Notes From the Field: Exported Case of Sin Nombre Hantavirus Pulmonary Syndrome — Israel, 2017

Details

• Alternative Title:
  MMWR. Morbidity and Mortality Weekly Report, Vol. 67, No. 40, October 12, 2018: Notes From the Field: Exported Case of Sin Nombre Hantavirus Pulmonary Syndrome — Israel, 2017
• Journal Article:
  MMWR Morb Mortal Wkly Rep
• Personal Author:
  Kofman, Aaron ; Rahav, Galia ; Yazzie, Del ; Shorty, Herman ; Yaglom, Hayley D. ; Peterson, Dallin ; Peek-Bullock, Melissa ; Choi, Mary J. ; Wieder-Finesod, Anat ; Klena, John D. ; Venkat, Heather ; Chiang, Cheng-Feng ; Knust, Barbara ; Gaither, Marlene ; Maurer, Matthew ; Hoeschele, Donald R. ; Nichol, Stuart T.
• Description:
  In November 2017, CDC confirmed Sin Nombre virus (SNV) infection in a previously healthy man aged 47 years who was admitted to a hospital in Israel. The patient had traveled with his family on vacation to the southwestern United States (Arizona, Nevada, and Utah) during October 3–9, 2017. During this time, he and his family hiked and biked the southern rim of the Grand Canyon and Zion National Park and took a guided tour through Antelope Cave. On November 7, approximately 3 weeks after his return to Israel, he was hospitalized with fever, cough, and shortness of breath requiring bilevel positive airway pressure. A chest radiograph indicated diffuse reticulonodular infiltrates with consolidations at the right costophrenic angle and in the retrocardiac space. Based upon the patient’s travel history and clinical findings, hantavirus pulmonary syndrome was suspected. A blood specimen collected on November 9 tested positive for SNV using nested reverse transcription–polymerase chain reaction; he had an immunoglobulin M titer of ≥1:6,400 and an immunoglobulin G titer of ≥1:6,400. Hantavirus pulmonary syndrome has a mortality rate of approximately 36%.* The patient was treated with supportive care and discharged from the hospital on November 19. No illness was reported in any family member who traveled with him.
• Subjects:
  Communicable Diseases Disease Vectors Hantavirus Infections Hantavirus Pulmonary Syndrome Orthohantavirus Respiratory Tract Diseases Viral Diseases Zoonoses
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• DOI:
  http://dx.doi.org/10.15585/mmwr.mm6740a5
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Publisher:
  Centers for Disease Control and Prevention (CDC) (U.S.)
• Pubmed ID:
  30307906
• Pubmed Central ID:
  PMC6181258
• Document Type:
  Text ; Journal Article
• Genre:
  Journal Article
• Place as Subject:
  Israel
• Rights:
  Public Domain
• Topic:
  Diseases & Conditions
• Pages in Document:
  p. 1129
• Volume:
  67
• Issue:
  40
• Citation:
  MMWR: Morbidity and Mortality Weekly Report 2018; v. 67, no. 40
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:ca35feafa445d6b017f3e13f821bd078c0557db712c2452f8d6168b39f3dd8d1989b210970fe6712e26d9a5d8fac0b2dc8966468785a8575111086253e86a1b1
• Download URL:
  https://stacks.cdc.gov/view/cdc/59992/cdc_59992_DS1.pdf
• File Type:
  [PDF - 101.86 KB ]