pISSN 2093-2340   eISSN 2092-6448
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    Infect Chemother. 2012 Dec;44(6):454-457. Korean.
    Published online Dec 31, 2012.
    https://doi.org/10.3947/ic.2012.44.6.454
    Copyright © 2012 by The Korean Society of Infectious Diseases and Korean Society for Chemotherapy
    Case Report

    Case of Hemorrhagic Fever with Renal Syndrome in Jeju Island

    Chae Moon Lim,1 Sang Taek Heo,1 Jinseok Kim,1 Jung Re Yu,1 Young Ree Kim,2,4 and Keun Hwa Lee3,4
      • 1Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea.
      • 2Department of Laboratory Medicine, Jeju National University School of Medicine, Jeju, Korea.
      • 3Department of Microbiology and Immunology, Jeju National University School of Medicine, Jeju, Korea.
      • 4The Environ-Mental Health Center, Jeju National University School of Medicine, Jeju, Korea.
    • Correspondence to Sang Taek Heo. Department of Internal Medicine, Jeju National University School of Medicine, 1, Ara 1-dong, 102 Jejudaehak-no, Jeju-si, Jeju 690-756, Korea. Tel: +82-64-717-1296, Fax: +82-64-717-1131, Email: neosangtaek@naver.com
    Received March 06, 2012; Revised June 07, 2012; Accepted June 07, 2012.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Hemorrhagic fever with renal syndrome (HFRS) caused by the Hantann virus occurs frequently in Korea. On the other hand, the incidence of HFRS is very low in Jeju Island. A 62-year-old man was transferred from another hospital because of persistent fever, myalgia, generalized edema, epigastric pain, conjunctival injection, costovertebral angle tenderness, thrombocytopenia and azotemia. On the second hospital day, he exhibited oliguric symptoms. His urine output increased from the fourth hospital day. The test for the anti-Hantaan virus antibody was positive. Finally, he was diagnosed with HFRS and recovered with conservative management. HFRS should be considered when acute renal failure develops in patients with fever and thrombocytopenia in Jeju Island.

    Keywords
    Hemorrhagic fever with renal syndrome; Hantavirus; Jeju; Crocidura shantungenesis

    References

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    MeSH Terms
    Acute Kidney Injury
    Azotemia
    Edema
    Fever
    Hand
    Hantavirus
    Hemorrhagic Fever with Renal Syndrome
    Humans
    Incidence
    Korea
    Thrombocytopenia
    Viruses
    Metrics
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