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J Postgrad Med. 2018 Oct-Dec;64(4):237-239. doi: 10.4103/jpgm.JPGM_283_17.

Bilateral massive pneumonia as an unusual manifestation of Puumala hantavirus infection.

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Department of Infectious Diseases and Clinical Microbiology, Kastamonu State Hospital, Kastamonu, Turkey.
Microbiology Reference Laboratories Department, National Arboviruses and Viral Zoonoses Unit, Public Health Institution of Turkey, Ankara, Turkey.
Department of Infectious Diseases and Clinical Microbiology, Bülent Ecevit University, Faculty of Medicine, Zonguldak, Turkey.


Renal involvement due to European Puumala virus (PUUV) is frequent but pulmonary involvement is quite rare. We present here, a 24-year-old male with atypical clinical presentation of acute PUUV infection with gross pulmonary and minimal renal involvement. Severe pulmonary manifestations of PUUV infection, in this case, highlights that hantavirus infection should be considered in the differential diagnosis of atypical pneumonia.


Atypical pneumonia; European Puumala virus; hantavirus; massive pneumonia

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