Heartland virus

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]
Heartland virus cases
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

Workup

  • No confirmatory testing available

Management

  • Supportive measures

Disposition

  • Discharge unless patient with other serious medical illness

See Also

External Links

Sources

Hall J, Khan Sajid Small Bugs with Big Bites, EM Resident Oct/Nov 2014 Vol 4:5; 11