Pathogenicity and virulence of the present hantaviruses in Bosnia and Herzegovina: the impact on renal function

Dobrava (DOBV) and Puumala (PUUV) viruses are endemic throughout the Balkans and cause haemorrhagic fever with renal syndrome (HFRS). The aim of this study was to assess the impact of two different hantaviruses on renal function in HFRS patients during the acute stage of illness. We also aimed to as...

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Veröffentlicht in:European journal of clinical microbiology & infectious diseases 2011-03, Vol.30 (3), p.381-385
Hauptverfasser: Hukić, M, Valjevac, A, Tulumovic, D, Numanovic, F, Heyman, P
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container_title European journal of clinical microbiology & infectious diseases
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creator Hukić, M
Valjevac, A
Tulumovic, D
Numanovic, F
Heyman, P
description Dobrava (DOBV) and Puumala (PUUV) viruses are endemic throughout the Balkans and cause haemorrhagic fever with renal syndrome (HFRS). The aim of this study was to assess the impact of two different hantaviruses on renal function in HFRS patients during the acute stage of illness. We also aimed to assess the DOBV and PUUV distribution between symptomatic HFRS patients and asymptomatic hantavirus antibody-positive subjects. The study included 264 symptomatic HFRS patients and 63 asymptomatic hantavirus antibody-positive healthy subjects. In our study, 131 (49.6%) HFRS patients were regarded as PUUV- and 69 (26.1%) as DOBV-infected patients, while in 64 (24.2%) of HFRS patients that showed all clinical and biochemical signs of HFRS, the causal hantavirus could not be determined with commercially available tests. DOBV-infected patients were associated with more requirements for haemodialysis treatment, lower diuresis and higher serum creatinine and urea values compared to PUUV-infected patients. PUUV was significantly predominant in asymptomatic hantavirus antibody-positive subjects (69.8%) compared to HFRS patients. DOBV was present in 17.5% of asymptomatic subjects and, interestingly, the preferential hantavirus serotype could not be determined in 12.7% of the asymptomatic antibody-positive subjects.
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ispartof European journal of clinical microbiology & infectious diseases, 2011-03, Vol.30 (3), p.381-385
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subjects Adult
Antibodies
Antibodies, Viral - blood
Asymptomatic
Asymptomatic Infections
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Bosnia and Herzegovina - epidemiology
Creatinine
Diuresis
Enzyme-Linked Immunosorbent Assay
Epidemics
Female
Hantavirus
Hantavirus - classification
Hantavirus - immunology
Hantavirus - pathogenicity
Hemodialysis
Hemorrhagic Fever with Renal Syndrome - epidemiology
Hemorrhagic Fever with Renal Syndrome - physiopathology
Hemorrhagic Fever with Renal Syndrome - virology
Hospitals
Humans
Illnesses
Immunoblotting
Immunoglobulin G - blood
Immunoglobulin M - blood
Infections
Infectious diseases
Internal Medicine
Kidney - physiopathology
Kidney - virology
Male
Males
Medical Microbiology
Medical sciences
Mortality
Pathogens
Physiology
Renal Dialysis
Renal function
Renal Insufficiency - virology
Urea
Virulence
Viruses
title Pathogenicity and virulence of the present hantaviruses in Bosnia and Herzegovina: the impact on renal function
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