+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Hantavirus infections: clinical presentation in the emergency room

Hantavirus infections: clinical presentation in the emergency room

European Journal of Emergency Medicine 8(1): 17-20

We present a retrospective review of Hantavirus infection in the emergency department. Thirteen cases of Hantavirus infections with renal syndrome from July 1989 to August 1999 were analysed. The diagnosis was confirmed by detection of Hantavirus antibodies in all cases. Fever, chills and headaches were universally present. Intense back pain was associated in 77% of the patients. Thrombocytopenia, abnormal urinalysis, hypertransaminasaemia, increased lactate dehydrogenase were the principal biological patterns. All these parameters returned to their normal level, and all the patients recovered a normal renal function without sequels. The management is supportive. Only one patient in our series had to be dialysed. Hantavirus disease should be included in the differential diagnosis of acute renal failure with thrombocytopenia, particularly in patients with suspected exposure in known endemic areas. The differential diagnosis of any perplexing case of undifferentiated febrile illness with acute renal failure and thrombocytopenia should include Hantavirus infection.

(PDF emailed within 0-6 h: $19.90)

Accession: 046211877

Download citation: RISBibTeXText

PMID: 11314815

DOI: 10.1097/00063110-200103000-00004

Related references

Hipos-ER (Hypoglycemia in Portugal Observational Study - Emergency Room): Clinical Outcomes in the Emergency Room. Value in Health 17(7): A332-A332, 2014

Validity of clinical predictors of group a beta streptococcal throat infections in adult emergency room patients. Clinical Research: 317a, 1981

Hantavirus infections for the clinician: from case presentation to diagnosis and treatment. Critical Reviews in Microbiology 38(4): 317-329, 2013

Clinical characteristics of adverse reactions to nonionic low osmolality contrast media in patients transferred from the CT room to the emergency room. Springerplus 5(1): 929-929, 2016

Bacteremia in children afebrile at presentation to an emergency room. Pediatric Infectious Disease Journal 6(2): 197-198, 1987

Ureteral stone location at emergency room presentation with colic. Journal of Urology 182(1): 165-168, 2010

Chest pain in the emergency room-an interesting case presentation. Echocardiography 33(12): 1911-1912, 2016

Pediatric emergency room presentation of congenital heart disease. Korean Circulation Journal 40(1): 36-41, 2010

Guam seaweed poisoning Presentation of patients at the emergency room. Micronesica 26(1): 19-21, 1993

The presentation of patients with AIDS defining illnesses in the emergency room. ELEVENTH INTERNATIONAL CONFERENCE ON AIDS [Author] Eleventh International Conference on AIDS, Vol Two One world: One hope : 83, 1996

Emerging viral zoonoses hantavirus infections Zoonosis virales emergentes las infecciones por hantavirus. Revue Scientifique et Technique Office International des Epizooties. August; 232: 595-611, 2004

Truncated hantavirus nucleocapsid proteins for serotyping Hantaan, Seoul, and Dobrava hantavirus infections. Journal of Clinical Microbiology 39(7): 2397-2404, 2001

Characterization of human antibody responses to four corners hantavirus infections among patients with hantavirus pulmonary syndrome. Journal of Virology 68(5): 3000-3006, 1994

Emergency room presentation of colorectal cancer: a consecutive cohort study. Annals of Surgical Oncology 14(3): 1099-1104, 2007