[Nervous system involvement in hemorrhagic fever with renal syndrome].
The authors of the article describe two cases of hemorrhagic fever with renal syndrome (HFRS) with prevalence of signs of nervous system involvement. The first case was a 40-year-old woman with moderate HFRS, who developed Guillain-Barre syndrome of axonal-demyelinating polyneuropathy. An important observation was the absence of hemorrhagic or renal syndrome; combined therapy including plasmapheresis was successful. The second case demonstrated polymorphism of HFRS clinical manifestations with prevalence of neurological symptoms, which consisted in encephalopathy and no renal failure signs; hemorrhagic syndrome was moderate. In both cases the diagnosis was confirmed by elevated titer of antibodies to HFRS virus, belonging to the group of hantaviruses.
Iushchuk
N D
ND
Dekonenko
E P
EP
Karetkina
G N
GN
Kulagina
G M
GM
Makarova
S A
SA
Rumo
F V
FV
Bakulina
Z E
ZE
Dzagurova
T K
TK
Berko
A I
AI
Shakhgil'dian
S V
SV
Tkachenko
E A
EA
D000293:Adolescent; D000328:Adult; D018792:Encephalitis, Viral / Q000503:physiopathology / Q000821:virology*; D005260:Female; D020275:Guillain-Barre Syndrome / Q000503:physiopathology / Q000821:virology*; D006480:Hemorrhagic Fever with Renal Syndrome / Q000150:complications* / Q000503:physiopathology; D006801:Humans