Bratisl Lek Listy. 2022;123(10):716-718. doi: 10.4149/BLL_2022_114.
Hantaviruses are single-stranded RNA viruses. They are transmitted to humans by rodents and insectivore hosts. Some Hantavirus subtypes are the causative agents of haemorrhagic fever with renal syndrome (HFRS), which is characterized by fever, thrombocytopenia, and acute kidney injury. Hantavirus infection is difficult to diagnose due to its non-specific clinical symptoms. Causes of acalculous cholecystitis are severe trauma or burn, surgery, long-term starvation and some viral infections. It is very rare for Hantavirus to cause acute acalculous cholecystitis. The treatment of acute acalculous cholecystitis is usually directed towards its symptoms. A 22-year-old male forest worker was admitted to our emergency outpatient clinic with the complaints of fatigue, oliguria, fever, abdominal pain and vomiting. After the clinical and laboratory examinations, HFRS and acute cholecystitis secondary to Hantavirus infection were diagnosed. The patient's condition and clinical findings improved after supportive treatment. Hantavirus infection should be considered in patients with acute kidney injury, cholecystitis and thrombocytopenia (Fig. 2, Ref. 10). Keywords: Hantavirus, acute kidney injury, acalculous cholecystitis, thrombocytopeni.
汉坦病毒属于单链 RNA 病毒。它们通过啮齿动物和食虫宿主传播给人类。一些汉坦病毒亚型是肾综合征出血热（HFRS）的病原体，其特征是发热、血小板减少和急性肾损伤。由于其非特异性临床症状，汉坦病毒感染难以诊断。急性非结石性胆囊炎的病因包括严重创伤或烧伤、手术、长期饥饿和某些病毒感染。汉坦病毒很少引起急性非结石性胆囊炎。急性非结石性胆囊炎的治疗通常针对其症状。一名 22 岁的男性林业工人因疲劳、少尿、发热、腹痛和呕吐到我院急诊门诊就诊。经过临床和实验室检查，诊断为汉坦病毒感染引起的 HFRS 和急性胆囊炎。患者经支持治疗后病情和临床症状改善。对于急性肾损伤、胆囊炎和血小板减少症的患者，应考虑汉坦病毒感染（图 2，参考文献 10）。关键词：汉坦病毒、急性肾损伤、非结石性胆囊炎、血小板减少症。
