Abstract
To the Editor: Hantavirus pulmonary syndrome (HPS) is characterized by fever, gastrointestinal symptoms, respiratory distress, elevated hematocrit, hypoalbuminemia, and thrombocytopenia. Most cases in North America are acquired from rodent vectors and are caused by the Sin Nombre virus. Person-to-person transmission has been reported for Andes virus (1,2) but not for Sin Nombre virus (3). We describe a patient with fatal hantavirus pulmonary syndrome.
Highlights
To the Editor: Hantavirus pulmonary syndrome (HPS) is characterized by fever, gastrointestinal symptoms, respiratory distress, elevated hematocrit, hypoalbuminemia, and thrombocytopenia
In the spring of 2006, she had traveled to the Santa Cruz-San Jose de Chiquitas corridor of Bolivia with her parents and siblings for a 4-week visit (Figure), where they stayed with family and friends on their farms
Reverse transcription–PCR (RT–PCR) on blood in EDTA and lung tissue followed by sequence analysis confirmed an Andeslike hantavirus infection
Summary
To the Editor: Hantavirus pulmonary syndrome (HPS) is characterized by fever, gastrointestinal symptoms, respiratory distress, elevated hematocrit, hypoalbuminemia, and thrombocytopenia. The patient had no known exposure to rodents or rodent droppings after her return to Canada. On day 26 after her return from Bolivia, the patient sought treatment at a community hospital at 6:30 AM for malaise and mild fever. Arrangements were made for the patient to be transferred to a tertiary pediatric care center for possible extracorporeal membrane oxygenation.
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