title: Tula virus infection associated with fever and exanthema after a wild rodent bite.
abstract: Reported here is the first case of human acute infection with Tula virus, which occurred in a 12-year-old boy in Switzerland. This hantavirus had been considered apathogenic to humans, and in Switzerland only TULV-genome sequences have been demonstrated in wild rodents to date. In this case, paronychia, fever and exanthema occurred after the patient was bitten by a wild rodent, indicating an unusual route of hantavirus transmission. Thus, Tula virus infection should be taken into account in patients with appropriate clinical symptoms and contact with rodents.
authors.affiliation: Department of Virology, Institute for Clinical Microbiology and Immunology, Frohbergstrasse 3, 9001 St. Gallen, Switzerland. detlev.schultze@gd-ikmi.sg.ch
authors.forename: D
authors.initials: D
authors.lastname: Schultze
authors.forename: A
authors.initials: A
authors.lastname: Lundkvist
authors.forename: U
authors.initials: U
authors.lastname: Blauenstein
authors.forename: P
authors.initials: P
authors.lastname: Heyman
mesh_terms: D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D000818:Animals; D000835:Animals, Wild / Q000821:virology*; D001733:Bites and Stings / Q000821:virology*; D002648:Child; D005076:Exanthema / Q000150:complications* / Q000821:virology; D005334:Fever / Q000150:complications* / Q000821:virology; D006476:Orthohantavirus / Q000302:isolation & purification; D018778:Hantavirus Infections / Q000150:complications / Q000175:diagnosis* / Q000635:transmission* / Q000662:veterinary; D006801:Humans; D008297:Male; D012377:Rodentia / Q000821:virology*; D013557:Switzerland
chemical_list: D019980:Amoxicillin-Potassium Clavulanate Combination