Last reviewed: 28 Dec 2020
Last updated: 18 Feb 2020
Summary
Definition
History and exam
Other diagnostic factors
- fever
- myalgias
- gastrointestinal symptoms
- headache
- normal or low oxygen saturation
- lung rales
Risk factors
- exposure to rodent excreta
- close contact with hantavirus-infected humans
- male sex
- white race
Diagnostic investigations
1st investigations to order
- CBC
- CXR
- IgM and IgG serologies for hantavirus
- reverse transcriptase polymerase chain reaction (RT-PCR)
Investigations to consider
- ABG
- serum lactate
- ECG
- echocardiogram
- flow-directed pulmonary artery catheter (Swan-Ganz catheter)
- lung biopsy
Treatment algorithm
Contributors
Authors

Professor of Medicine
College of Medicine
University of Florida
Jacksonville
FL
Disclosures
MS declares that he has no competing interests.

Assistant Professor of Medicine
College of Medicine
University of Florida
Jacksonville
FL
Disclosures
CI declares that she has no competing interests.
Peer reviewers
Professor
School of Public Health and Primary Care
The Chinese University of Hong Kong
Prince of Wales Hospital
Shatin
Hong Kong
Disclosures
TWW declares that he has no competing interests.
Medical Epidemiologist
Parasitic Diseases Branch
CDC/NCZVED/DPD
Atlanta
GA
Disclosures
EF declares that she has no competing interests.
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