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Revision as of 19:28, 5 December 2014
Contents
Background
- New phlebovirus discovered in NW Missouri 2012, cases also describe in Tennessee
- Transmitted by lone star tick
- 8 reported cases (as of 2014)[1]
| Year | Location | Deaths | Cases |
|---|---|---|---|
| 2009 | Northwestern Missouri | 0 | 2 |
| 2012-2013[2] | Missouri, Tennessee[3] | 1 | 6 |
| 2014 | Missouri,[4] Oklahoma[5] | 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
Sources
<reference/>
- ↑ 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/