@article{oai:niigata-u.repo.nii.ac.jp:00023155,
 author = {渡辺, 恒 and 根本, 啓一 and 大西, 義久},
 issue = {2},
 journal = {新潟医学会雑誌, 新潟医学会雑誌},
 month = {Feb},
 note = {An autopsy case of a 56-year-old man who died from Tsutsugamushi disease was reported. He was admitted with chief complaints of high fever and skin eruption. After admission, he was treated with some antibiotics, γ-globulin and hemodialysis as clinical diagnosis of sepsis, acute renal failure and disseminated intravascular coagulation syndrome (DIC). In spite of the treatments, his general condition became worse and worse, and died of dyspnea about 11 days after the initial symptoms. The diagnosis of Tsutsugamushi disease was confirmed by postmortem examination of patient's serum. Histopathologically, focal infiltration of mononuclear cells which is a characteristic feature of Tsutsugamushi disease was found in the heart, lungs and kidneys. Acute splenitis and necrotizing lymphadenitis were also manifest, although the histopathological diagnosis of DIC could not be made. In view of the fact that an increase in the number of patients and wide-spread occurrence of Tsutsugamushi disease has been reported in Japan, clinicians should recognize that this disease is still present.},
 pages = {112--117},
 title = {恙虫病の1剖検例},
 volume = {103},
 year = {1989}
}