title: [Renal failure in a couple caused by Puumala hantavirus].
abstract: In Scandinavia Puumala hantavirus causes nephropathia epidemica (NE), characterised by an acute debut of fever, headache, increasing back and abdominal pain, thrombocytopenia, increasing azotemia parameters, as well as microscopic haematuria and mild proteinuria. In some cases transitory myopia can be found. The diagnosis is made with a relevant clinical history and serology, and in most cases a kidney biopsy is not necessary. There is a risk of missing cases of NE as in this case, where a couple became infected by Puumala Hantavirus in a high-risk area but became ill in an area with a low prevalence.
authors.affiliation: Nefrologisk Afdeling, Roskilde Sygehus, Køgevej 7-13, Roskilde. belenredal@hotmail.com
authors.forename: Belén
authors.initials: B
authors.lastname: Redal-Baigorri
authors.forename: Helle C
authors.initials: HC
authors.lastname: Thiesson
authors.forename: Sigurdur
authors.initials: S
authors.lastname: Skarphedinsson
mesh_terms: D000328:Adult; D003404:Creatinine / Q000097:blood; D005260:Female; D006480:Hemorrhagic Fever with Renal Syndrome / Q000097:blood / Q000175:diagnosis / Q000276:immunology / Q000821:virology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010976:Platelet Count; D029262:Puumala virus / Q000302:isolation & purification / Q000472:pathogenicity; D051437:Renal Insufficiency / Q000821:virology
chemical_list: D003404:Creatinine