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I did not know they contained stimulant drugs,” one of the suspects was quoted. “I was asked by an old lady to bring to a friend in Japan.
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On December 9, two Malaysian nationals were allegedly found to be in possession of about 2.7 kilograms of kakuseizai, or stimulant drugs, upon arrival at Narita International Airport in Narita City.Īccording to Tokyo Customs, the contraband, which has a street value of about 160 million yen, was concealed in the false bottoms of two suitcases. Microscopic agglutination test ( Leptospira)Īntineutrophil cytoplasmic antibodies IgG (<3.CHIBA (TR) – In two separate cases, three foreigners have been prosecuted over the alleged smuggling of stimulant drugs and Ecstasy earlier this month, reports TBS News (Dec. Hepatitis B virus HBs-antigen (<0.05 IU/mL)Īntinuclear antibodies IgG immunofluorescence (<1:80) AC-04Īntineutrophil cytoplasmic antibodies IgG (<3.5 U/mL) Shigella spp/enteroinvasive Escherichia coli The spleen (13.5 cm) was slightly enlarged. Abdominal ultrasound showed no liver pathology intrahepatic bile ducts were not dilated. Liver enzymes were slightly and bilirubin (119 μmol/L) was markedly increased ( Table 1). The C-reactive protein was increased at 209 mg/L. The papillae of the tongue were enlarged. There was diffuse swelling of the genital region ( Figure 2). The rash had disappeared, but his skin appeared dry and showed extensive desquamation, mainly involving the lips, palms, and soles.
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Clinical examination revealed generalized jaundice, a swollen nuchal lymph node, and tenderness in the upper right abdomen. Upon admission to hospital B, the patient’s blood pressure was 125/80mmHg, pulse was 88/minute, oxygen saturation on room air was 98%, and tympanal temperature was 39.3☌. He was in a stable relationship with a woman for approximately 1 year and did not report any other sexual contacts. The patient reported frequent outdoor activities before the onset of episode 1, including hunting, skinning of animals, and swimming in mountain lakes and creeks near the Swiss-Austrian border.
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Timeline of patient with leptospirosis in November 2019 (episode 1 in hospital A) followed by a Kawasaki disease-like syndrome in January 2020 (episode 2 in hospital B). The fever continued and the patient developed yellow discoloration of his eyes, redness and swelling of the genital region, chapped lips, and extensive scaling of his skin, whereupon he presented to our tertiary hospital (episode 2, hospital B) on Janu( Figure 1). He sought medical care as an outpatient and was again started on amoxicillin/clavulanic acid and clarithromycin for suspected relapse of pneumonia. On December 30, 2019, he had an acute onset of fever up to 39.3☌, a mild cough, dry eyes, arthralgia, and a generalized rash. For the next 5 weeks, he remained completely free of symptoms. He recovered after treatment with amoxicillin-clavulanic acid and clarithromycin for suspected pneumonia. The patient also had acute kidney injury and thrombocytopenia. Adult, Kawasaki disease, leptospirosis, Switzerland, vasculitis CASE REPORTĪ 43-year-old, otherwise healthy male presented to an external hospital with fever and cough in the beginning of November 2019 (episode 1, hospital A) ( Figure 1).