Síndrome pulmonar e cardiovascular por hantavírus: aspectos clínicos de uma doença emergente no sudeste brasileiro Pulmonary and cardiovascular syndrome due to hantavirus: clinical aspects of an emerging disease in southeastern Brazil
A síndrome pulmonar e cardiovascular por hantavírus é doença causada pela aspiração de aerossóis dos dejetos de roedores silvestres contaminados por vírus da família Bunyaviridae. Estudamos manifestações clínicas e laboratoriais de 70 casos ocorridos de 1998 a 2007 na região de Ribeirão Preto, SP. A...
Published in: | Revista da Sociedade Brasileira de Medicina Tropical |
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ftdoajarticles:oai:doaj.org/article:af90cb20a5f84026870d5d96380fc5e5 2023-05-15T15:14:24+02:00 Síndrome pulmonar e cardiovascular por hantavírus: aspectos clínicos de uma doença emergente no sudeste brasileiro Pulmonary and cardiovascular syndrome due to hantavirus: clinical aspects of an emerging disease in southeastern Brazil Gelse Mazzoni Campos Alessandra Abel Borges Soraya Jabur Badra Glauciane Garcia Figueiredo Ricardo Luiz Moro de Souza Marcos Lázaro Moreli Luiz Tadeu Moraes Figueiredo 2009-06-01T00:00:00Z https://doi.org/10.1590/S0037-86822009000300009 https://doaj.org/article/af90cb20a5f84026870d5d96380fc5e5 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822009000300009 https://doaj.org/toc/0037-8682 https://doaj.org/toc/1678-9849 doi:10.1590/S0037-86822009000300009 0037-8682 1678-9849 https://doaj.org/article/af90cb20a5f84026870d5d96380fc5e5 Revista da Sociedade Brasileira de Medicina Tropical, Vol 42, Iss 3, Pp 282-289 (2009) Hantavírus Hantaviroses Diagnóstico clínico Epidemiologia Doenças emergentes Hantavirus Hantavirosis Clinical diagnosis Epidemiology Emerging diseases Arctic medicine. Tropical medicine RC955-962 article 2009 ftdoajarticles https://doi.org/10.1590/S0037-86822009000300009 2022-12-30T23:06:51Z A síndrome pulmonar e cardiovascular por hantavírus é doença causada pela aspiração de aerossóis dos dejetos de roedores silvestres contaminados por vírus da família Bunyaviridae. Estudamos manifestações clínicas e laboratoriais de 70 casos ocorridos de 1998 a 2007 na região de Ribeirão Preto, SP. A freqüência de sintomas foi dispnéia (87%), febre (81%), tosse (44%), cefaléia (34%), taquicardia (81%), hipotensão arterial (56%), hipóxia (49%), acidose metabólica (57%), linfocitopenia (51%), hematócrito >45% (70%), leucocitose com desvio à esquerda (67%), creatinina (51%) e uréia (42%) séricas elevadas. A letalidade (54,3%) ocorreu principalmente no 4o dia. Insuficiência respiratória, hipotensão arterial e choque ocorreu 24-48 horas; o hematócrito elevado e a plaquetopenia são sinais fortemente sugestivos da doença. A hipótese diagnóstica de pneumonia atípica associada a bom prognóstico (p:0,0136); a infusão hídrica >2.000ml e hipotensão arterial associadas a mau prognóstico (p:0,0286 e p:0,0453). Pulmonary and cardiovascular syndrome due to hantavirus is a disease caused by inhalation of aerosols from the excreta of wild rodents contaminated by viruses of the Bunyaviridae family. We studied the clinical and laboratory manifestations of 70 cases that occurred in the region of Ribeirão Preto, SP, Brazil, between 1998 and 2007. The frequency of symptoms was as follows: dyspnea (87%), fever (81%), coughing (44%), headache (34%), tachycardia (81%), low arterial blood pressure (56%), metabolic acidosis (57%), lymphocytopenia (51%), hematocrit > 45% (70%), leukocytosis with left deviation (67%), creatinine (51%) and urea (42%). Mortality (54.3%) occurred mainly on the fourth day. Respiratory insufficiency, low arterial blood pressure and shock occurred after 24 to 48 hours. High hematocrit and decreased platelet levels were signs strongly suggestive of the disease. The diagnostic hypothesis of atypical pneumonia was associated with a good prognosis (p = 0.0136). Fluid infusion greater than 2,000 ml and arterial ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Elevado ENVELOPE(-63.267,-63.267,-64.683,-64.683) Sudeste ENVELOPE(-60.516,-60.516,-62.988,-62.988) Revista da Sociedade Brasileira de Medicina Tropical 42 3 282 289 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Hantavírus Hantaviroses Diagnóstico clínico Epidemiologia Doenças emergentes Hantavirus Hantavirosis Clinical diagnosis Epidemiology Emerging diseases Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Hantavírus Hantaviroses Diagnóstico clínico Epidemiologia Doenças emergentes Hantavirus Hantavirosis Clinical diagnosis Epidemiology Emerging diseases Arctic medicine. Tropical medicine RC955-962 Gelse Mazzoni Campos Alessandra Abel Borges Soraya Jabur Badra Glauciane Garcia Figueiredo Ricardo Luiz Moro de Souza Marcos Lázaro Moreli Luiz Tadeu Moraes Figueiredo Síndrome pulmonar e cardiovascular por hantavírus: aspectos clínicos de uma doença emergente no sudeste brasileiro Pulmonary and cardiovascular syndrome due to hantavirus: clinical aspects of an emerging disease in southeastern Brazil |
topic_facet |
Hantavírus Hantaviroses Diagnóstico clínico Epidemiologia Doenças emergentes Hantavirus Hantavirosis Clinical diagnosis Epidemiology Emerging diseases Arctic medicine. Tropical medicine RC955-962 |
description |
A síndrome pulmonar e cardiovascular por hantavírus é doença causada pela aspiração de aerossóis dos dejetos de roedores silvestres contaminados por vírus da família Bunyaviridae. Estudamos manifestações clínicas e laboratoriais de 70 casos ocorridos de 1998 a 2007 na região de Ribeirão Preto, SP. A freqüência de sintomas foi dispnéia (87%), febre (81%), tosse (44%), cefaléia (34%), taquicardia (81%), hipotensão arterial (56%), hipóxia (49%), acidose metabólica (57%), linfocitopenia (51%), hematócrito >45% (70%), leucocitose com desvio à esquerda (67%), creatinina (51%) e uréia (42%) séricas elevadas. A letalidade (54,3%) ocorreu principalmente no 4o dia. Insuficiência respiratória, hipotensão arterial e choque ocorreu 24-48 horas; o hematócrito elevado e a plaquetopenia são sinais fortemente sugestivos da doença. A hipótese diagnóstica de pneumonia atípica associada a bom prognóstico (p:0,0136); a infusão hídrica >2.000ml e hipotensão arterial associadas a mau prognóstico (p:0,0286 e p:0,0453). Pulmonary and cardiovascular syndrome due to hantavirus is a disease caused by inhalation of aerosols from the excreta of wild rodents contaminated by viruses of the Bunyaviridae family. We studied the clinical and laboratory manifestations of 70 cases that occurred in the region of Ribeirão Preto, SP, Brazil, between 1998 and 2007. The frequency of symptoms was as follows: dyspnea (87%), fever (81%), coughing (44%), headache (34%), tachycardia (81%), low arterial blood pressure (56%), metabolic acidosis (57%), lymphocytopenia (51%), hematocrit > 45% (70%), leukocytosis with left deviation (67%), creatinine (51%) and urea (42%). Mortality (54.3%) occurred mainly on the fourth day. Respiratory insufficiency, low arterial blood pressure and shock occurred after 24 to 48 hours. High hematocrit and decreased platelet levels were signs strongly suggestive of the disease. The diagnostic hypothesis of atypical pneumonia was associated with a good prognosis (p = 0.0136). Fluid infusion greater than 2,000 ml and arterial ... |
format |
Article in Journal/Newspaper |
author |
Gelse Mazzoni Campos Alessandra Abel Borges Soraya Jabur Badra Glauciane Garcia Figueiredo Ricardo Luiz Moro de Souza Marcos Lázaro Moreli Luiz Tadeu Moraes Figueiredo |
author_facet |
Gelse Mazzoni Campos Alessandra Abel Borges Soraya Jabur Badra Glauciane Garcia Figueiredo Ricardo Luiz Moro de Souza Marcos Lázaro Moreli Luiz Tadeu Moraes Figueiredo |
author_sort |
Gelse Mazzoni Campos |
title |
Síndrome pulmonar e cardiovascular por hantavírus: aspectos clínicos de uma doença emergente no sudeste brasileiro Pulmonary and cardiovascular syndrome due to hantavirus: clinical aspects of an emerging disease in southeastern Brazil |
title_short |
Síndrome pulmonar e cardiovascular por hantavírus: aspectos clínicos de uma doença emergente no sudeste brasileiro Pulmonary and cardiovascular syndrome due to hantavirus: clinical aspects of an emerging disease in southeastern Brazil |
title_full |
Síndrome pulmonar e cardiovascular por hantavírus: aspectos clínicos de uma doença emergente no sudeste brasileiro Pulmonary and cardiovascular syndrome due to hantavirus: clinical aspects of an emerging disease in southeastern Brazil |
title_fullStr |
Síndrome pulmonar e cardiovascular por hantavírus: aspectos clínicos de uma doença emergente no sudeste brasileiro Pulmonary and cardiovascular syndrome due to hantavirus: clinical aspects of an emerging disease in southeastern Brazil |
title_full_unstemmed |
Síndrome pulmonar e cardiovascular por hantavírus: aspectos clínicos de uma doença emergente no sudeste brasileiro Pulmonary and cardiovascular syndrome due to hantavirus: clinical aspects of an emerging disease in southeastern Brazil |
title_sort |
síndrome pulmonar e cardiovascular por hantavírus: aspectos clínicos de uma doença emergente no sudeste brasileiro pulmonary and cardiovascular syndrome due to hantavirus: clinical aspects of an emerging disease in southeastern brazil |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2009 |
url |
https://doi.org/10.1590/S0037-86822009000300009 https://doaj.org/article/af90cb20a5f84026870d5d96380fc5e5 |
long_lat |
ENVELOPE(-63.267,-63.267,-64.683,-64.683) ENVELOPE(-60.516,-60.516,-62.988,-62.988) |
geographic |
Arctic Elevado Sudeste |
geographic_facet |
Arctic Elevado Sudeste |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 42, Iss 3, Pp 282-289 (2009) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822009000300009 https://doaj.org/toc/0037-8682 https://doaj.org/toc/1678-9849 doi:10.1590/S0037-86822009000300009 0037-8682 1678-9849 https://doaj.org/article/af90cb20a5f84026870d5d96380fc5e5 |
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https://doi.org/10.1590/S0037-86822009000300009 |
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42 |
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282 |
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