Hantavirus hemorrhagic fever with renal syndrome – first pediatric cases in Slovakia

Czech version

Authors: B. Thomková; M. Chocholová; Ľ. Kováčiková; Ľ. Podracká
Authors‘ workplace: Detská klinika Lekárska fakulta UK a Národný ústav detských chorôb, Bratislava, Slovenská republika
Published in: Čes-slov Pediat 2021; 76 (2): 113-118.
Category: Case Report

Overview

Infections caused by hantaviruses are rare in child patients, although their incidence has increased worldwide in last few years. In Europe is the most common representative the Puumala virus which causes nefropathia epidemica, milder form of hemorrhagic fever with renal syndrome. The disease initially manifests itself mainly by fever, cephalea, backpain or abdominal pain. Gradually acute renal injury develops due to acute tubulointerstitial nephritis. There is no specific therapy yet, the basis is still symptomatic treatment. Most patients are fully cured, some may experience residually decreased glomerular filtration or secondary hypertension. We present three cases of children with acute renal failure caused by confirmed hantavirus infection.

Keywords:

hantavirus – nefropathia epidemica – acute renal injury – acute tubulointersticial nephritis – Hemorrhagic fever with renal syndrome

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