title: Hantavirus pulmonary syndrome in California: report of two cases and investigation.
abstract: We report two cases of hantavirus pulmonary syndrome that were probably acquired in California. Genetic analysis of tissue specimens from one of the patients revealed that the virus isolated is a variant of the strain (Sin Nombre virus) identified in the outbreak of hantavirus pulmonary syndrome that occurred in the Four Corners region of the southwestern United States in 1993. In addition to presenting the clinical features of the two cases, we discuss the possible risk factors for infection.
authors.affiliation: Division of Field Epidemiology, Centers for Disease Control and Prevention, Atlanta, Georgia 30333.
authors.forename: A M
authors.initials: AM
authors.lastname: Shefer
authors.forename: J W
authors.initials: JW
authors.lastname: Tappero
authors.forename: J S
authors.initials: JS
authors.lastname: Bresee
authors.forename: C J
authors.initials: CJ
authors.lastname: Peters
authors.forename: M S
authors.initials: MS
authors.lastname: Ascher
authors.forename: S R
authors.initials: SR
authors.lastname: Zaki
authors.forename: R J
authors.initials: RJ
authors.lastname: Jackson
authors.forename: S B
authors.initials: SB
authors.lastname: Werner
authors.forename: P E
authors.initials: PE
authors.lastname: Rollin
authors.forename: T G
authors.initials: TG
authors.lastname: Ksiazek
mesh_terms: D000328:Adult; D002140:California / Q000453:epidemiology; D004797:Enzyme-Linked Immunosorbent Assay; D017809:Fatal Outcome; D005260:Female; D018804:Hantavirus Pulmonary Syndrome / Q000175:diagnosis* / Q000453:epidemiology*; D006801:Humans; D008297:Male; D016133:Polymerase Chain Reaction; D012307:Risk Factors