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- Title
Clinical-Pathological Conference Series from the Medical University of Graz: Case No 172: A 45-year-old truck driver with fever, vomiting, thrombocytopenia and renal failure.
- Authors
Bauer, Philipp K.; Krause, Robert; Fabian, Elisabeth; Aumüller, Marja-Liisa; Schiller, Dietmar; Adelsmayr, Gabriel; Fuchsjäger, Michael; Rechberger, Ernst; Schöfl, Rainer; Krejs, Guenter J.
- Abstract
Depending on the serotype, hantavirus infection in humans can affect different vascular beds, such as the capillaries in renal medulla or the pulmonary capillaries, resulting in two clinical syndromes: hemorrhagic fever with renal syndrome and hantavirus cardiopulmonary syndrome (caused by Sin Nombre virus and Andes virus) [[52]]. Keywords: Hantavirus; Hypophysitis; Pseudoacute abdomen; Capillary leak; Nephropathia epidemica EN Hantavirus Hypophysitis Pseudoacute abdomen Capillary leak Nephropathia epidemica 1222 1230 9 11/19/21 20211101 NES 211101 Presentation of case Dr. D. Schiller: The patient is a previously healthy 45-year-old truck driver from Upper Austria. In summary, the patient's signs and symptoms (pseudoacute abomen, involvement of the pituitary, photophobia, renal failure, and increased inflammation markers and thrombocytopenia) strongly suggest hantavirus, most likely Puumala virus infection in this case. Suggesting an autochthonous infectious disease in our patient, resulting in sepsis and thrombocytopenia, finally limits the differential diagnosis list to only two candidates: leptospirosis and hantavirus infection.
- Subjects
ACUTE abdomen; ADRENAL insufficiency; CENTRAL nervous system infections; KIDNEY failure; EMERGING infectious diseases; ZOONOSES; HEMORRHAGIC fever with renal syndrome
- Publication
Wiener Klinische Wochenschrift, 2021, Vol 133, Issue 21/22, p1222
- ISSN
0043-5325
- Publication type
Article
- DOI
10.1007/s00508-021-01921-z