Hantavirus infection mimicking leptospirosis: how long are we going to rely on clinical suspicion?

  • Niroshana Jathum Dahanayaka Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka
  • Suneth Buddhika Agampodi Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka
  • Anoma Kumari Bandaranayaka Teaching Hospital Anuradhapura, Sri Lanka
  • Sumudu Priyankara Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka
  • Joshep M Vinetz Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka
Keywords: Hantavirus, Sri Lanka, acute undifferentiated fever, leptospirosis

Abstract

Hantavirus infections and leptospirosis can have similar clinical and epidemiological features. We present here a case study of a young farmer with fever during the post-flood leptospirosis outbreak in Anuradhapura, Sri Lanka, in 2011. He presented with a classical clinical picture of leptospirosis and was managed and notified as a case of leptospirosis. Retrospective analysis of a stored serum sample confirmed acute hantavirus infection. Diagnosis of newly identified or emerging infectious diseases such as hantavirus infection is challenging due to the lack of diagnostic facilities in developing countries. This case highlights the need for improving diagnostic facilities, educating medical staff, and conducting population-based prospective studies on hantavirus infections in Sri Lanka.

Published
2014-08-13
How to Cite
1.
Dahanayaka NJ, Agampodi SB, Bandaranayaka AK, Priyankara S, Vinetz JM (2014) Hantavirus infection mimicking leptospirosis: how long are we going to rely on clinical suspicion?. J Infect Dev Ctries 8:1072-1075. doi: 10.3855/jidc.4115
Section
Case Reports