Hantavirus

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style="background:#Template:Taxobox colour;"|Hantavirus
Transmission electron micrograph of the Sin Nombre Hantavirus
Transmission electron micrograph of the Sin Nombre Hantavirus
style="background:#Template:Taxobox colour;" | Virus classification
Group: Group V ((-)ssRNA)
Family: Bunyaviridae
Genus: Hantavirus
Species

Andes virus (ANDV)
Bayou virus (BAYV)
Black Creek Canal virus (BCCV)
Cano Delgadito virus (CADV)
Choclo virus (CHOV)
Dobrava-Belgrade virus (DOBV)
Hantaan virus (HTNV)
Isla Vista virus (ISLAV)
Khabarovsk virus (KHAV)
Laguna Negra virus (LANV)
Muleshoe virus (MULV)
New York virus (NYV)
Prospect Hill virus (PHV)
Puumala virus (PUUV)
Rio Mamore virus (RIOMV)
Rio Segundo virus (RIOSV)
Seoul virus (SEOV)
Sin Nombre virus (SNV)
Thailand virus (THAIV)
Thottapalayam virus (TPMV)
Topografov virus (TOPV)
Tula virus (TULV)
Bakau virus

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Overview

Hantaviruses belong to the bunyaviridae family of viruses. There are 5 genera within the bunyaviridae family: bunyavirus, phlebovirus, nairovirus, tospovirus, and hantavirus. Each is made up of negative-sensed, single-stranded RNA viruses. All these genera include arthropod-borne viruses, with the exception of hantavirus, which is a genus of rodent-borne agents.

The word hantavirus is derived from the Hantan River, where the Hantaan virus (the etiologic agent of Korean hemorrhagic fever) was first isolated by Dr. Lee Ho-Wang. The disease associated with Hantaan virus is called Korean hemorrhagic fever (a term that is no longer in use) or hemorrhagic fever with renal syndrome (HFRS), a term that is accepted by the World Health Organization.

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Treatment

  • Hanta virus treatment[1]
  • Supportive therapy
  • ICU management should include careful assessment, monitoring and adjustment of volume status and cardiac function, including inotropic and vasopressor support if needed.
  • Fluids should be administered carefully due to the potential for capillary leakage.
  • Supplemental oxygen should be administered if patients become hypoxic.
  • Equipment and materials for intubation and mechanical ventilation should be readily available since onset of respiratory failure may be precipitous.
  • Note (1): There is no specific treatment or cure for hantavirus infection.
  • Note (2): Treatment of patients with HPS remains supportive in nature.
  • Note (3): Patients should receive appropriate, broad-spectrum antibiotic therapy while awaiting confirmation of a diagnosis of HPS. Care during the initial stages of the disease should include antipyretics and analgesia as needed.
  • Note (4): If there is a high degree of suspicion of Hantavirus pulmonary syndrome, patients should be immediately transferred to an emergency department or intensive care unit (ICU) for close monitoring and care.
  • Note (5): if the individual is experiencing fever and fatigue and has a history of potential rural rodent exposure, together with shortness of breath, would be strongly suggestive of Hantavirus pulmonary syndrome.


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