Hanta hemorrhagic fever with renal syndrome: a case report and review

Pei-Wen Tai, Li-Ching Chen, Cheng-Hua Huang
Section of Infectious Diseases, Department of Medicine, Cathay General Hospital, Taipei, Taiwan

Received: September 8, 2004 Revised: October 22, 2004 Accepted: November 10, 2004

Corresponding author: Pei-Wen Tai, Section of Infectious Diseases, Department of Medicine, Cathay General Hospital,No.280 Jen-Ai Rd. Sec.4, Taipei 106, Taiwan. E-mail:

Hantavirus infection is seldom reported in Taiwan. The spectrum of clinical severity ranges from mild to severe and may cover Hantavirus pulmonary syndrome and hemorrhagic fever with renal syndrome (HFRS). We report a case of HFRS in a 24-year-old soldier presenting with fever, chills, abdominal pain and generalized myalgia. His clinical course progressed through febrile, hypotensive, oliguria and polyuria phases. Hantavirus infection was proven by serology at the second hospital week. The patient was successfully treated with supportive management. Clinicians should be alert to the possibility of HFRS when examining patients with symptoms of fever, renal function impairment, hemorrhagic tendency and with rural exposure in Taiwan.

Key words: Disease transmission, hantavirus, hemorrhagic fever with renal syndrome, kidney failure

J Microbiol Immunol Infect 2005;38:221-223.