Kilit T P, Kilit C, Erarslan S
Acta Gastroenterol Belg. 2017 Jan-Mar;80(1):59-61.
Hantaviruses cause potentially fatal two different systemic infectious diseases in humans named as hemorrhagic fever with renal syndrome (HFRS) and Hantavirus pulmonary syndrome. The clinical features of HFRS are hemorrhage, fever, thrombocytopenia and acute renal insufficiency frequently observed. HFRS shows distinctive clinical manifestations throughout from acute influenza-like febrile illness to shock. Although a large portion of HRFS patients present with a complaint of abdominal pain, acute pancreatitis is a rare complication of HFRS. No specific treatment protocol has been described for HRFS and supportive treatment is the basic approach. The rate of success enhanced with early diagnosis and intensive care support. Clinicians should be alert to the HFRS in patients with acute pancreatitis associated with systemic viral infection. We describe a case with HFRS who has presented with acute kidney injury, thrombocytopenia and acute pancreatitis. The patient was treated by supportive management successfully.
汉坦病毒可导致人类患上两种潜在致命的全身性传染病，分别称为肾综合征出血热（HFRS）和汉坦病毒肺综合征。HFRS的临床特征通常包括出血、发热、血小板减少和急性肾功能不全。HFRS从急性流感样发热性疾病到休克，都有独特的临床表现。虽然大部分HFRS患者会主诉腹痛，但急性胰腺炎是HFRS罕见的并发症。目前尚无针对HFRS的具体治疗方案，支持治疗是基本方法。早期诊断和重症监护支持可提高成功率。临床医生应对伴有全身性病毒感染的急性胰腺炎患者警惕HFRS。我们描述了一例患有急性肾损伤、血小板减少和急性胰腺炎的HFRS病例。该患者通过支持性治疗成功治愈。
