title: A case of haemorrhagic fever with renal syndrome complicated by spleen haemorrhage.
abstract: A case of haemorrhagic fever with renal syndrome (HFRS) complicated by spleen haemorrhage is described. The patient developed progressive anaemia, hypotension and signs of preshock. Computerized tomography demonstrated extensive haematoma in the spleen and splenectomy was performed. This case confirms previous reports that HFRS caused by Puumala virus may be associated with severe haemorrhagic manifestations.
authors.affiliation: Department of Infectious Diseases, Samara's Medical University, Russia.
authors.forename: O A
authors.initials: OA
authors.lastname: Alexeyev
authors.forename: V G
authors.initials: VG
authors.lastname: Morozov
authors.forename: A G
authors.initials: AG
authors.lastname: Efremov
authors.forename: B
authors.initials: B
authors.lastname: Settergren
mesh_terms: D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006480:Hemorrhagic Fever with Renal Syndrome / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013156:Splenectomy; D013158:Splenic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed