Hantavirus Pulmonary Syndrome in Manitoba
The first confirmed case of hantavirus pulmonary syndrome in Manitoba was diagnosed in 1999. To define better the risk of exposure to hantaviruses in this area, the clinical features and epidemiological factors pertaining to this case were described, and a serological survey of rodents collected nea...
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| Format: | Article |
| Language: | English |
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Wiley
2001-01-01
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| Series: | Canadian Journal of Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2001/425260 |
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| author | L Robbin Lindsay Michael A Drebot Elise Weiss Harvey Artsob |
| author_facet | L Robbin Lindsay Michael A Drebot Elise Weiss Harvey Artsob |
| author_sort | L Robbin Lindsay |
| collection | DOAJ |
| description | The first confirmed case of hantavirus pulmonary syndrome in Manitoba was diagnosed in 1999. To define better the risk of exposure to hantaviruses in this area, the clinical features and epidemiological factors pertaining to this case were described, and a serological survey of rodents collected near the patient's residence was undertaken. Small mammals were collected using live traps, were anesthetized via inhalation of isoflurane and were bled. Human and mouse serologies were undertaken using an ELISA to detect hantavirus-specific immunoglobulin G and/or immunoglobulin M antibodies. In addition, a full medical and epidemiological assessment, as well as individual risk factor and exposure analysis, were conducted. A 27-year-old Manitoba woman presented with severe respiratory distress and diffuse bilateral air space disease radiologically. Despite extremely aggressive measures, including mechanical ventilation, antibiotics, fluid management and inotropic support, the patient's condition rapidly deteriorated, and she died 8 h after admission. Hantavirus pulmonary syndrome was confirmed by the detection of immunoglobulin M and immunoglobulin G antibodies to the Sin Nombre virus (SNV) in her sera and by the demonstration of SNV genomic sequences in her lung tissue. Exposure to hantavirus likely occurred in and around the home or in the rural area in which she resided. A total of 252 small mammals, primarily deer mice (Peromyscus maniculatus), were collected from 17 different sites at or near where the patient lived. Antibodies to SNV were detected in 28 of 244 (11.5%) deer mice, which were collected within 9 km of the residence of the fatal case, indicating that these rodents are a significant reservoir for SNV in this area. |
| format | Article |
| id | doaj-art-2ed36aed9ee845a29579b33c47a17cef |
| institution | Kabale University |
| issn | 1180-2332 |
| language | English |
| publishDate | 2001-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Infectious Diseases |
| spelling | doaj-art-2ed36aed9ee845a29579b33c47a17cef2025-08-20T03:55:07ZengWileyCanadian Journal of Infectious Diseases1180-23322001-01-0112316917310.1155/2001/425260Hantavirus Pulmonary Syndrome in ManitobaL Robbin Lindsay0Michael A Drebot1Elise Weiss2Harvey Artsob3Health Canada, National Microbiology Laboratory, Zoonotic Diseases and Special Pathogens, Canadian Science Centre for Human and Animal Health, Winnipeg, Manitoba, CanadaHealth Canada, National Microbiology Laboratory, Zoonotic Diseases and Special Pathogens, Canadian Science Centre for Human and Animal Health, Winnipeg, Manitoba, CanadaManitoba Health, Marquette, Brandon and South Westman Regional Health Authorities, Brandon, Manitoba, CanadaHealth Canada, National Microbiology Laboratory, Zoonotic Diseases and Special Pathogens, Canadian Science Centre for Human and Animal Health, Winnipeg, Manitoba, CanadaThe first confirmed case of hantavirus pulmonary syndrome in Manitoba was diagnosed in 1999. To define better the risk of exposure to hantaviruses in this area, the clinical features and epidemiological factors pertaining to this case were described, and a serological survey of rodents collected near the patient's residence was undertaken. Small mammals were collected using live traps, were anesthetized via inhalation of isoflurane and were bled. Human and mouse serologies were undertaken using an ELISA to detect hantavirus-specific immunoglobulin G and/or immunoglobulin M antibodies. In addition, a full medical and epidemiological assessment, as well as individual risk factor and exposure analysis, were conducted. A 27-year-old Manitoba woman presented with severe respiratory distress and diffuse bilateral air space disease radiologically. Despite extremely aggressive measures, including mechanical ventilation, antibiotics, fluid management and inotropic support, the patient's condition rapidly deteriorated, and she died 8 h after admission. Hantavirus pulmonary syndrome was confirmed by the detection of immunoglobulin M and immunoglobulin G antibodies to the Sin Nombre virus (SNV) in her sera and by the demonstration of SNV genomic sequences in her lung tissue. Exposure to hantavirus likely occurred in and around the home or in the rural area in which she resided. A total of 252 small mammals, primarily deer mice (Peromyscus maniculatus), were collected from 17 different sites at or near where the patient lived. Antibodies to SNV were detected in 28 of 244 (11.5%) deer mice, which were collected within 9 km of the residence of the fatal case, indicating that these rodents are a significant reservoir for SNV in this area.http://dx.doi.org/10.1155/2001/425260 |
| spellingShingle | L Robbin Lindsay Michael A Drebot Elise Weiss Harvey Artsob Hantavirus Pulmonary Syndrome in Manitoba Canadian Journal of Infectious Diseases |
| title | Hantavirus Pulmonary Syndrome in Manitoba |
| title_full | Hantavirus Pulmonary Syndrome in Manitoba |
| title_fullStr | Hantavirus Pulmonary Syndrome in Manitoba |
| title_full_unstemmed | Hantavirus Pulmonary Syndrome in Manitoba |
| title_short | Hantavirus Pulmonary Syndrome in Manitoba |
| title_sort | hantavirus pulmonary syndrome in manitoba |
| url | http://dx.doi.org/10.1155/2001/425260 |
| work_keys_str_mv | AT lrobbinlindsay hantaviruspulmonarysyndromeinmanitoba AT michaeladrebot hantaviruspulmonarysyndromeinmanitoba AT eliseweiss hantaviruspulmonarysyndromeinmanitoba AT harveyartsob hantaviruspulmonarysyndromeinmanitoba |