Korean J Infect Dis.  2002 Dec;34(6):401-404.

One Case of Clinically Suspected Hemorrhagic Fever Accompanied by Acute Pericarditis with Pericardial Effusion

• Kim YS
• Choi JY
• Kim MS
• Kim YK
• Lee KS
• Park WI
• Chang KH
• Yeom JS
• Huh AJ
• Song YG
• Kim JM

Abstract

The hemorrhagic fever with renal syndrome (HFRS) is an acute febrile infectious disease with clinical characteristics of fever, bleeding tendency, gastrointestinal symptoms and renal failure. It has been known that most patients with hemorrhagic fever with renal syndrome were spontaneously recovered without any significant complication. However, there are several complications of HFRS such as chronic renal failure, bleeding, hypopituitarism, pyelonephritis, and acute pancreatitis. Rarely, cardiac complications were reported. The cardiac complications include severe bradycardia, hypertension, atrial dilatation, atrial hemorrhage, atrial fibrillation, complete atrioventicular block, atrioventricular junctional tachycardia, heart failure and myocarditis. However, there was no previous report about hemorrhagic fever with renal syndrome accompanied by acute pericarditis with pericardial effusion. We experienced a patient with hemorrhagic fever with renal syndrome complicated by acute pericarditis and pericardial effusion. A 28 year-old woman visited this hospital with complaints of fever, chill and epigastric pain. She was diagnosed as hemorrhagic fever with renal syndrome by serologic test and clinical manifestations. Pericardial effusion was observed on transthoraic echocardiography. She recovered with conservative treatment. Therefore, we report this case with brief review of related articles.

Keyword

Hemorrhagic fever with renal syndrome; Pericarditis; Pericardial effusion; Hantaan virus

MeSH Terms

Adult
Atrial Fibrillation
Bradycardia
Communicable Diseases
Dilatation
Echocardiography
Female
Fever*
Hantaan virus
Heart Failure
Hemorrhage
Hemorrhagic Fever with Renal Syndrome
Humans
Hypertension
Hypopituitarism
Kidney Failure, Chronic
Myocarditis
Pancreatitis
Pericardial Effusion*
Pericarditis*
Pyelonephritis
Renal Insufficiency
Serologic Tests
Tachycardia