Peritonitis secondary to hemorrhagic fever with renal syndrome: a case report in GuangZhou China

BMC Infect Dis. 2020 Jan 13;20(1):36. doi: 10.1186/s12879-020-4775-8.

Abstract

Background: Hantavirus infection is worldwide epidemic and can cause life-threatening consequences. With more and more cases reported in countries with atypical morbidity, it is necessarily urgent to know some atypical symptoms and signs of Hantavirus infection.

Case presentation: Here we report the case of a 44-year old male with a complaint of fever and diffuse abdominal pain, initially suspiciously diagnosed with acute peritonitis. The patient was eventually diagnosed as hemorrhagic fever with renal syndrome and enhanced CT scan showed peritonitis. The clinical condition of the patient was relatively mild and he was recovered 9 days later.

Conclusion: Peritonitis secondary to hemorrhagic fever with renal syndrome is rare in clinically practice. When confronted with atypical celialgia, it is important to make differential diagnosis of hantavirus infection.

Keywords: Hantavirus; Infection; Peritonitis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • China
  • Diagnosis, Differential
  • Fluorescent Antibody Technique, Direct / methods
  • Hemorrhagic Fever with Renal Syndrome / complications*
  • Hemorrhagic Fever with Renal Syndrome / diagnosis*
  • Hemorrhagic Fever with Renal Syndrome / drug therapy
  • Hemorrhagic Fever with Renal Syndrome / virology
  • Humans
  • Male
  • Orthohantavirus / immunology*
  • Peritonitis / diagnosis*
  • Peritonitis / etiology*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents