[Hantavirus causing fatal haemorrhagic fever in the Czech Republic]. / Hantavirus jako puvodce smrtelné hemoragické horecky v Ceské republice.

Hantaviruses are RNA viruses of the family Bunyaviridae. Their hosts are mammals of the orders rodents (voles, rats, mice), insectivores (shrews, moles), and chiroptera (bats). Hantaviruses are present in many areas of Europe, the Americas, Asia, and Africa. In the Czech Republic, the occurrence of five species of hantaviruses has been reported (Dobrava/Belgrade, Puumala, Tula, Seewis, and Asikkala), with the first three of them causing human diseases. Although the course of hantavirus infections can be very serious, there is a low awareness of these diseases, even among health professionals, and hantavirus is often not considered in the diagnosis. A case history is reported of a patient who developed hantavirus haemorrhagic fever with renal syndrome (HFRS) with fatal outcome. The patient presented with typical clinical signs, but the correct diagnosis was only made at post mortem.

[Severe bleeding one year after a cesarean section caused by placenta increta persistens]. / Tezké krvácení rok po provedeném císarském rezu pri perzistující inkretní placente

Placenta accreta is a diagnosis, which will gynecologists have to face probably more often, than in previous years. The reason is the increasing number of cesarean sections, one of the most important risk factors. The following case shows, that a placenta accreta not treated primary by hysterectomy, can have consequences even after a longer period. This time the manifestation was a severe bleeding one year after the delivery per cesarean section, which had to be treated by an acute hysterectomy.