasitic disease caused by infection with a eukaryotic parasite in the order Piroplasmida, typically a Babesia or Theileria, in the phylum Apicomplexa. Human babesiosis transmission via tick bite is most common in the Northeastern and Midwestern United States and parts of Europe, and sporadic throughout the rest of the world. It occurs in warm weather. People can get infected with Babesia parasites by the bite of an infected tick, by getting a blood transfusion from an infected donor of blood products, or by congenital transmission . Ticks transmit the human strain of babesiosis, so it often presents with other tick-borne illnesses such as Lyme disease. After trypanosomes, Babesia is thought to be the second-most common blood parasite of mammals. They can have major adverse effects on the health of domestic animals in areas without severe winters. In cattle the disease is known as Texas cattle fever or redwater.

<span class="mw-page-title-main">Colorado tick fever</span> Medical condition

Colorado tick fever (CTF) is a viral infection (Coltivirus) transmitted from the bite of an infected Rocky Mountain wood tick (Dermacentor andersoni). It should not be confused with the bacterial tick-borne infection, Rocky Mountain spotted fever. Colorado tick fever is probably the same disease that American pioneers referred to as "mountain fever".

<span class="mw-page-title-main">Arbovirus</span> Common name for several species of virus

Arbovirus is an informal name for any virus that is transmitted by arthropod vectors. The term arbovirus is a portmanteau word. Tibovirus is sometimes used to more specifically describe viruses transmitted by ticks, a superorder within the arthropods. Arboviruses can affect both animals and plants. In humans, symptoms of arbovirus infection generally occur 3–15 days after exposure to the virus and last three or four days. The most common clinical features of infection are fever, headache, and malaise, but encephalitis and viral hemorrhagic fever may also occur.

Tick-borne diseases, which afflict humans and other animals, are caused by infectious agents transmitted by tick bites. They are caused by infection with a variety of pathogens, including rickettsia and other types of bacteria, viruses, and protozoa. The economic impact of tick-borne diseases is considered to be substantial in humans, and tick-borne diseases are estimated to affect ~80 % of cattle worldwide.

<i>Bunyavirales</i> Order of RNA viruses

Bunyavirales is an order of segmented negative-strand RNA viruses with mainly tripartite genomes. Member viruses infect arthropods, plants, protozoans, and vertebrates. It is the only order in the class Ellioviricetes. The name Bunyavirales derives from Bunyamwera, where the original type species Bunyamwera orthobunyavirus was first discovered. Ellioviricetes is named in honor of late virologist Richard M. Elliott for his early work on bunyaviruses.

<span class="mw-page-title-main">Crimean–Congo hemorrhagic fever</span> Disease of humans and other animals

Crimean–Congo hemorrhagic fever (CCHF) is a viral disease. Symptoms of CCHF may include fever, muscle pains, headache, vomiting, diarrhea, and bleeding into the skin. Onset of symptoms is less than two weeks following exposure. Complications may include liver failure. In those who survive, recovery generally occurs around two weeks after onset.

<i>Phlebovirus</i> Genus of viruses

Phlebovirus is one of twenty genera of the family Phenuiviridae in the order Bunyavirales. The genus contains 66 species. It derives its name from Phlebotominae, the vectors of member species Naples phlebovirus, which is said to be ultimately from the Greek phlebos, meaning "vein". The proper word for "vein" in ancient Greek is however phleps (φλέψ).

Alkhurma virus (ALKV) is a zoonotic virus of the Flaviviridae virus family. ALKV causes Alkhurma hemorrhagic fever (AHF), or alternatively termed as Alkhurma hemorrhagic fever virus, and is mainly based in Saudi Arabia.

<i>Anaplasma phagocytophilum</i> Species of bacterium

Anaplasma phagocytophilum is a Gram-negative bacterium that is unusual in its tropism to neutrophils. It causes anaplasmosis in sheep and cattle, also known as tick-borne fever and pasture fever, and also causes the zoonotic disease human granulocytic anaplasmosis.

Powassan virus (POWV) is a Flavivirus transmitted by ticks, found in North America and in the Russian Far East. It is named after the town of Powassan, Ontario, where it was identified in a young boy who eventually died from it. It can cause encephalitis, an infection of the brain. No approved vaccine or antiviral drug exists. Prevention of tick bites is the best precaution.

<span class="mw-page-title-main">Anaplasmosis</span> Medical condition

Anaplasmosis is a tick-borne disease affecting ruminants, dogs, and horses, and is caused by Anaplasma bacteria. Anaplasmosis is an infectious but not contagious disease. Anaplasmosis can be transmitted through mechanical and biological vector processes. Anaplasmosis can also be referred to as "yellow bag" or "yellow fever" because the infected animal can develop a jaundiced look. Other signs of infection include weight loss, diarrhea, paleness of the skin, aggressive behavior, and high fever.

<span class="mw-page-title-main">Mosquito-borne disease</span> Diseases caused by bacteria, viruses or parasites transmitted by mosquitoes

Mosquito-borne diseases or mosquito-borne illnesses are diseases caused by bacteria, viruses or parasites transmitted by mosquitoes. Nearly 700 million people get a mosquito-borne illness each year resulting in over 725,000 deaths.

A robovirus is a zoonotic virus that is transmitted by a rodent vector.

<i>Haemaphysalis longicornis</i> Species of tick

Haemaphysalis longicornis, the Asian longhorned tick, longhorned tick, bush tick, Asian tick, or cattle tick, is a parasitic arachnid belonging to the tick family Ixodidae. The Asian longhorned tick is a known livestock pest, especially in New Zealand, and can transmit a disease called theileriosis to cattle but not to humans. However, the tick has been associated with several other tickborne diseases in humans.

Dabie bandavirus, also called SFTS virus, is a tick-borne virus in the genus Bandavirus in the family Phenuiviridae, order Bunyavirales. The clinical condition it caused is known as severe fever with thrombocytopenia syndrome (SFTS). SFTS is an emerging infectious disease that was first described in northeast and central China 2009 and now has also been discovered in Japan, South Korea, Vietnam and Taiwan in 2015. SFTS has a fatality rate of 12% and as high as over 30% in some areas. The major clinical symptoms of SFTS are fever, vomiting, diarrhea, multiple organ failure, thrombocytopenia, leukopenia and elevated liver enzyme levels. Another outbreak occurred in East China in the early half of 2020.

Borrelia miyamotoi is a bacterium of the spirochete phylum in the genus Borrelia. A zoonotic organism, B. miyamotoi can infect humans through the bite of several species of hard-shell Ixodes ticks, the same kind of ticks that spread B. burgdorferi, the causative bacterium of Lyme disease. Ixodes ticks are also the primary vector in the spread of babesiosis and anaplasmosis.

Heartland bandavirus, sometimes called Heartland virus (HRTV), is a tick-borne phlebovirus of the Bhanja virus serocomplex discovered in 2009. The lone star tick transmits the virus to people when feeding on blood. As of 2017, only five states in the Central United States have reported 20 human infections, namely Arkansas, Indiana, Missouri, Oklahoma, and Tennessee; symptoms resemble those of two other tick-borne infections ehrlichiosis and anaplasmosis. The reservoir host is unknown, but deer, raccoon, coyotes, and moose in 13 different states have antibody titers against the virus. By 2023 over 50 human infections were reported in at least eleven states.

Batai orthobunyavirus (BATV) is a RNA virus belonging to order Bunyavirales, genus Orthobunyavirus.

<span class="mw-page-title-main">Climate change and infectious diseases</span> Overview of the relationship between climate change and infectious diseases

Global climate change has resulted in a wide range of impacts on the spread of infectious diseases. Like other ways in which climate change affects on human health, climate change exacerbates existing inequalities and challenges in managing infectious disease. Infectious diseases whose transmission can be impacted by climate change include dengue fever, malaria, tick-borne diseases, leishmaniasis and Ebola virus disease. For example, climate change is altering the geographic range and seasonality of the mosquito that can carry dengue.

Bunyaviridae nonstructural S proteins (NSs) are synthesized by viral DNA/RNA and do not play a role in the replication or the viral protein coating. The nonstructural S segment (NSs) created by Bunyaviridae virus family, are able to interact with the human immune system, in order to increase their replication in infected cells. Understanding this mechanism can have global health impacts.

References

  1. 1 2 Saijo, Masayuki (2019). "1. Introduction". In Saijo, Masayuki (ed.). Severe Fever with Thrombocytopenia Syndrome. Singapore: Springer. pp. 1–14. ISBN   978-981-13-9561-1.
  2. 1 2 Yu, Xue-Jie; Liang, Mi-Fang; Zhang, Shou-Yin; Liu, Yan; Li, Jian-Dong; Sun, Yu-Lan; Zhang, Lihong; Zhang, Quan-Fu; Popov, Vsevolod L.; Li, Chuan; Qu, Jing (2011-04-21). "Fever with Thrombocytopenia Associated with a Novel Bunyavirus in China". New England Journal of Medicine. 364 (16): 1523–1532. doi:10.1056/NEJMoa1010095. ISSN   0028-4793. PMC   3113718 . PMID   21410387.
  3. Liu, Yan; Li, Qun; Hu, Wanfu; Wu, Jiabin; Wang, Yubi; Mei, Ling; Walker, David H.; Ren, Jun; Wang, Yu (February 2012). "Person-to-person transmission of severe fever with thrombocytopenia syndrome virus". Vector Borne and Zoonotic Diseases (Larchmont, N.Y.). 12 (2): 156–160. doi:10.1089/vbz.2011.0758. ISSN   1557-7759. PMID   21955213.
  4. "Promed Post".
  5. "S. Korea says death toll from tick-borne virus rises to 8 | YONHAP NE…". Archived from the original on 2013-07-05.
  6. "Japanese woman dies from tick disease after cat bite". BBC News. 2017-07-25. Retrieved 2017-07-25.
  7. "Japanese woman died from tick-borne illness after cat bite, health ministry says". Japan Times. 2017-07-25. Retrieved 2017-07-25.
  8. Explained: What is the new tick-borne virus spreading across China? 15 August 2020 indianexpress.com, accessed 24 October 2020
  9. Seven dead, 60 infected by new infectious disease in China: Report 7 August 2020 indianexpress.com, accessed 24 October 2020
  10. Lam, Tommy Tsan-Yuk; Liu, Wei; Bowden, Thomas A.; Cui, Ning; Zhuang, Lu; Liu, Kun; Zhang, Yao-Yun; Cao, Wu-Chun; Pybus, Oliver G. (March 2013). "Evolutionary and molecular analysis of the emergent severe fever with thrombocytopenia syndrome virus". Epidemics. 5 (1): 1–10. doi:10.1016/j.epidem.2012.09.002. PMC   4330987 . PMID   23438426.