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LETTER TO THE EDITOR  
Year : 2016  |  Volume : 9  |  Issue : 3  |  Page : 202
Change in T wave in severe fever with thrombocytopenia syndrome: A note


Public Health Curriculum, Surin Rajabhat University, Surin, Thailand

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Date of Web Publication3-May-2016
 

How to cite this article:
Wiwanitkit V. Change in T wave in severe fever with thrombocytopenia syndrome: A note. Ann Trop Med Public Health 2016;9:202

How to cite this URL:
Wiwanitkit V. Change in T wave in severe fever with thrombocytopenia syndrome: A note. Ann Trop Med Public Health [serial online] 2016 [cited 2019 Dec 15];9:202. Available from: http://www.atmph.org/text.asp?2016/9/3/202/179104
Dear Sir,

Severe fever with thrombocytopenia syndrome is a new Bunyavirus disease. This emerging infection is presently seen in several countries in East Asia.[1],[2] These main clinical presentations of this new emerging disease include high fever and thrombocytopenia.[1],[2] The atypical clinical presentations of this new disease are very interesting. Cardiac problem is an issue to be discussed. In the previous report, it is evidenced that cardiac arrhythmia is an important finding in this new disease.[3] However, there are other cardiac problems in the patients as well. Here, the author summarizes the information reported in three publications on the observed T wave change in electrocardiograms.[1],[4],[5] Of the 109 patients who got electrocardiography studies, nine (8.3 %) patients had had changes in T wave. The problem on T wave in the patient with severe fever with thrombocytopenia syndrome is an interesting issue in cardiology. Whether there is any cardiac muscle involvement in the syndrome remains a myth. In a recent report by Deng et al., it is also evidenced that there is an abnormal troponin level among the patients, implying that there might be a possible cardiac pathology due to the infection.[1]

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   References Top

1.
Deng B, Zhou B, Zhang S, Zhu Y, Han L, Geng Y, et al. Clinical features and factors associated with severity and fatality among patients with severe fever with thrombocytopenia syndrome Bunyavirus infection in Northeast China. PLoS One 2013;8:e80802.  Back to cited text no. 1
    
2.
Liu Q, He B, Huang SY, Wei F, Zhu XQ. Severe fever with thrombocytopenia syndrome, an emerging tick-borne zoonosis. Lancet Infect Dis 2014;14:763-72.  Back to cited text no. 2
    
3.
Wiwanitkit V. Arrhythmia in severe fever with thrombocytopenia syndrome. Anatol J Cardiol 2015 (In press).  Back to cited text no. 3
    
4.
Ye L, Shang X, Wang Z, Hu F, Wang X, Xiao Y, et al. A case of severe fever with thrombocytopenia syndrome caused by anovel bunyavirus in Zhejiang, China. Int J Infect Dis 2015;33:199-201.  Back to cited text no. 4
    
5.
Wang M, Zuo J, Hu K. Identification of severe fever with thrombocytopenia syndrome virus in ticks collected from patients. Int J Infect Dis 2014;29:82-3.  Back to cited text no. 5
    

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Correspondence Address:
Viroj Wiwanitkit
Surin Rajabhat University, Surin
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.179104

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