First cases of hemorrhagic fever with renal syndrome from the middle anatolia region of Turkey and the first case of hantavirus and crimean-congo hemorrhagic fever virus co-infection in a patient [Türkiye'nin Orta Anadolu Bölgesi'nden Renal Sendromlu İlk Kanamali{dotless} Ateş Olgulari{dotless} ve Hanta Virüs ile Ki{dotless}ri{dotless}m Kongo Kanamali{dotless} Ateş Virüsü Koenfeksiyonu Olan İlk Olgu]

Abstract

The first laboratory confirmed cases of hemorrhagic fever with renal syndrome caused by hantavirus infection in Turkey were published in 2009. We reported the first cases of hantavirus infection from the Middle Anatolia Region of Turkey as well as the first case of co-infection caused by hantavirus and Crimean-Congo hemorrhagic fever (CCHF) virus in a patient. The co-infected patient was tested for hantavirus infection because the duration of the illness lasted longer than expected for CCHF and renal function was impaired. Diagnosis of CCHF was confirmed with serological and molecular methods; in addition, IgM and IgG antibodies for hantavirus were positive. All three patients were discharged after they received supportive therapy. © 2013 by Türkiye Klinikleri.