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[Hematemesis disclosing hemorrhagic fever with renal syndrome]
D Cleau1, J C Germanese, S Zeeh
1Service de Médecine B2, Centre Hospitalier Paul-Morel, Vesoul.
Abstract:
We report a case of hematemesis as the presenting sign of hemorrhagic fever with renal syndrome. Gastroscopy revealed hemorrhagic gastropathy. Such lesions are a common finding in epidemic nephropathy, the European form of the disease. The occurrence of such lesions could be induced in a direct, cytopathic effect of the virus but seems also to be related to the severity of thrombocytopenia.
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