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1.
Avsic-Zupanc T , Saksida A , Korva M , 2019. Hantavirus infections. Clin Microbiol Infect 21S: e6–e16.
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2.
Goeijenbier M et al. 2014. The hanta hunting study: underdiagnosis of Puumala hantavirus infections in symptomatic non-travelling leptospirosis-suspected patients in The Netherlands, in 2010 and April to November 2011. Euro Surveill 19: 20878.
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3.
Wu TN , Chin C , Shen CY , Chang PY , 1996. Hantavirus infection in Taiwan. Lancet 347: 770–771.
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Taiwan National Infectious Disease Statistics System . Available at: https://nidss.cdc.gov.tw/en/SingleDisease.aspx?dc=1&dt=2& disease=0786. Accessed December 11, 2020.
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5.
Chin C et al. 2000. Hantavirus infection in Taiwan: the experience of a geographically unique area. J Med Virol 60: 237–247.
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6.
Park SC et al. 1989. A clinical study of hemorrhagic fever with renal syndrome caused by Seoul virus infection. Korean J Intern Med 4: 130–135.
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7.
Jonsson CB , Figueiredo LT , Vapalahti O , 2010. A global perspective on hantavirus ecology, epidemiology, and disease. Clin Microbiol Rev 23: 412–441.
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8.
Jiang H , Zheng X , Wang L , Du H , Wang P , Bai X , 2017. Hantavirus infection: a global zoonotic challenge. Virol Sin 32: 32–43.
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9.
Jiang H , Du H , Wang LM , Wang PZ , Bai XF , 2016. Hemorrhagic fever with renal syndrome: pathogenesis and clinical picture. Front Cell Infect Microbiol 6: 1.
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10.
Alexeyev OA , Morozov VG , 1995. Neurological manifestations of hemorrhagic fever with renal syndrome caused by Puumala virus: review of 811 cases. Clin Infect Dis 20: 255–258.
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11.
Xu Z , Xu P , Lei X , Xu Z , Wu Q , Zhang J , 2011. Subarachnoid hemorrhage associated with epidemic hemorrhagic fever: a rare case report. Int J Med Sci 8: 640–642.
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12.
Komiyama M , Yasui T , Sumimoto T , Fu Y , 1997. Spontaneous spinal subarachnoid hematoma of unknown pathogenesis: case reports. Neurosurgery 41: 691–693 ; discussion 3–4.
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13.
Kreppel D , Antoniadis G , Seeling W , 2003. Spinal hematoma: a literature survey with meta-analysis of 613 patients. Neurosurg Rev 26: 1–49.
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14.
Domenicucci M , Ramieri A , Paolini S , Russo N , Occhiogrosso G , Di Biasi C , Delfini R , 2005. Spinal subarachnoid hematomas: our experience and literature review. Acta Neurochir (Wien) 147: 741–750 ; discussion 50.
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15.
Kim YH , Cho KT , Chung CK , Kim HJ , 2004. Idiopathic spontaneous spinal subarachnoid hemorrhage. Spinal Cord 42: 545–547.
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16.
Maiti TK , Bir SC , Nanda A , 2017. Spinal subarachnoid hemorrhage and aneurysms. Handb Clin Neurol 143: 215–223.
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17.
Xiang LB , Zhang ZY , Chen JM , Xiang JM , Cosgriff TM , 1990. Epidemic hemorrhagic fever. The mechanism of coagulation and fibrinolysis. Chin Med J (Engl) 103: 391–395.
| Past two years | Past Year | Past 30 Days | |
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| Abstract Views | 999 | 87 | 13 |
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Case Report: Spinal Subarachnoid Hemorrhage: A Rare Complication of Hemorrhagic Fever with Renal Syndrome
Shih-Hao Lo
Shih-Hao Lo
Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan;
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Pei-Ting Chen
Pei-Ting Chen
Department of Post Baccalaureate Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan;
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Wan-Jin Yu
Wan-Jin Yu
Department of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan;
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Ke-Syuan Hsieh
Ke-Syuan Hsieh
Department of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan;
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Tun-Chieh Chen
Tun-Chieh Chen
Department of Post Baccalaureate Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan;
Department of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan;
Department of Internal Medicine, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
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Department of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan;
Department of Internal Medicine, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
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ABSTRACT
Hemorrhagic fever with renal syndrome (HFRS), caused by hantavirus, is occasionally seen in tropical areas. The virus is carried by specific rodent host species. Hemorrhagic fever with renal syndrome is characterized by renal failure and hemorrhagic manifestations, and its complications may be severe, including massive bleeding, multi-organ dysfunction, and possibly death. In this patient case, a 46-year-old woman diagnosed with HFRS initially presented with fever, impaired renal function, and thrombocytopenia. Four days after symptom onset, the patient complained of abrupt right lower abdominal pain and numbness. Magnetic resonance imaging revealed a spinal subarachnoid hemorrhage (SAH) beyond the T7 to S2 vertebrae. No cases of spinal SAH in HFRS have been reported until now. This case demonstrates that when a patient’s symptoms are atypical, bleeding-related complications must be considered.
Author Notes
Authors’ addresses: Shih-Hao Lo, Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan, E-mail: pipy0529@gmail.com. Pei-Ting Chen, Department of Post Baccalaureate Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, E-mail: b96207045@gmail.com. Wan-Jin Yu and Ke-Syuan Hsieh, Department of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, E-mails: winniestatham@gmail.com and gg31540@gmail.com. Tun-Chieh Chen, Department of Internal Medicine, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Taiwan, E-mail: kmtthidchen@gmail.com.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Avsic-Zupanc T , Saksida A , Korva M , 2019. Hantavirus infections. Clin Microbiol Infect 21S: e6–e16.
-
2.
Goeijenbier M et al. 2014. The hanta hunting study: underdiagnosis of Puumala hantavirus infections in symptomatic non-travelling leptospirosis-suspected patients in The Netherlands, in 2010 and April to November 2011. Euro Surveill 19: 20878.
-
3.
Wu TN , Chin C , Shen CY , Chang PY , 1996. Hantavirus infection in Taiwan. Lancet 347: 770–771.
-
4.
Taiwan National Infectious Disease Statistics System . Available at: https://nidss.cdc.gov.tw/en/SingleDisease.aspx?dc=1&dt=2& disease=0786. Accessed December 11, 2020.
-
5.
Chin C et al. 2000. Hantavirus infection in Taiwan: the experience of a geographically unique area. J Med Virol 60: 237–247.
-
6.
Park SC et al. 1989. A clinical study of hemorrhagic fever with renal syndrome caused by Seoul virus infection. Korean J Intern Med 4: 130–135.
-
7.
Jonsson CB , Figueiredo LT , Vapalahti O , 2010. A global perspective on hantavirus ecology, epidemiology, and disease. Clin Microbiol Rev 23: 412–441.
-
8.
Jiang H , Zheng X , Wang L , Du H , Wang P , Bai X , 2017. Hantavirus infection: a global zoonotic challenge. Virol Sin 32: 32–43.
-
9.
Jiang H , Du H , Wang LM , Wang PZ , Bai XF , 2016. Hemorrhagic fever with renal syndrome: pathogenesis and clinical picture. Front Cell Infect Microbiol 6: 1.
-
10.
Alexeyev OA , Morozov VG , 1995. Neurological manifestations of hemorrhagic fever with renal syndrome caused by Puumala virus: review of 811 cases. Clin Infect Dis 20: 255–258.
-
11.
Xu Z , Xu P , Lei X , Xu Z , Wu Q , Zhang J , 2011. Subarachnoid hemorrhage associated with epidemic hemorrhagic fever: a rare case report. Int J Med Sci 8: 640–642.
-
12.
Komiyama M , Yasui T , Sumimoto T , Fu Y , 1997. Spontaneous spinal subarachnoid hematoma of unknown pathogenesis: case reports. Neurosurgery 41: 691–693 ; discussion 3–4.
-
13.
Kreppel D , Antoniadis G , Seeling W , 2003. Spinal hematoma: a literature survey with meta-analysis of 613 patients. Neurosurg Rev 26: 1–49.
-
14.
Domenicucci M , Ramieri A , Paolini S , Russo N , Occhiogrosso G , Di Biasi C , Delfini R , 2005. Spinal subarachnoid hematomas: our experience and literature review. Acta Neurochir (Wien) 147: 741–750 ; discussion 50.
-
15.
Kim YH , Cho KT , Chung CK , Kim HJ , 2004. Idiopathic spontaneous spinal subarachnoid hemorrhage. Spinal Cord 42: 545–547.
-
16.
Maiti TK , Bir SC , Nanda A , 2017. Spinal subarachnoid hemorrhage and aneurysms. Handb Clin Neurol 143: 215–223.
-
17.
Xiang LB , Zhang ZY , Chen JM , Xiang JM , Cosgriff TM , 1990. Epidemic hemorrhagic fever. The mechanism of coagulation and fibrinolysis. Chin Med J (Engl) 103: 391–395.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 999 | 87 | 13 |
| Full Text Views | 361 | 157 | 0 |
| PDF Downloads | 243 | 70 | 0 |