Hantavirus pulmonary syndrome: Recognition and emergency department management

Scott M. Dull, Judith C. Brillman, Steven Q. Simpson, David P. Sklar

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Hantavirus infection with respiratory involvement is a new clinical entity. The respiratory and cardiovascular abnormalities associated with hantavirus infection define the hantavirus pulmonary syndrome (HPS). We present two cases of HPS and discuss the presentation, epidemiology, emergency department management, and differential diagnosis. Treatment of HPS involves intensive care monitoring, airway management, and cardiovascular support. Because human hantavirus infection with respiratory involvement has been recognized recently in all geographic regions of the United States, it is important for emergency physicians to recognize this syndrome's characteristic symptoms and laboratory abnormalities. The fulminant clinical course of HPS and its 65% mortality rate underscore the importance of early recognition if potentially life-saving interventions are to be initiated.

Original languageEnglish (US)
Pages (from-to)530-536
Number of pages7
JournalAnnals of Emergency Medicine
Issue number3
StatePublished - Sep 1994
Externally publishedYes

ASJC Scopus subject areas

  • Emergency Medicine


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