One Case of Clinically Suspected Hemorrhagic Fever Accompanied by Acute Pericarditis with Pericardial Effusion.
- Author:
Yong Soo KIM
1
;
Jun Yong CHOI
;
Myung Soo KIM
;
Young Keun KIM
;
Kkot Sil LEE
;
Woon Il PARK
;
Kyung Hee CHANG
;
Joon Sup YEOM
;
Ae Jung HUH
;
Young Goo SONG
;
June Myung KIM
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. jmkim@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Hemorrhagic fever with renal syndrome;
Pericarditis;
Pericardial effusion;
Hantaan virus
- MeSH:
Adult;
Atrial Fibrillation;
Bradycardia;
Communicable Diseases;
Dilatation;
Echocardiography;
Female;
Fever*;
Hantaan virus;
Heart Failure;
Hemorrhage;
Hemorrhagic Fever with Renal Syndrome;
Humans;
Hypertension;
Hypopituitarism;
Kidney Failure, Chronic;
Myocarditis;
Pancreatitis;
Pericardial Effusion*;
Pericarditis*;
Pyelonephritis;
Renal Insufficiency;
Serologic Tests;
Tachycardia
- From:Korean Journal of Infectious Diseases
2002;34(6):401-404
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The hemorrhagic fever with renal syndrome (HFRS) is an acute febrile infectious disease with clinical characteristics of fever, bleeding tendency, gastrointestinal symptoms and renal failure. It has been known that most patients with hemorrhagic fever with renal syndrome were spontaneously recovered without any significant complication. However, there are several complications of HFRS such as chronic renal failure, bleeding, hypopituitarism, pyelonephritis, and acute pancreatitis. Rarely, cardiac complications were reported. The cardiac complications include severe bradycardia, hypertension, atrial dilatation, atrial hemorrhage, atrial fibrillation, complete atrioventicular block, atrioventricular junctional tachycardia, heart failure and myocarditis. However, there was no previous report about hemorrhagic fever with renal syndrome accompanied by acute pericarditis with pericardial effusion. We experienced a patient with hemorrhagic fever with renal syndrome complicated by acute pericarditis and pericardial effusion. A 28 year-old woman visited this hospital with complaints of fever, chill and epigastric pain. She was diagnosed as hemorrhagic fever with renal syndrome by serologic test and clinical manifestations. Pericardial effusion was observed on transthoraic echocardiography. She recovered with conservative treatment. Therefore, we report this case with brief review of related articles.
