Hantavirus pulmonary syndrome is an infectious disease characterized by flu-like symptoms that can progress rapidly to potentially life-threatening breathing problems.
Several types of hantaviruses can cause hantavirus pulmonary syndrome. They are carried by several types of rodents, particularly the deer mouse. You become infected primarily by breathing air infected with hantaviruses that are shed in rodent urine and droppings.
Because treatment options are limited, the best protection against hantavirus pulmonary syndrome is to avoid rodents and their habitats.
Hantavirus pulmonary syndrome advances through two distinct stages. In the first stage, you may experience flu-like signs and symptoms that may include:
In its early stages, hantavirus infection is difficult to distinguish from influenza, pneumonia or other viral conditions. After four to 10 days, more-serious signs and symptoms begin. They typically include:
The signs and symptoms of hantavirus pulmonary syndrome can worsen suddenly and may quickly become life-threatening. If you've been around rodents or rodent droppings and have signs and symptoms of fever, chills, muscle aches or any difficulties breathing, seek immediate medical attention.
Each type of hantavirus has a preferred rodent carrier. The deer mouse is the primary carrier of the virus responsible for most cases of hantavirus pulmonary syndrome in North America. Other hantavirus carriers include the white-tailed mouse, cotton rat and rice rat.
Hantaviruses are transmitted to people primarily through the aerosolization of viruses shed in infected rodents' droppings, urine or saliva. Aerosolization occurs when a virus is kicked up into the air, making it easy for you to inhale. For example, a broom used to clean up mouse droppings in an attic may nudge into the air tiny particles of feces containing hantaviruses, which you can then easily inhale.
After you inhale hantaviruses, they reach your lungs and begin to invade tiny blood vessels called capillaries, eventually causing them to leak. Your lungs then flood with fluid, which can trigger any of the respiratory problems associated with hantavirus pulmonary syndrome.
People who become infected with the North American strain of hantavirus pulmonary syndrome aren't contagious to other people. However, certain outbreaks in South America have shown evidence of being transmitted from person to person, which illustrates variation across strains in different regions.
Hantavirus pulmonary syndrome is most common in rural areas of the western United States during the spring and summer months. Hantavirus pulmonary syndrome also occurs in South America and Canada. Other hantaviruses occur in Asia, where they cause kidney disorders rather than lung problems.
The chance of developing hantavirus pulmonary syndrome is greater for people who work, live or play in spaces where rodents live. Factors and activities that increase the risk include:
Hantavirus pulmonary syndrome can quickly become life-threatening. As the lungs fill with fluid, breathing becomes more and more difficult. Blood pressure drops and organs begin to fail, particularly the heart. Depending on the hantavirus strain, the mortality rate for the North American variety of hantavirus pulmonary syndrome can be more than 30%.
Keeping rodents out of your home and workplace can help reduce your risk of hantavirus infection. Try these tips:
Wet down dead rodents and areas where rodents have been with alcohol, household disinfectants or bleach. This kills the virus and helps prevent infected dust from being stirred up into the air. Once everything is wet, use a damp towel to pick up the contaminated material. Then mop or sponge the area with disinfectant.
Take special precautions, such as wearing a respirator, when cleaning buildings with heavy rodent infestations.
Blood tests can reveal if your body has made antibodies to a hantavirus. Your doctor may order other laboratory tests to rule out other conditions with similar symptoms.
Specific treatment options for hantavirus pulmonary syndrome are limited. But the prognosis improves with early recognition, immediate hospitalization and adequate support for breathing.
People with severe cases need immediate treatment in an intensive care unit. Intubation and mechanical ventilation may be needed to support breathing and to help manage fluid in the lungs (pulmonary edema). Intubation involves placing a breathing tube through your nose or mouth into the windpipe (trachea) to help keep your airways open and functioning.
In extremely severe cases of pulmonary distress, you'll need a method called extracorporeal membrane oxygenation (ECMO) to help ensure you retain a sufficient supply of oxygen. This involves continuously pumping your blood through a machine that removes carbon dioxide and adds oxygen. The oxygenated blood is then returned to your body.
You might first see your family doctor. However, when you call to set up an appointment, your doctor may recommend urgent medical care. If you're having severe difficulty breathing, seek emergency medical attention.
Before your appointment, you may want to write a list of answers to the following questions:
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:
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