Hantavirus is a topic covered in the Johns Hopkins Antibiotic (ABX) Guide.

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MICROBIOLOGY

  • Segmented, negative sense RNA virus. Large number of species (23 to date) with more discovered regularly.
  • Member of Bunyaviridae. Unlike other viruses in this family that are arthropod borne, hantaviruses are rodent borne viruses associated with specific reservoirs.
  • In the U.S., geographic locales differ:
    • Southeast: deer mice, cotton and rice rats
    • Northeast: white-footed mouse has been associated
  • Transmission to humans through inhalation of aerosolized saliva, urine or feces of reservoir host.
  • Hantavirus New World: (e.g., Sin Nombre virus) known to cause hantavirus pulmonary syndrome (HPS)
    • Carried by the New World rats and mice, family Muridae, subfamily Sigmodontinae; these rodents are not found in urban sites.
      • Deer mouse
      • Cotton rat
      • Rice rat
      • White-footed mouse
  • Hantaan virus, Old World: may cause hemorrhagic fever with renal syndrome (HFRS).
    • Puumala virus, a hantavirus carried in bank voles, may cause Nephropathia epidemica in humans primarily in Europe.
    • Dobrava-Belgrade virus (DOBV) causes a more severe HFRS, again in Europe.
    • Hantaan virus: HFRS in Asia
    • Seoul virus: HFRS in Asia.

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Last updated: November 6, 2015