新加坡汉坦病毒引起的汉坦病毒出血热和肾综合征:病例报告

J. N. Ngiam, Chelsea Chia, Yihui Goh, Amy Quek, Lin Cui, Nancy Tee, Raymond Tzer Pin Lin, P. Tambyah, Lionel HW Lum
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引用次数: 0

摘要

我们概述了一例 59 岁的印度裔马来西亚男子的病例,他除了糖尿病和高血压外,没有其他已知的既往病史。他是一名船厂工程师,经常往返于新加坡和马来西亚怡保之间。在怡保,他住在一个有驯养奶牛的村子里,经常饮用牛尿,这是他宗教和文化习俗的一部分。他最后一次前往怡保大约是在发病前两周。就诊时,他发热(39 °C),血压 100/82 mmHg,脉压缩小。他步态不稳,但没有任何其他小脑功能障碍或神经系统缺陷的体征。
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Hantavirus haemorrhagic fever and renal syndrome, caused by the Hantaan virus in Singapore: A case report
We outline a case of a 59-year-old Malaysian man of Indian origin with no known past medical history apart from diabetes mellitus and hypertension, who presented with a 7-day history of unrelenting fever, myalgia, confusion and unsteady gait. He worked as a shipyard engineer and travelled between Singapore and Ipoh, Malaysia. In Ipoh, he lived in a village with domesticated cows and would frequently drink cow urine as part of his religious and cultural practice. His last travel to Ipoh had been approximately 2 weeks prior to presentation. At presentation, he was febrile (39 °C), with a blood pressure of 100/82 mmHg, and narrowed pulse pressure. He had an unsteady gait, but did not have any other physical signs of cerebellar dysfunction or neurological deficits.
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