Severe case of hemorrhagic fever with renal syndrome

Abstract

Primorsky Region is an epidemic focus of hemorrhagic fever with renal syndrome , where the morbidity is caused by two orthohunts of the Hantaan virus (including its variant Amur) and Seoul. The average long-term morbidity rate in Primorsky Region for 10 years (2011-2020) accounted for 2.7 per 100 thousand people, (in some years up to 4.4 per 100 thousand people). The mortality rate made 3.2% (in 2018 – 9.1%). Distribution of the clinical forms of the disease for the last 10 years showed that moderate form of the disease is prevalent (66%), severe forms accounted for about 30% of all regional cases. A clinical case of severe hemorrhagic fever with renal syndrome, complicated by subarachnoid hemorrhage, gastric bleeding, acute renal failure, rupture of the kidney capsule and encephalopathy with hallucinosis of intoxication genesis is presented. The treatment resulted in the patient's recovery.