Identificación de otros agentes infecciosos en casos sospechosos de síndrome cardiopulmonar por hantavirus

Background: The diagnosis of acute respiratory illness caused by Hantavirus is based in the rapid and progressive clinical course, epidemiological background and the serological confirmation of the virus. When the presence of the virus is not confirmed a differential diagnosis must be made with othe...

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Autores principales: Hinojosa P,María, Villagra C,Eliecer, Mora R,Judith, Maier,Liliana
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2006
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000300010
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spelling oai:scielo:S0034-988720060003000102006-05-02Identificación de otros agentes infecciosos en casos sospechosos de síndrome cardiopulmonar por hantavirusHinojosa P,MaríaVillagra C,EliecerMora R,JudithMaier,Liliana Hantavirus pulmonary syndrome Leptospira Orthomyxoviridae Streptococcus pneumonia Background: The diagnosis of acute respiratory illness caused by Hantavirus is based in the rapid and progressive clinical course, epidemiological background and the serological confirmation of the virus. When the presence of the virus is not confirmed a differential diagnosis must be made with other infections. Between 1999 and 2001, the Chilean Public Health Institute received 1063 blood samples from patients with a suspicious clinical picture, to study the presence of Andes strain of Hantavirus. In 134 of these samples, the presence of the virus was confirmed. Aim: To study the presence of other infections in sera from patients with suspected Hantavirus acute respiratory illness but serologically negative for Hantavirus. Material and methods: A retrospective study of 98 serum samples, received at the National Public Health Institute, of patients with negative serology for Hantavirus. The presence of antibodies against influenza virus, Mycoplasma pneumoniae, Leptospira and Streptococcus pneumoniae was determined using Latex techniques. Results: Leptospira was detected in 23 patients, influenza virus in 13, Streptococcus pneumoniae in six and Mycoplasma pneumoniae in one case. Leptospira infections were confirmed in four cases by ELISA determination of IgM antibodies. Influenza virus infection was confirmed in three cases by Hemmaglutation Inhibition Assay. Conclusions: In suspected cases of Hantavirus acute respiratory infection, but with negative serology, other infectious agents such as Leptospira, influenza virus and Streptococcus pneumoniae, must be soughtinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.3 20062006-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000300010es10.4067/S0034-98872006000300010
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Hantavirus pulmonary syndrome
Leptospira
Orthomyxoviridae
Streptococcus pneumonia
spellingShingle Hantavirus pulmonary syndrome
Leptospira
Orthomyxoviridae
Streptococcus pneumonia
Hinojosa P,María
Villagra C,Eliecer
Mora R,Judith
Maier,Liliana
Identificación de otros agentes infecciosos en casos sospechosos de síndrome cardiopulmonar por hantavirus
description Background: The diagnosis of acute respiratory illness caused by Hantavirus is based in the rapid and progressive clinical course, epidemiological background and the serological confirmation of the virus. When the presence of the virus is not confirmed a differential diagnosis must be made with other infections. Between 1999 and 2001, the Chilean Public Health Institute received 1063 blood samples from patients with a suspicious clinical picture, to study the presence of Andes strain of Hantavirus. In 134 of these samples, the presence of the virus was confirmed. Aim: To study the presence of other infections in sera from patients with suspected Hantavirus acute respiratory illness but serologically negative for Hantavirus. Material and methods: A retrospective study of 98 serum samples, received at the National Public Health Institute, of patients with negative serology for Hantavirus. The presence of antibodies against influenza virus, Mycoplasma pneumoniae, Leptospira and Streptococcus pneumoniae was determined using Latex techniques. Results: Leptospira was detected in 23 patients, influenza virus in 13, Streptococcus pneumoniae in six and Mycoplasma pneumoniae in one case. Leptospira infections were confirmed in four cases by ELISA determination of IgM antibodies. Influenza virus infection was confirmed in three cases by Hemmaglutation Inhibition Assay. Conclusions: In suspected cases of Hantavirus acute respiratory infection, but with negative serology, other infectious agents such as Leptospira, influenza virus and Streptococcus pneumoniae, must be sought
author Hinojosa P,María
Villagra C,Eliecer
Mora R,Judith
Maier,Liliana
author_facet Hinojosa P,María
Villagra C,Eliecer
Mora R,Judith
Maier,Liliana
author_sort Hinojosa P,María
title Identificación de otros agentes infecciosos en casos sospechosos de síndrome cardiopulmonar por hantavirus
title_short Identificación de otros agentes infecciosos en casos sospechosos de síndrome cardiopulmonar por hantavirus
title_full Identificación de otros agentes infecciosos en casos sospechosos de síndrome cardiopulmonar por hantavirus
title_fullStr Identificación de otros agentes infecciosos en casos sospechosos de síndrome cardiopulmonar por hantavirus
title_full_unstemmed Identificación de otros agentes infecciosos en casos sospechosos de síndrome cardiopulmonar por hantavirus
title_sort identificación de otros agentes infecciosos en casos sospechosos de síndrome cardiopulmonar por hantavirus
publisher Sociedad Médica de Santiago
publishDate 2006
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000300010
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AT villagraceliecer identificaciondeotrosagentesinfecciososencasossospechososdesindromecardiopulmonarporhantavirus
AT morarjudith identificaciondeotrosagentesinfecciososencasossospechososdesindromecardiopulmonarporhantavirus
AT maierliliana identificaciondeotrosagentesinfecciososencasossospechososdesindromecardiopulmonarporhantavirus
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