Hantavirus fever without pulmonary syndrome in Panama

In Panama, hantavirus pulmonary syndrome (HPS) is caused by Choclo virus, a species phylogenetically related to Andes and Maporal viruses. Up to 60% of the population has been positive for specific serum antibody in community-based surveys, but mortality is very uncommon. In four western Panama clin...

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Veröffentlicht in:The American journal of tropical medicine and hygiene 2013-09, Vol.89 (3), p.489-494
Hauptverfasser: Armien, Blas, Pascale, Juan M, Muñoz, Carlos, Mariñas, Jamileth, Núñez, Heydy, Herrera, Milagro, Trujillo, José, Sánchez, Deyanira, Mendoza, Yaxelis, Hjelle, Brian, Koster, Frederick
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container_issue 3
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container_title The American journal of tropical medicine and hygiene
container_volume 89
creator Armien, Blas
Pascale, Juan M
Muñoz, Carlos
Mariñas, Jamileth
Núñez, Heydy
Herrera, Milagro
Trujillo, José
Sánchez, Deyanira
Mendoza, Yaxelis
Hjelle, Brian
Koster, Frederick
description In Panama, hantavirus pulmonary syndrome (HPS) is caused by Choclo virus, a species phylogenetically related to Andes and Maporal viruses. Up to 60% of the population has been positive for specific serum antibody in community-based surveys, but mortality is very uncommon. In four western Panama clinics, we tested individuals presenting with a severe febrile prodrome for acute hantavirus (HV) infection by immunoglobulin M enzyme-linked immunosorbent assay and reverse transcription polymerase chain reaction as well as clinically similar infections, such as dengue and leptospirosis. From 2006 to 2009, at least 21% of 117 patients diagnosed with HV infection had HV Fever (HF) with no evidence of pulmonary edema (no respiratory distress or radiographic lung infiltrates), and 44% of patients had very mild HPS (radiographic pulmonary edema but no respiratory insufficiency). HV infection caused by Choclo virus in Panama presents often as HF, which contrasts with HV in the Americas but is consistent with the high seroprevalence in endemic regions.
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subjects Adolescent
Adult
Aged
Antibodies, Viral - blood
Child
Child, Preschool
Female
Hantavirus
Hantavirus - genetics
Hantavirus - isolation & purification
Hantavirus Pulmonary Syndrome - diagnosis
Hantavirus Pulmonary Syndrome - epidemiology
Hemorrhagic Fever with Renal Syndrome - diagnosis
Hemorrhagic Fever with Renal Syndrome - epidemiology
Humans
Immunoglobulin M - blood
Leptospira
Male
Middle Aged
Panama - epidemiology
RNA, Viral - isolation & purification
Seroepidemiologic Studies
Young Adult
title Hantavirus fever without pulmonary syndrome in Panama
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