Hantavirus infection physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]

Overview

Patients with hantavirus infection usually exhibit prostration. Physical examination of patients with hantavirus infection is remarkable for abdominal discomfort, fever, skin petechia, low blood pressure and abnormal cardiopulmonary examination.[1][2]

Physical Examination

Appearance of the patient

Patients with hantavirus usually exhibit prostration.

  • The patient may be restless, fatigued, and irritable.
  • In advanced cases, the patient may be confused or comatose.

Vital signs

Vital signs in patients with hantavirus are usually normal but may have:

  • Fever
  • Low blood pressure

Skin

The patient may have:

  • Petechiae
  • Skin pallor

HEENT

The patient may have:

  • Myopia
  • Inflammatory symptoms of eye (erythema, edema, and pain)

Cardiopulmonary

The patient may have these findings in the myopericarditis:

  • Pericardial friction rub
  • S3 gallop,
  • Elevated jugular venous pressure
  • Lower limb edema
  • Pulmonary rales and rhonchi

Abdomen

The Patient may have:


References

  1. Jiang H, Zheng X, Wang L, Du H, Wang P, Bai X (2017). "Hantavirus infection: a global zoonotic challenge". Virol Sin. 32 (1): 32–43. doi:10.1007/s12250-016-3899-x. PMID 28120221.
  2. Imazio M, Gaita F, LeWinter M (2015). "Evaluation and Treatment of Pericarditis: A Systematic Review". JAMA. 314 (14): 1498–506. doi:10.1001/jama.2015.12763. PMID 26461998.

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