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Coagulopathy in Acute Puumala Hantavirus Infection

Authors: Sirpa Koskela; Satu Mäkelä; Tomas Strandin; Antti Vaheri; Tuula Outinen; Lotta Joutsi-Korhonen; Ilkka Pörsti; +2 Authors

Coagulopathy in Acute Puumala Hantavirus Infection

Abstract

Puumala hantavirus (PUUV) causes a hemorrhagic fever with renal syndrome (HFRS), also called nephropathia epidemica (NE), which is mainly endemic in Europe and Russia. The clinical features include a low platelet count, altered coagulation, endothelial activation, and acute kidney injury (AKI). Multiple connections between coagulation pathways and inflammatory mediators, as well as complement and kallikrein–kinin systems, have been reported. The bleeding symptoms are usually mild. PUUV-infected patients also have an increased risk for disseminated intravascular coagulation (DIC) and thrombosis.

Country
Finland
Keywords

endothelium, Puumala hantavirus, Review, 3121 Internal medicine, Microbiology, Puumala virus, Russia, DIC, LONG PENTRAXIN PTX3, THROMBIN GENERATION, coagulation, complement system, 11832 Microbiology and virology, platelet, NITRIC-OXIDE, THROMBOCYTOPENIA, Thrombosis, Acute Kidney Injury, Blood Coagulation Disorders, Disseminated Intravascular Coagulation, ENDOTHELIAL-CELLS, QR1-502, NEPHROPATHIA-EPIDEMICA, Europe, RENAL SYNDROME, Biomedicine, HEMORRHAGIC-FEVER, acute kidney injury, Hemorrhagic Fever with Renal Syndrome, Acute Disease, INNATE IMMUNITY, fibrinolysis, COMPLEMENT ACTIVATION

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    22
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
22
Top 10%
Average
Top 10%
Green
gold