Infect Chemother.  2012 Dec;44(6):454-457. 10.3947/ic.2012.44.6.454.

Case of Hemorrhagic Fever with Renal Syndrome in Jeju Island

Affiliations
  • 1Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. neosangtaek@naver.com
  • 2Department of Laboratory Medicine, Jeju National University School of Medicine, Jeju, Korea.
  • 3Department of Microbiology and Immunology, Jeju National University School of Medicine, Jeju, Korea.
  • 4The Environ-Mental Health Center, Jeju National University School of Medicine, Jeju, Korea.

Abstract

Hemorrhagic fever with renal syndrome (HFRS) caused by the Hantann virus occurs frequently in Korea. On the other hand, the incidence of HFRS is very low in Jeju Island. A 62-year-old man was transferred from another hospital because of persistent fever, myalgia, generalized edema, epigastric pain, conjunctival injection, costovertebral angle tenderness, thrombocytopenia and azotemia. On the second hospital day, he exhibited oliguric symptoms. His urine output increased from the fourth hospital day. The test for the anti-Hantaan virus antibody was positive. Finally, he was diagnosed with HFRS and recovered with conservative management. HFRS should be considered when acute renal failure develops in patients with fever and thrombocytopenia in Jeju Island.

Keyword

Hemorrhagic fever with renal syndrome; Hantavirus; Jeju; Crocidura shantungenesis

MeSH Terms

Acute Kidney Injury
Azotemia
Edema
Fever
Hand
Hantavirus
Hemorrhagic Fever with Renal Syndrome
Humans
Incidence
Korea
Thrombocytopenia
Viruses

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