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.
Bakir M, Ugurlu M, Dokuzoguz B, Bodur H, Tasyaran MA, Vahaboglu H, and the Turkish CCHF Study Group. Crimean-Congo hemorrhagic fever outbreak in Middle Anatolia: a multicentre study of clinical features and outcome measures. J Med Microbiol. 2005;54(Pt 4):385-9.
Bi Z, Formenty PB, Roth CE. Hantavirus infection: A review and global update. J Infect Dev Ctries. 2008;2(1):3-23.
Jonsson CB, Figueiredo LT, Vapalahti O. A global perspective on hantavirus ecology, epidemiology, and disease. Clin Microbiol Rev. 2010;23(2):412-41.
Johnson KM. Hantaviruses: history and overview. Curr Top Microbiol Immunol. 2001;256:1-14.
Ertek M, Buzgan T; Refik Saydam National Public Health Agency; Ministry of Health, Ankara, Turkey. An outbreak caused by hantavirus in the Black Sea region of Turkey, January-May 2009. Euro Surveill. 2009;14(20):19214.
Heyman P, Vaheri A, Lundkvist A, Avsic-Zupanc T. Hantavirus infections in Europe: from virus carriers to a major public health problem. Expert Rev Anti Infect Ther. 2009;7(2):205-17.
Çelebi G. Hantavirus Infections. Klimik Derg. 2011;24(3):139-49. Turkish.
Kaya S, Yilmaz G, Erensoy S, Yagci-Caglayik D, Uyar Y, Koksal I. Hantavirus infection: two case reports from a province in the Eastern Black Sea Region, Turkey. Mikrobiyol Bul. 2010;44(3):479-87. Turkish.
Ince N, Onec K, Sav T, Sungur MA, Menemenlioglu D. An evaluation of suspected cases of Hantavirus infection admitted to a tertiary care university hospital in Düzce, Turkey, between 2012 and 2018. Turk J Med Sci. 2021;51(1):288-96.
Hamid K, Sathyanarayanan SP, Naim T, Hamza M, Mahmood Baig MO, Sitta EA. Hantavirus cardiopulmonary syndrome and diffuse alveolar hemorrhage in the era of COVID-19. Case Rep Infect Dis. 2021:8800500.
de Lemos ERS, Fernandes J, Coelho TA, Lumi LO, Rosa JAR, Biasus L, et al. Case report: Hantavirus cardiopulmonary syndrome diagnostic in the face of the COVID-19 pandemic. Am J Trop Med Hyg. 2022;106(3):870-3.
Coelho RM, Periolo N, Duhalde CP, Alonso DO, Bellomo CM, Corazza M, et al. Hantavirus pulmonary syndrome in a COVID-19 patient, Argentina, 2020. Emerg Infect Dis. 2022;28(4):876-8.
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.
Bakir M, Ugurlu M, Dokuzoguz B, Bodur H, Tasyaran MA, Vahaboglu H, and the Turkish CCHF Study Group. Crimean-Congo hemorrhagic fever outbreak in Middle Anatolia: a multicentre study of clinical features and outcome measures. J Med Microbiol. 2005;54(Pt 4):385-9.
Bi Z, Formenty PB, Roth CE. Hantavirus infection: A review and global update. J Infect Dev Ctries. 2008;2(1):3-23.
Jonsson CB, Figueiredo LT, Vapalahti O. A global perspective on hantavirus ecology, epidemiology, and disease. Clin Microbiol Rev. 2010;23(2):412-41.
Johnson KM. Hantaviruses: history and overview. Curr Top Microbiol Immunol. 2001;256:1-14.
Ertek M, Buzgan T; Refik Saydam National Public Health Agency; Ministry of Health, Ankara, Turkey. An outbreak caused by hantavirus in the Black Sea region of Turkey, January-May 2009. Euro Surveill. 2009;14(20):19214.
Heyman P, Vaheri A, Lundkvist A, Avsic-Zupanc T. Hantavirus infections in Europe: from virus carriers to a major public health problem. Expert Rev Anti Infect Ther. 2009;7(2):205-17.
Çelebi G. Hantavirus Infections. Klimik Derg. 2011;24(3):139-49. Turkish.
Kaya S, Yilmaz G, Erensoy S, Yagci-Caglayik D, Uyar Y, Koksal I. Hantavirus infection: two case reports from a province in the Eastern Black Sea Region, Turkey. Mikrobiyol Bul. 2010;44(3):479-87. Turkish.
Ince N, Onec K, Sav T, Sungur MA, Menemenlioglu D. An evaluation of suspected cases of Hantavirus infection admitted to a tertiary care university hospital in Düzce, Turkey, between 2012 and 2018. Turk J Med Sci. 2021;51(1):288-96.
Hamid K, Sathyanarayanan SP, Naim T, Hamza M, Mahmood Baig MO, Sitta EA. Hantavirus cardiopulmonary syndrome and diffuse alveolar hemorrhage in the era of COVID-19. Case Rep Infect Dis. 2021:8800500.
de Lemos ERS, Fernandes J, Coelho TA, Lumi LO, Rosa JAR, Biasus L, et al. Case report: Hantavirus cardiopulmonary syndrome diagnostic in the face of the COVID-19 pandemic. Am J Trop Med Hyg. 2022;106(3):870-3.
Coelho RM, Periolo N, Duhalde CP, Alonso DO, Bellomo CM, Corazza M, et al. Hantavirus pulmonary syndrome in a COVID-19 patient, Argentina, 2020. Emerg Infect Dis. 2022;28(4):876-8.
Çakır, Y., & Ince, N. (2024). A Case of Hantavirus Renal Syndrome Detected in the COVID-19 Pandemic. Duzce Medical Journal, 26(1), 78-80. https://doi.org/10.18678/dtfd.1366373
AMA
Çakır Y, Ince N. A Case of Hantavirus Renal Syndrome Detected in the COVID-19 Pandemic. Duzce Med J. April 2024;26(1):78-80. doi:10.18678/dtfd.1366373
Chicago
Çakır, Yasemin, and Nevin Ince. “A Case of Hantavirus Renal Syndrome Detected in the COVID-19 Pandemic”. Duzce Medical Journal 26, no. 1 (April 2024): 78-80. https://doi.org/10.18678/dtfd.1366373.
EndNote
Çakır Y, Ince N (April 1, 2024) A Case of Hantavirus Renal Syndrome Detected in the COVID-19 Pandemic. Duzce Medical Journal 26 1 78–80.
IEEE
Y. Çakır and N. Ince, “A Case of Hantavirus Renal Syndrome Detected in the COVID-19 Pandemic”, Duzce Med J, vol. 26, no. 1, pp. 78–80, 2024, doi: 10.18678/dtfd.1366373.
ISNAD
Çakır, Yasemin - Ince, Nevin. “A Case of Hantavirus Renal Syndrome Detected in the COVID-19 Pandemic”. Duzce Medical Journal 26/1 (April 2024), 78-80. https://doi.org/10.18678/dtfd.1366373.
JAMA
Çakır Y, Ince N. A Case of Hantavirus Renal Syndrome Detected in the COVID-19 Pandemic. Duzce Med J. 2024;26:78–80.
MLA
Çakır, Yasemin and Nevin Ince. “A Case of Hantavirus Renal Syndrome Detected in the COVID-19 Pandemic”. Duzce Medical Journal, vol. 26, no. 1, 2024, pp. 78-80, doi:10.18678/dtfd.1366373.
Vancouver
Çakır Y, Ince N. A Case of Hantavirus Renal Syndrome Detected in the COVID-19 Pandemic. Duzce Med J. 2024;26(1):78-80.