Causes And Symptoms Of Hantavirus Pulmonary Syndrome

1007 WordsNov 12, 20165 Pages
Hantavirus Pulmonary Syndrome I. Background CW, an 18-year-old Caucasian male, presented at a rural hospital located in northwest New Mexico. CW complained of flu-like symptoms including a headache, chills, vomiting, diarrhea, fever, and myalgia for the previous two to four days (Staff, 2014). He stated within the past 24 to 48 hours he had developed a productive cough, a tightening in his chest, and shortness of breath. When questioned what, his activities were prior to the onset of symptoms he stated he was a student and played tight-end for the football team. When probed further he stated one to two weeks prior he cleaned some sheds on his parent’s farm. While waiting on lab results from the bloodwork, CW went into respiratory distress. He was intubated and sent to the ICU for supportive care. II. Physical and Laboratory Findings On examination, the physician listened to CW’s lungs, noting there was diminished lung sounds with crackling. Chest X-ray showed acute pneumonia in both lungs. The physician also noted swelling in CW’s chest and neck area (Cunha, 2015). Blood was drawn with a heparinized vacutainer tube and a serum separator vacutainer for serology, and reverse transcriptase- polymerase chain raction testing. While CW was in intubation there were lung tissue samples obtained for the immunohistochemistry. The serum lab results showed, on a smear, there was evidence of immature leukocytes (Cunha, 2015), as well as an increase in virus-specific IgM. An acute-and

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