Hemorrhagic Fevers with Renal Syndrome Presenting with Pregnancy Interruption

Year 2017, Volume: 07 Issue: 04, 198 - 201, 01.12.2017

Elda Qyra Edmond Puca Arjan Harxhi Majlinda Kote Pellumb Pipero

https://doi.org/10.5799/jmid.369267

Cited By: 1

Abstract

Hemorrhagic
fever with renal syndrome is presented with so many different clinical
symptoms. It can present mild form of the disease or the severe symptoms. We reported
two cases with HFRS, at pregnant women, ended with pregnancy interruption. Both
of them had nearly the same age, both 16 weeks pregnant. They presented with
fever, malaise, muscle pain and headache. They were febrile when presented at
the hospital, hypotensive, hyperemia on the face. They complained about
oligo-anuria too. One of them continued to be hypotension, despite the
supportive therapy she had an abortion after 8 hours. The other patient had the
abortion on the 4^th day of hospitalization. The diagnose was set
based on the clinical, epidemiological findings and the serological positive
confirmation for IgM Hantavirus by enzyme-linked immunosorbent assay and immunofluorescence
assay IFA.

The
abortion is a rare complication of HFRS in pregnancy. The symptoms are not
specific. Early diagnosis and appropriate management are necessary to improve
the maternal and fetal outcome. J
Microbiol Infect Dis 2017; 7(4):198-201

Keywords

Hemorrhagic fever with renal syndrome, pregnancy, interruption

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