Subject(s)
Humans , Male , Adult , Middle Aged , Renal Insufficiency/complications , Renal Insufficiency/diagnosis , Orthohantavirus , Orthohantavirus/isolation & purification , Hantavirus Infections/complications , Hantavirus Infections/diagnosis , Hantavirus Infections/drug therapy , Piperacillin/therapeutic use , Renal Insufficiency/microbiology , Renal Insufficiency/physiopathology , Renal Insufficiency , Radiography, Thoracic , Microbiological Techniques/instrumentation , Microbiological Techniques/trendsABSTRACT
Presentamos un caso de un paciente alemán con infección por Hantavirus, queacudió al Servicio de Urgencias de nuestro hospital con fiebre, trombocitopenia,fracaso renal agudo oligúrico, proteinuria y hematuria. La biopsia renal percutaneamostró una nefritis intersticial aguda sin hemorragias medulares. El diagnósticose realizó por la positividad de IgM frente al virus Puumala. La infección porHantavirus debe tenerse en cuenta en pacientes con fracaso renal agudo y fiebrecon trombocitopenia, sobre todo si proceden del Centro y Norte de Europa
We present a patient from Germany with Hantavirus infection, admitted in theEmergency room of our hospital, with fever, thrombocytopenia, acute renal failure,oliguria, mild proteinuria and hematuria. Percutaneous renal biopsy revealedan acute interstitial nephritis without medulla haemorrhages. The virus infectionconfirmation was made by detection of lgM against Hantavirus Puumala. This infectionshould be considered in patients with thrombocytopenia, fever and acuterenal failure, over all if they are from North and Central Europe
