
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.
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
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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