Heartland virus: Difference between revisions
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==Background== | ==Background== | ||
*New phlebovirus discovered in NW Missouri 2012, cases also describe in Tennessee | *New phlebovirus discovered in NW Missouri 2012, cases also describe in Tennessee<ref>Hall J, Khan Sajid Small Bugs with Big Bites, EM Resident Oct/Nov 2014 Vol 4:5; 11 | ||
</ref> | |||
*Transmitted by lone star tick | *Transmitted by lone star tick | ||
*8 reported cases (as of 2014) | *8 reported cases (as of 2014)<ref>http://www.cdc.gov/ncezid/dvbd/heartland/</ref> | ||
{| class="sortable wikitable" | |||
|+ ''Heartland virus'' cases | |||
|- | |||
! Year | |||
! Location | |||
! Deaths | |||
! Cases | |||
|- valign="TOP" | |||
| 2009 | |||
| Northwestern Missouri | |||
| 0 | |||
| 2 | |||
|- valign="TOP" | |||
| 2012-2013<ref>http://www.medscape.com/viewarticle/822710</ref> | |||
| Missouri, Tennessee<ref>http://cid.oxfordjournals.org/content/early/2014/06/09/cid.ciu434.abstract</ref> | |||
| 1 | |||
| 6 | |||
|- valign="TOP" | |||
| 2014 | |||
| Missouri,<ref>http://www.tahlequahdailypress.com/local/x701910561/Taking-up-arms-against-Heartland-disease</ref> Oklahoma<ref>http://www.cbsnews.com/news/rare-heartland-virus-kills-man-in-oklahoma/</ref> | |||
| 1 | |||
| 2 | |||
|- valign="TOP" | |||
|} | |||
==Clinical Features== | ==Clinical Features== | ||
*Similar to other tick-born illnesses: fatigue, fever, arthralgias and myalgias | *Similar to other tick-born illnesses: fatigue, fever, arthralgias and myalgias | ||
*Diarrhea | *[[Diarrhea]] | ||
*Leukopenia, thrombocytopenia, elevated transaminases | *Leukopenia, thrombocytopenia, elevated transaminases | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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*Supportive measures | *Supportive measures | ||
==Disposition== | ==Disposition== | ||
*Discharge unless patient with other serious medical illness | |||
==See Also== | ==See Also== | ||
*[[Tick borne illnesses]] | |||
==External Links== | ==External Links== | ||
== | ==References== | ||
<references/> | |||
[[Category:ID]] | |||
Latest revision as of 12:41, 24 September 2016
Background
- New phlebovirus discovered in NW Missouri 2012, cases also describe in Tennessee[1]
- Transmitted by lone star tick
- 8 reported cases (as of 2014)[2]
| Year | Location | Deaths | Cases |
|---|---|---|---|
| 2009 | Northwestern Missouri | 0 | 2 |
| 2012-2013[3] | Missouri, Tennessee[4] | 1 | 6 |
| 2014 | Missouri,[5] Oklahoma[6] | 1 | 2 |
Clinical Features
- Similar to other tick-born illnesses: fatigue, fever, arthralgias and myalgias
- Diarrhea
- Leukopenia, thrombocytopenia, elevated transaminases
Differential Diagnosis
Tick Borne Illnesses
- Babesiosis
- Colorado tick fever
- Ehrlichiosis
- Heartland virus
- Lyme
- Murine typhus
- Rocky mountain spotted fever
- Southern tick-associated rash illness (STARI)
- Tick paralysis
- Tularemia
Workup
- No confirmatory testing available
Management
- Supportive measures
Disposition
- Discharge unless patient with other serious medical illness
See Also
External Links
References
- ↑ Hall J, Khan Sajid Small Bugs with Big Bites, EM Resident Oct/Nov 2014 Vol 4:5; 11
- ↑ http://www.cdc.gov/ncezid/dvbd/heartland/
- ↑ http://www.medscape.com/viewarticle/822710
- ↑ http://cid.oxfordjournals.org/content/early/2014/06/09/cid.ciu434.abstract
- ↑ http://www.tahlequahdailypress.com/local/x701910561/Taking-up-arms-against-Heartland-disease
- ↑ http://www.cbsnews.com/news/rare-heartland-virus-kills-man-in-oklahoma/