Fatal Hantavirus Pulmonary Syndrome in Indiana

Abstract
On January 8, 1994, a 48-year-old diabetic male teacher from a small town in rural Indiana presented to the hospital with a three-day history of myalgia, weakness, fever, chills, a nonproductive cough, and progressive shortness of breath. He had not traveled to the southwestern United States and had no known exposure to rodent excreta1-3. He had a temperature of 39 °C (102 °F), tachycardia, tachypnea, diaphoresis, and a moderate amount of respiratory distress. Moist rales and decreased breath sounds were noted in all lung fields, but he had no petechiae, ecchymoses, or other signs of coagulopathy.

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