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Abstract
BackgroundHantavirus infection is worldwide epidemic and can cause life-threatening consequences. With more and more cases reported in countries with atypical morbidity, it is necessarily urgent to know some atypical symptoms and signs of Hantavirus infection.Case presentationHere we report the case of a 44-year old male with a complaint of fever and diffuse abdominal pain, initially suspiciously diagnosed with acute peritonitis. The patient was eventually diagnosed as hemorrhagic fever with renal syndrome and enhanced CT scan showed peritonitis. The clinical condition of the patient was relatively mild and he was recovered 9 days later.ConclusionPeritonitis secondary to hemorrhagic fever with renal syndrome is rare in clinically practice. When confronted with atypical celialgia, it is important to make differential diagnosis of hantavirus infection.
Highlights
Hantavirus infection is worldwide epidemic and can cause life-threatening consequences
hemorrhagic fever with renal syndrome (HFRS) occurs in five phases: fever, hypotension, oliguria, polyuria, and convalescence and its main serological manifestations include: leukocytosis, atypical lymphocytes, thrombocytopenia, increased serum-creatinine
Based on symptoms and signs, along with his complete blood count, creatinine level, urine volume changes, he was eventually diagnosed as HFRS and secondary peritonitis
Summary
Hantavirus infection is worldwide epidemic and can cause life-threatening consequences. China) includes: flu-like symptoms as fever, headache, generalized muscle and low back pain and gastrointestinal symptoms like anorexia, nausea, vomiting and diarrhea, and most importantly acute kidney injury. HFRS occurs in five phases: fever, hypotension, oliguria, polyuria, and convalescence and its main serological manifestations include: leukocytosis, atypical lymphocytes, thrombocytopenia, increased serum-creatinine.
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