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Lim, Heo, Kim, Yu, Kim, and Lee: Case of Hemorrhagic Fever with Renal Syndrome in Jeju Island
Case Report
Infection & Chemotherapy

Infection & Chemotherapy 2012; 44(6): 454-457.

Published online: 31 December 2012

DOI: https://doi.org/10.3947/ic.2012.44.6.454

Case of Hemorrhagic Fever with Renal Syndrome in Jeju Island

Chae Moon Lim1, Sang Taek Heo1, Jinseok Kim1, Jung Re Yu1, Young Ree Kim2, 4, Keun Hwa Lee3, 4

1Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea.

2Department of Laboratory Medicine, Jeju National University School of Medicine, Jeju, Korea.

3Department of Microbiology and Immunology, Jeju National University School of Medicine, Jeju, Korea.

4The Environ-Mental Health Center, Jeju National University School of Medicine, Jeju, Korea.

Correspondence to Sang Taek Heo. Department of Internal Medicine, Jeju National University School of Medicine, 1, Ara 1-dong, 102 Jejudaehak-no, Jeju-si, Jeju 690-756, Korea. Tel: +82-64-717-1296, Fax: +82-64-717-1131, neosangtaek@naver.com

Received 6 March 2012       Revised 7 June 2012       Accepted 7 June 2012

Copyright © 2012 by The Korean Society of Infectious Diseases and Korean Society for Chemotherapy

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hemorrhagic fever with renal syndrome (HFRS) caused by the Hantann virus occurs frequently in Korea. On the other hand, the incidence of HFRS is very low in Jeju Island. A 62-year-old man was transferred from another hospital because of persistent fever, myalgia, generalized edema, epigastric pain, conjunctival injection, costovertebral angle tenderness, thrombocytopenia and azotemia. On the second hospital day, he exhibited oliguric symptoms. His urine output increased from the fourth hospital day. The test for the anti-Hantaan virus antibody was positive. Finally, he was diagnosed with HFRS and recovered with conservative management. HFRS should be considered when acute renal failure develops in patients with fever and thrombocytopenia in Jeju Island.

Keywords: Hemorrhagic fever with renal syndrome, Hantavirus, Jeju, Crocidura shantungenesis

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