Abstract
Hantaviruses are parasites of small mammals, predominantly peridomestic and commensal rodents. They have a worldwide distribution. Hantavirus-related illness occurs in rural areas where humans come into contact with rodents. In most cases human infection is manifested by one of a variety of acute illnesses involving hemorrhagic fever and renal disease. In May 1993, a cluster of patients with an acute pulmonary disease with high mortality was noted in the Four Corners region of the southwestern United States. Serologic and genetic studies indicated that the etiologic agent was a novel hantavirus. The uncertainty engendered by the emergence of a new disease with high mortality forced a rapid response by state and federal agencies and by the University of New Mexico Medical Center, Albuquerque, where most patients from this region were referred. Considerable progress has been made in identifying infected cases on clinical and laboratory grounds and in ensuring that appropriate supportive care is made available to patients as soon as they are suspected of having hantaviral infection. Cases of hantavirus pulmonary syndrome--both new and retrospectively diagnosed--are still being recognized throughout the western United States. Many important questions remain unanswered.
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- Alter H. J. Descartes before the horse: I clone, therefore I am: the hepatitis C virus in current perspective. Ann Intern Med. 1991 Oct 15;115(8):644–649. doi: 10.7326/0003-4819-115-8-644. [DOI] [PubMed] [Google Scholar]
- Brummer-Korvenkontio M., Vaheri A., Hovi T., von Bonsdorff C. H., Vuorimies J., Manni T., Penttinen K., Oker-Blom N., Lähdevirta J. Nephropathia epidemica: detection of antigen in bank voles and serologic diagnosis of human infection. J Infect Dis. 1980 Feb;141(2):131–134. doi: 10.1093/infdis/141.2.131. [DOI] [PubMed] [Google Scholar]
- Chu Y. K., Rossi C., Leduc J. W., Lee H. W., Schmaljohn C. S., Dalrymple J. M. Serological relationships among viruses in the Hantavirus genus, family Bunyaviridae. Virology. 1994 Jan;198(1):196–204. doi: 10.1006/viro.1994.1022. [DOI] [PubMed] [Google Scholar]
- Duchin J. S., Koster F. T., Peters C. J., Simpson G. L., Tempest B., Zaki S. R., Ksiazek T. G., Rollin P. E., Nichol S., Umland E. T. Hantavirus pulmonary syndrome: a clinical description of 17 patients with a newly recognized disease. The Hantavirus Study Group. N Engl J Med. 1994 Apr 7;330(14):949–955. doi: 10.1056/NEJM199404073301401. [DOI] [PubMed] [Google Scholar]
- Hjelle B., Chavez-Giles F., Torrez-Martinez N., Yamada T., Sarisky J., Ascher M., Jenison S. Dominant glycoprotein epitope of four corners hantavirus is conserved across a wide geographical area. J Gen Virol. 1994 Nov;75(Pt 11):2881–2888. doi: 10.1099/0022-1317-75-11-2881. [DOI] [PubMed] [Google Scholar]
- Hjelle B., Jenison S., Torrez-Martinez N., Yamada T., Nolte K., Zumwalt R., MacInnes K., Myers G. A novel hantavirus associated with an outbreak of fatal respiratory disease in the southwestern United States: evolutionary relationships to known hantaviruses. J Virol. 1994 Feb;68(2):592–596. doi: 10.1128/jvi.68.2.592-596.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hjelle B., Spiropoulou C. F., Torrez-Martinez N., Morzunov S., Peters C. J., Nichol S. T. Detection of Muerto Canyon virus RNA in peripheral blood mononuclear cells from patients with hantavirus pulmonary syndrome. J Infect Dis. 1994 Oct;170(4):1013–1017. doi: 10.1093/infdis/170.4.1013. [DOI] [PubMed] [Google Scholar]
- Huggins J. W., Hsiang C. M., Cosgriff T. M., Guang M. Y., Smith J. I., Wu Z. O., LeDuc J. W., Zheng Z. M., Meegan J. M., Wang Q. N. Prospective, double-blind, concurrent, placebo-controlled clinical trial of intravenous ribavirin therapy of hemorrhagic fever with renal syndrome. J Infect Dis. 1991 Dec;164(6):1119–1127. doi: 10.1093/infdis/164.6.1119. [DOI] [PubMed] [Google Scholar]
- Jenison S., Yamada T., Morris C., Anderson B., Torrez-Martinez N., Keller N., Hjelle B. Characterization of human antibody responses to four corners hantavirus infections among patients with hantavirus pulmonary syndrome. J Virol. 1994 May;68(5):3000–3006. doi: 10.1128/jvi.68.5.3000-3006.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lee H. W., Baek L. J., Johnson K. M. Isolation of Hantaan virus, the etiologic agent of Korean hemorrhagic fever, from wild urban rats. J Infect Dis. 1982 Nov;146(5):638–644. doi: 10.1093/infdis/146.5.638. [DOI] [PubMed] [Google Scholar]
- Lee H. W., Lee P. W., Johnson K. M. Isolation of the etiologic agent of Korean Hemorrhagic fever. J Infect Dis. 1978 Mar;137(3):298–308. doi: 10.1093/infdis/137.3.298. [DOI] [PubMed] [Google Scholar]
- Lee P. W., Amyx H. L., Gajdusek D. C., Yanagihara R. T., Goldgaber D., Gibbs C. J., Jr New hemorrhagic fever with renal syndrome-related virus in rodents in the United States. Lancet. 1982 Dec 18;2(8312):1405–1405. [PubMed] [Google Scholar]
- Lee P. W., Gibbs C. J., Jr, Gajdusek D. C., Yanagihara R. Serotypic classification of hantaviruses by indirect immunofluorescent antibody and plaque reduction neutralization tests. J Clin Microbiol. 1985 Dec;22(6):940–944. doi: 10.1128/jcm.22.6.940-944.1985. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Linderholm M., Billström A., Settergren B., Tärnvik A. Pulmonary involvement in nephropathia epidemica as demonstrated by computed tomography. Infection. 1992 Sep-Oct;20(5):263–266. doi: 10.1007/BF01710791. [DOI] [PubMed] [Google Scholar]
- Nerurkar V. R., Song K. J., Gajdusek D. C., Yanagihara R. Genetically distinct hantavirus in deer mice. Lancet. 1993 Oct 23;342(8878):1058–1059. doi: 10.1016/0140-6736(93)92917-i. [DOI] [PubMed] [Google Scholar]
- Nichol S. T., Spiropoulou C. F., Morzunov S., Rollin P. E., Ksiazek T. G., Feldmann H., Sanchez A., Childs J., Zaki S., Peters C. J. Genetic identification of a hantavirus associated with an outbreak of acute respiratory illness. Science. 1993 Nov 5;262(5135):914–917. doi: 10.1126/science.8235615. [DOI] [PubMed] [Google Scholar]
- Schmaljohn C. S., Hasty S. E., Dalrymple J. M., LeDuc J. W., Lee H. W., von Bonsdorff C. H., Brummer-Korvenkontio M., Vaheri A., Tsai T. F., Regnery H. L. Antigenic and genetic properties of viruses linked to hemorrhagic fever with renal syndrome. Science. 1985 Mar 1;227(4690):1041–1044. doi: 10.1126/science.2858126. [DOI] [PubMed] [Google Scholar]
- Settergren B. Nephropathia epidemica (hemorrhagic fever with renal syndrome) in Scandinavia. Rev Infect Dis. 1991 Jul-Aug;13(4):736–744. doi: 10.1093/clinids/13.4.736. [DOI] [PubMed] [Google Scholar]
- Tsai T. F. Hemorrhagic fever with renal syndrome: mode of transmission to humans. Lab Anim Sci. 1987 Aug;37(4):428–430. [PubMed] [Google Scholar]
- Wilson C., Hjelle B., Jenison S. Probable hantavirus pulmonary syndrome that occurred in New Mexico in 1975. Ann Intern Med. 1994 May 1;120(9):813–813. doi: 10.7326/0003-4819-120-9-199405010-00024. [DOI] [PubMed] [Google Scholar]
- Xu Z. Y., Guo C. S., Wu Y. L., Zhang X. W., Liu K. Epidemiological studies of hemorrhagic fever with renal syndrome: analysis of risk factors and mode of transmission. J Infect Dis. 1985 Jul;152(1):137–144. doi: 10.1093/infdis/152.1.137. [DOI] [PubMed] [Google Scholar]