{"created":"2023-05-15T16:49:55.717238+00:00","id":27584,"links":{},"metadata":{"_buckets":{"deposit":"8ad1ec2f-5e54-4aa6-8795-d0c5866a51b4"},"_deposit":{"created_by":6,"id":"27584","owners":[6],"pid":{"revision_id":0,"type":"depid","value":"27584"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:00027584","sets":["8:9"]},"author_link":["122654","122658","122659","122657","122651","122661","122664","122663","122641","122644","122653","122652","122666","122640","122645","122642","122647","122650","122660","122665","122643","122655","122656","122639","122648","122649","122646","122662"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-08-18","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"8","bibliographicPageStart":"1807","bibliographicVolumeNumber":"14","bibliographic_titles":[{"bibliographic_title":"Viruses"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Severe fever with thrombocytopenia syndrome (SFTS) and Japanese spotted fever (JSF; a spotted fever group rickettsiosis) are tick-borne zoonoses that are becoming a significant public health threat in Japan and East Asia. Strategies for treatment and infection control differ between the two; therefore, initial differential diagnosis is important. We aimed to compare the clinical characteristics of SFTS and JSF based on symptomology, physical examination, laboratory data, and radiography findings at admission. This retrospective study included patients with SFTS and JSF treated at five hospitals in Nagasaki Prefecture, western Japan, between 2013 and 2020. Data from 23 patients with SFTS and 38 patients with JSF were examined for differentiating factors and were divided by 7:3 into a training cohort and a validation cohort. Decision tree analysis revealed leukopenia (white blood cell [WBC] < 4000/µL) and altered mental status as the best differentiating factors (AUC 1.000) with 100% sensitivity and 100% specificity. Using only physical examination factors, absence of skin rash and altered mental status resulted in the best differentiating factors with AUC 0.871, 71.4% sensitivity, and 90.0% specificity. When treating patients with suspected tick-borne infection, WBC < 4000/µL, absence of skin rash, and altered mental status are very useful to differentiate SFTS from JSF.","subitem_description_type":"Abstract"}]},"item_2_description_63":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"Viruses, 14(8), art. no. 1807; 2022","subitem_description_type":"Other"}]},"item_2_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"MDPI"}]},"item_2_relation_12":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.3390/v14081807","subitem_relation_type_select":"DOI"}}]},"item_2_rights_13":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/)"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1999-4915","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_16":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Nakada, Nana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yamamoto, Kazuko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tanaka, Moe"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ashizawa, Hiroki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yoshida, Masataka"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Umemura, Asuka"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Fukuda, Yuichi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Katoh, Shungo"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Sumiyoshi, Makoto"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Mihara, Satoshi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kobayashi, Tsutomu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ito, Yuya"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ashizawa, Nobuyuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Takeda, Kazuaki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ide, Shotaro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Iwanaga, Naoki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Takazono, Takahiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tashiro, Masato"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tanaka, Takeshi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nakamichi, Seiko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Morimoto, Konosuke"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ariyoshi, Koya"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Morita, Kouichi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kurihara, Shintaro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yanagihara, Katsunori"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Furumoto, Akitsugu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Izumikawa, Koichi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Mukae, Hiroshi"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-09-13"}],"displaytype":"detail","filename":"V14_1807.pdf","filesize":[{"value":"968.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"V14_1807.pdf","url":"https://nagasaki-u.repo.nii.ac.jp/record/27584/files/V14_1807.pdf"},"version_id":"74197f79-6868-426d-9eae-235a1345f6ed"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"severe fever with thrombocytopenia syndrome","subitem_subject_scheme":"Other"},{"subitem_subject":"Japanese spotted fever","subitem_subject_scheme":"Other"},{"subitem_subject":"clinical differentiation","subitem_subject_scheme":"Other"},{"subitem_subject":"white blood cell","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Clinical Differentiation of Severe Fever with Thrombocytopenia Syndrome from Japanese Spotted Fever","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Clinical Differentiation of Severe Fever with Thrombocytopenia Syndrome from Japanese Spotted Fever"}]},"item_type_id":"2","owner":"6","path":["9"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-09-13"},"publish_date":"2022-09-13","publish_status":"0","recid":"27584","relation_version_is_last":true,"title":["Clinical Differentiation of Severe Fever with Thrombocytopenia Syndrome from Japanese Spotted Fever"],"weko_creator_id":"6","weko_shared_id":-1},"updated":"2023-05-15T19:37:34.681558+00:00"}