A Case of Hantavirus Renal Syndrome Detected in the COVID-19 Pandemic

Abstract

Hantaviruses are enveloped RNA viruses in the Bunyaviridae family that cause rodent-borne zoonotic infections. They cause two separate diseases, hemorrhagic fever with renal syndrome (HFRS) and hantavirus cardiopulmonary syndrome (HCPS), as a result of transmission to humans through contact with rodent excrements and inhalation. The form seen more common in Türkiye is HFRS, which progresses with acute kidney injury and thrombocytopenia. Coronavirus disease 2019 (COVID-19) is an infectious disease that ranges from asymptomatic infection to pneumonia, respiratory failure, and death. Because of symptoms such as fever, weakness, and flu-like clinical findings in the early days, it can be confused with many infectious diseases. In this case report, a case of hantavirus renal syndrome admitted with fever, weakness, and flu-like symptoms during the COVID-19 pandemic was presented.

Keywords

• COVID-19;
• Orthohantavirus;
• Thrombocytopenia

COVID-19 Pandemisinde Saptanan Hantavirüs Renal Sendrom Olgusu

Abstract

Hantavirüsler Bunyaviridae ailesi içinde yer alan, kemirgen kaynaklı zoonotik enfeksiyonlara yol açan zarflı RNA virüsleridir. Kemirgen dışkıları ile temas ve solunum yoluyla insanlara bulaş sonucu renal sendrom ile seyreden kanamalı ateş (RSKA) ve hantavirüs kardiyopulmoner sendrom (HKPS) olmak üzere iki ayrı hastalığa yol açmaktadırlar. Türkiye’de daha çok görülen formu akut böbrek yetmezliği ve trombositopeni ile seyreden RSKA tablosudur. Koronavirüs hastalığı 2019 (coronavirus disease 2019, COVID-19) ise asemptomatik enfeksiyondan pnömoniye, solunum yetmezliğine ve ölüme kadar değişen klinik tablolara yol açan bir enfeksiyon hastalığıdır. Hastalık özellikle erken dönemde neden olduğu ateş, halsizlik, gribe benzer klinik bulgular gibi belirtiler nedeniyle birçok bulaşıcı hastalık ile karıştırılabilmektedir. Bu olgu sunumunda, COVID-19 pandemisi sırasında ateş, halsizlik ve grip benzeri klinik bulgular ile hastaneye başvuran bir hantavirüs renal sendrom olgusu sunulmuştur.

Keywords

• COVID-19;
• Hantavirüs;
• Trombositopeni

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