Notes from the Field: Hantavirus Pulmonary Syndrome in a Migrant Farm Worker - Colorado, 2016.

Notes from the Field: Hantavirus Pulmonary Syndrome in a Migrant Farm Worker - Colorado, 2016. MMWR Morb Mortal Wkly Rep. 2017 Jan 20;66(2):62-63 Authors: Marx G, Stinson K, Deatrich M, Albanese B Abstract On August 8, 2016, Tri-County Health Department (Adams, Arapahoe, and Douglas counties) in Colorado was notified of a confirmed case of hantavirus pulmonary syndrome (HPS). The patient was a previously healthy male migrant farm worker aged 25 years, living in farm quarters, and working in vegetable fields for 8 weeks before symptom onset. On July 20, he experienced sudden onset of fever, severe headache, myalgias, cough, and nosebleed. He was evaluated at an emergency department on July 23, where his temperature was 103.9°F (40.0°C), and his physical exam was notable for bronchial breath sounds and pulmonary crackles. Chest radiograph revealed bilateral interstitial infiltrates and small pleural effusions, and thrombocytopenia (47,000/μL) was a noted laboratory finding. The patient was hospitalized for 3 days, required minimal oxygen and supportive care, and survived. Serology obtained on hospital admission was positive for hantavirus immunoglobulin M (IgM) and immunoglobulin G antibodies, with a positive result for Sin Nombre virus (SNV) (the primary etiologic agent of HPS in the United States) IgM at 1:6400, consistent with acute infection (Table). PMID: 28103211 [PubMed - in process]
Source: MMWR Morb Mortal Wkl... - Category: Epidemiology Authors: Tags: MMWR Morb Mortal Wkly Rep Source Type: research