Primer caso de síndrome cardiopulmonar por hantavirus secundario a mordedura de ratón

Abstract

We describe the first case of Hantavirus cardiopulmonary syndrome (HCPS) occurring after a rodent bite. A student was bitten when he was manipulating a trap in which an Oligoryzomys longicaudatus was trapped. Fourteen days later he developed moderate HCPS. He needed supplemental oxygen, but he did not need mechanical ventilation nor vasoactive drugs treatment. The hemodynamic condition was monitored utilizing the Pulse Contour Cardiac Output (PiCCO) computer. The transcardiopulmonary thermodilution technique is less invasive than the pulmonary arterial catheter, and allows the measurement of the extravascular lung water index. This index seems to be helpful in the management of moderate HCPS. We describe the epidemiological data, clinical features, hemodynamic condition and treatment of this patient