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Hemorrhagic fever with renal syndrome (HFRS) is caused by hantaviruses. Data of 34 patients with HFRS hospitalized at Chosun University Hospital, South Korea, between 2010 and 2021 were retrospectively analyzed. Nested reverse transcription polymerase chain reaction (RT-nPCR) targeting the L segment of hantavirus and sequencing were used for diagnosis. Most cases occurred in men and during the months of October through December. Common symptoms were fever, chills, gastrointestinal symptoms, and myalgia. The common laboratory abnormalities were thrombocytopenia, proteinuria, and elevated levels of serum creatinine, aspartate transaminase, alanine transaminase, and lactate dehydrogenase. Approximately 91.2% of patients had the Hantaan virus with a new genotype cluster, whereas 8.8% had the Seoul virus. Seropositivity based on IgM titer >1:32 on admission was noted in 20.6%, and a 4-fold increase in IgG titer of 1:512 was observed in 11.8%. This study demonstrated that RT-nPCR targeting the L segment of hantaviruses is a more reliable diagnostic method compared to serological testing.
Financial support: This study was supported by research fund from
Disclosures: The authors declare no potential conflicts of interest concerning the research, authorship, or publication of this article. This study was approved by the Ethics in Human Research Committee of Chosun University Hospital (IRB no. 2013-10-001-018), Gwangju, South Korea.
Current contact information: Ma Eum Park, School of Medicine, Chosun University, Dong-gu, Gwangju, South Korea, E-mail:idofmaum@gmail.com; Da Young Kim, Jun-Won Seo, Na Ra Yun, and Dong-Min Kim, Department of Internal Medicine, College of Medicine, Chosun University, Gwangju, South Korea, E-mails: dayz02@hanmail.net, kaist-105@daum.net, shine@chosun.ac.kr, and drongkim@chosun.ac.kr; You Mi Lee and Choon Mee Kim, Department of Premedical Science College of Medicine, Chosun University, Gwangju, South Korea, E-mails: moksha1001@hanmail.net and choonmee@chosun.ac.kr.
Past two years | Past Year | Past 30 Days | |
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Abstract Views | 0 | 0 | 0 |
Full Text Views | 163 | 163 | 73 |
PDF Downloads | 158 | 158 | 78 |