Hantavirus infection physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]

Overview

Patients with hantavirus infection usually exhibit prostration. Physical examination of patients with hantavirus infection is remarkable for abdominal discomfort, fever, skin petechia, low blood pressure and abnormal cardiopulmonary examination.

Physical Examination

Appearance of the patient

Patients with hantavirus usually exhibit prostration.

• The patient may be restless, fatigued, and irritable.
• In advanced cases, the patient may be confused or comatose.

Vital signs

Vital signs in patients with hantavirus are usually normal but may have:

• Fever
• Low blood pressure

Skin

The patient may have:

• Petechiae
• Skin pallor

Abdomen

The Patient may have:

• Abdominal discomfort

HEENT

The patient may have:

• Myopia
• Inflammatory symptoms of eye (erythema, edema, and pain)

Cardiopulmonary

The patient may have these findings in the myopericarditis:

• Pericardial friction rub
• S3 gallop
• Elevated jugular venous pressure
• Lower limb edema
• Pulmonary rales and rhonchi