A Bour1, J-M Reynes2, X Plaisancie3, J-F Dufour3. 1. Service de médecine interne et post-urgence, centre hospitalier Fleyriat, 900, route de Paris, CS 90401, 01012 Bourg-en-Bresse cedex, France. Electronic address: drbour@hotmail.fr. 2. Centre national de référence des hantavirus, unité de biologie des infections virales émergentes, institut Pasteur, Centre international de recherche en infectiologie, 21, avenue Tony-Garnier, 69007 Lyon, France. 3. Service de médecine interne et post-urgence, centre hospitalier Fleyriat, 900, route de Paris, CS 90401, 01012 Bourg-en-Bresse cedex, France.
Abstract
INTRODUCTION: Rodents are hantavirus hosts. In Europe, hantaviruses are responsible for human infections resulting in hemorrhagic fever with renal syndrome. Thousands of Puumala virus infections are reported annually in Europe, whereas human Seoul virus infections are rarely detected. CASE REPORT: We report the case of a 38-year-old patient who presented initially with flu-like symptoms and transitory blurred vision. He developed thrombocytopenia, acute renal failure, and elevated aminotransferases levels during the disease course, but the outcome was favorable with a full recovery. Afterwards, the hantavirus serology results were indicative of Seoul virus infection. CONCLUSION: This report serves to remind physicians to consider diagnosing hantavirus infection when observing the association of fever, acute renal failure and thrombocytopenia. Transitory blurred vision is a specific element to indicate this diagnosis.
INTRODUCTION: Rodents are hantavirus hosts. In Europe, hantaviruses are responsible for human infections resulting in hemorrhagic fever with renal syndrome. Thousands of Puumala virus infections are reported annually in Europe, whereas human Seoul virus infections are rarely detected. CASE REPORT: We report the case of a 38-year-old patient who presented initially with flu-like symptoms and transitory blurred vision. He developed thrombocytopenia, acute renal failure, and elevated aminotransferases levels during the disease course, but the outcome was favorable with a full recovery. Afterwards, the hantavirus serology results were indicative of Seoul virus infection. CONCLUSION: This report serves to remind physicians to consider diagnosing hantavirus infection when observing the association of fever, acute renal failure and thrombocytopenia. Transitory blurred vision is a specific element to indicate this diagnosis.
Authors: Jan Clement; James W LeDuc; Graham Lloyd; Jean-Marc Reynes; Lorraine McElhinney; Marc Van Ranst; Ho-Wang Lee Journal: Viruses Date: 2019-07-17 Impact factor: 5.048