Hantavirus: Difference between revisions
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==Differential Diagnosis== | |||
{{Lower respiratory zoonotic infections}} | |||
==LA County Guidelines (for Yosemite outbreak)== | ==LA County Guidelines (for Yosemite outbreak)== | ||
Physicians with Patients Presenting with Concerns or Symptoms of Hantavirus Pulmonary Syndrome (HPS) after Visit to Yosemite National Park, June through August 2012. | Physicians with Patients Presenting with Concerns or Symptoms of Hantavirus Pulmonary Syndrome (HPS) after Visit to Yosemite National Park, June through August 2012. | ||
Revision as of 16:55, 23 November 2014
Differential Diagnosis
Lower Respiratory Zoonotic Infections
- Psittacosis
- Anthrax (Bacillus anthracis)
- Brucellosis (Brucella species)
- Q fever (C. burnetti)
- Pasteurellosis (Pasteurella multocida)
- Melioidosis (Burkholderia pseudomallei)
- Rocky Mountain Spotted Fever (R. rickettsii)
- Pulmonic Plague (Yersinia pestis)
- Influenza A
- Hantavirus
LA County Guidelines (for Yosemite outbreak)
Physicians with Patients Presenting with Concerns or Symptoms of Hantavirus Pulmonary Syndrome (HPS) after Visit to Yosemite National Park, June through August 2012.
- If a patient presents with concerns or non-specific symptoms well after 6 weeks from their stay in Yosemite, the patient most likely does not have hantavirus infection and testing for hantavirus infection is not indicated.
- If a patient presents with non-specific symptoms within 6 weeks of their stay in Yosemite and hantavirus infection is not suspected, the patient should be followed as clinically indicated, but testing for hantavirus infection is not indicated.
- If a patient presents with fever and mild symptoms suspicious for early hantavirus infection within 6 weeks of their stay in Yosemite, then a complete blood count (CBC) and chemistry panel should be done at baseline and hantavirus serology should be requested.
- If a patient presents with fever, shortness of breath, and other symptoms suggestive of HPS within 6 weeks of their stay in Yosemite, or if the patient in #3 above progresses to having symptoms and laboratory results suggestive of HPS, the patient should be transferred to a hospital emergency department for full evaluation.
- In California, hantavirus infections are reportable. Suspect cases in LA County should be reported to Acute Communicable Disease Control immediately so that we may assist with diagnostic testing.
Call 213-240-7941 (business hours) or 213-974-1234 (after hours) to speak to the duty physician.
Source
These are abbreviated public health recommendations. Please see the full state guidance document at [1]