Characteristics of the Hantaan virus complicated with SARS-CoV2 infection : A case series report

© 2024 The Authors..

Background: Coinfection poses a persistent threat to global public health due to its severe effect on individual-level infection risk and disease outcome. Coinfection of SARS-CoV2 with one or more pathogens has been documented. Nevertheless, this virus co-infected with the Hantaan virus (HTNV) is rarely reported.

Case summary: Here, we presented three cases of HTNV complicated with SARS-CoV2 infection. Not only the conditions including general clinical manifestations, immune and inflammation parameters fluctuation presented in the single infection of HTNV or SARS-CoV2 can be found, but also the unexpected manifestations have attracted our attention that presented as more symptoms of HTNV infection including exudative changes in both lungs and an amount of bilateral pleural effusion as well as bilateral kidney enlargement rather than typical viral pneumonia in SARS-CoV2 infection. Fortunately, the conditions of patients gradually return to normal which is beneficial from the antiviral treatment, hemodialysis, and various supportive therapies including anti-inflammation, liver and gastric mucosa protection.

Conclusion: Unexpected manifestations of coinfection patients present herein may be associated with multiple factors including virus load, competition or antagonism among antigens, and the susceptibility of target cells to the various pathogens, even though the pathogenesis of HTNV and SARS-CoV2 remains to be elucidated. Given that these two viruses have posed a profound influence on the socioeconomic, healthcare system worldwide, and the threat of coinfection to public health, it is warranted for clinicians, public health authorities, and infectious disease researchers to have a high index of consideration for patients co-infected with HTNV and SARS-CoV2.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

Heliyon - 10(2024), 5 vom: 15. März, Seite e26618

Sprache:

Englisch

Beteiligte Personen:

Zhao, Han-Dong [VerfasserIn]
Li, Jian-Wu [VerfasserIn]
Wang, Ze-Kun [VerfasserIn]
Qian, Hong-Bo [VerfasserIn]
Fu, Kui [VerfasserIn]
Liu, Hong-Li [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Case Reports
Case series report
Coinfection
Hantaan virus
SARS-CoV2

Anmerkungen:

Date Revised 09.03.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.heliyon.2024.e26618

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369452771