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Hantavirus: an infectious cause of acute kidney injury in the UK

Kate Adams1, Lisa Jameson2, Rolf Meigh1

  • 1Department of Infection, Castle Hill Hospital, Cottingham, East Yorkshire, UK.

BMJ Case Reports
|July 19, 2014
PubMed

We present a case of an undifferentiated febrile illness in a 59-year-old man from East Yorkshire. He was initially treated for leptospirosis due to the fact that he had farm exposure and the findings of acute kidney injury (AKI), thrombocytopenia and a raised alanine transferase (ALT) on his initial blood results. Serology tests later proved him to have had another rodent-borne illness: hantavirus. An investigation by Public Health England (formerly known as Health Protection Agency) (PHE) went on to prove the presence of the same serotype of hantavirus in rats caught on the patient's property. After an initial deterioration, the patient made a relatively uneventful recovery and all his blood tests returned to normal levels.

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