title: Pulmonary-renal syndrome due to hemorrhagic fever with renal syndrome: an unusual manifestation of puumala virus infection in France.
abstract: The authors report about a patient who presented with acute respiratory failure, bilateral alveolar infiltrates, without signs of fluid overload, and acute renal failure. Percutaneous renal biopsy revealed acute interstitial nephritis with medulla hemorrhages. Serologic tests for Puumala virus infection were positive. Hemorrhagic fever with renal syndrome should be considered when patients present with pulmonary-renal syndrome.
authors.affiliation: Service de Nephrologie, Médecine Interne, Centre Hospitalier, Valenciennes, France.
authors.forename: D
authors.initials: D
authors.lastname: Launay
authors.forename: Ch
authors.initials: Ch
authors.lastname: Thomas
authors.forename: D
authors.initials: D
authors.lastname: Fleury
authors.forename: S
authors.initials: S
authors.lastname: Roueff
authors.forename: M L
authors.initials: ML
authors.lastname: Line
authors.forename: D
authors.initials: D
authors.lastname: Droz
authors.forename: Ph
authors.initials: P
authors.lastname: Vanhille
mesh_terms: D000328:Adult; D005602:France; D006480:Hemorrhagic Fever with Renal Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000821:virology; D006801:Humans; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000821:virology; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000821:virology; D008297:Male; D029262:Puumala virus / Q000302:isolation & purification / Q000472:pathogenicity*; D011859:Radiography; D013577:Syndrome