Question

1. A 12-year-old California boy presents to his primary care physician feeling "hot and tired" and with periumbilical pain, cough, sore throat, fever, and myalgia. His physician diagnoses the flu and sends him home. Four hours later, the boy is admitted to the emergency room vomiting and short of breath. A chest X-ray shows pulmonary edema and blood work demonstrates significantly reduced platelet numbers. The boy's history is significant for his living in a rural area on a dairy farm. The boy had been in the woods with his father cleaning out their hunting cabin which was full of mouse droppings. Both father and son have similar symptoms. What is wrong with this boy? (Hint: mice are an important clue.) What is the outlook for the boy's disease? How is this infection acquired? Is there any evidence for person-to-person transmission?

Answer 1

A) there the boy is suffering with hantavirus pulmonary syndrome CHPs) which is one of fatal syndrome caused by hantavirus, transmitted from aerosolised rodent encreta (or) mouse droppings which often lead to pulmonary (or) hemorrhagic forms. 2A) there, the boy initially presented with flu like sympton fever, cough, sore throat, peri-umbilical pain , myalgia which are prodromal signs of viral infection and patient had exposure of Cleaning out houting cabin which was full of mouse clroppings So here the boy is suspected with Hanta viral infection later the boy started experiencing shortness of breath Csob), pulmonary edema reduced platelet count which was major complications for hauta virus pulmonary syndrome often may lead to respiratory failure. Usually in hauta virus menal syndrome may lead to deseminated intravascular coagulation (DLC) and may lead to hemorrhagie manifestation. The mortality rate will be 28%. 34) Ang activity that puts in contact with nodent dropping, urine, salira .cor) nesting materials are major risks where hanta virus spread when virus – containing particles from rodent urine, droppings, saliva is inhaled from air. so it is air borue disease Hanta virus linfection doesnt transmit from person to person on touch, using items of affected ones!