[Fever, nosebleeding and myalgic abdominal pain].
A 38 year old patient presented with fever, myalgic abdominal pain, nose bleeding and acute renal failure since five days. A combination of thrombocytopenia, proteinuria, elevated CrP and creatinin is common in hemorrhagic fever with renal syndrome (HFRS) due to Hantavirus infection. The benigne form is called Nephropathia epidemica. Dialysis is infrequently required by patients with the Puumala virus. Other infection (e.g. malaria, leptospirosis, yellow fever) and systemic diseases (e.g. collagenosis or vasculitis) are considered.
Klinik für Innere Medizin V-Nephrologie und Hypertensiologie, Klinikum Chemnitz gGmbH, Chemnitz. michael.leopold2@freenet.de
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D015746:Abdominal Pain / Q000097:blood / Q000209:etiology*; D000328:Adult; D003404:Creatinine / Q000097:blood; D003937:Diagnosis, Differential; D004844:Epistaxis / Q000097:blood / Q000209:etiology*; D005335:Fever of Unknown Origin / Q000097:blood / Q000209:etiology*; D006480:Hemorrhagic Fever with Renal Syndrome / Q000097:blood / Q000175:diagnosis*; D006801:Humans; D017116:Low Back Pain / Q000097:blood / Q000209:etiology*; D008297:Male; D010976:Platelet Count
D003404:Creatinine