Avtor/Urednik		Markotić, A; Nichol, ST; Kuzman, I; Sanchez, AJ; Ksiazek, TG; Gagro, A; Rabatić, S; Zgorelec, R; Avšič-Županc, T; Beus, I; Dekaris, D
Naslov		Characteristics of puumala and Dobrava infections in Croatia
Tip		članek
Vir		J Med Virol
Vol. in št.		Letnik 66, št. 4
Leto izdaje		2002
Obseg		str. 542-51
Jezik		eng
Abstrakt		In this study, two different hantaviruses, Puumala virus (PUUV) and Dobrava virus (DOBV), were demonstrated for the first time to coexist and cause hemorrhagic fever with renal syndrome (HFRS) in Croatia. Phylogenetic analysis showed some differences among the nucleotide sequences of PUUV originating from Dinara mountain, which was more closely related to Austrian PUUV than other Croatian PUUV from Mala Kapela mountain. More consistency was found among the Croatian DOBV. HFRS was verified in 85 of 201 suspected cases recorded in 1995 during the largest HFRS outbreak in Croatia. Most of these cases were soldiers. With the exception of the coastal region and islands, all of Croatia was found to be an area endemic for HFRS. A statistically significantly higher proportion of DOBV-infected patients had acute renal failure, visual disturbance, severe thrombocytopenia, and elevated levels of nonsegmented leukocytes, creatine, and total bilirubin. The prevalence of gastrointestinal and electrocardiography disorders also was greater in DOBV-infected patients. Interestingly, significantly more PUUV-infected patients had elevated systolic blood pressure on admission to the hospital. Further prospective studies are necessary to shed more light on differences in HFRS severity associated with PUU and DOB viruses.
Deskriptorji		HANTAVIRUS HEMORRHAGIC FEVER WITH RENAL SYNDROME ENZYME-LINKED IMMUNOSORBENT ASSAY IGM IGG RNA BASE SEQUENCE AMINO ACID SEQUENCE POLYMERASE CHAIN REACTION MILITARY PERSONNEL CROATIA