Novel Clinical and Pathologic Findings in a Heartland Virus-Associated Death

Clin Infect Dis. 2017 Feb 15;64(4):510-512. doi: 10.1093/cid/ciw766.

Abstract

We describe an investigation into a Heartland virus (HRTV)-associated death in Tennessee with novel clinical and pathologic findings. HRTV can cause rapidly fatal, widely disseminated infection with multisystem organ failure in patients without substantial comorbidities. We identified viral antigen in multiple organ tissues where it was not detected previously.

Keywords: emerging infections; heartland virus; tickborne disease; viral infections.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antigens, Viral / analysis
  • Brain / pathology
  • Brain / virology
  • Bunyaviridae Infections / complications
  • Bunyaviridae Infections / diagnosis*
  • Bunyaviridae Infections / pathology*
  • Bunyaviridae Infections / virology
  • Fatal Outcome
  • Heart / virology
  • Histocytochemistry
  • Humans
  • Immunohistochemistry
  • Liver / pathology
  • Liver / virology
  • Male
  • Microscopy
  • Multiple Organ Failure / etiology*
  • Multiple Organ Failure / pathology*
  • Myocardium / pathology
  • Phlebovirus / classification
  • Phlebovirus / isolation & purification*
  • Tennessee
  • Testis / pathology
  • Testis / virology

Substances

  • Antigens, Viral