Hantavirus infection in central Sri Lanka – an unusual clinical presentation: a case report

  1. T. T. Pattiyakumbura
  2. S. H. Pathirathne
  3. M. A. R. V. Muthugala

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Abstract

Hantavirus infections are emerging zoonoses. In Asia, the hantavirus commonly manifests as haemorrhagic fever with renal syndrome (HFRS), apparent with fever, thrombocytopenia and acute kidney injury. There are a few cases with the atypical clinical course with cardiopulmonary symptoms in Asia including Sri Lanka. Here, we report a case of hantavirus infection with an atypical cardiopulmonary syndrome-like illness with serological evidence of the Puumala/Puumala-like virus.

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  1. Version published to 10.1099/acmi.0.000554.v3 on Access Microbiology
  3. Access Microbiology

    Comments to Author

    1. Description of the case was very good 2. Presentation of results was excellent 3. How the style and organization of the paper communicates and represents key findings was as good as it should. 4. Literature analysis or discussion was good written and analyzed. 5. Any other relevant comments, I suggest only a small review from a native speaker before publishing because of some punctuation and grammatical errors.

    Please rate the quality of the presentation and structure of the manuscript

    Good

    To what extent are the conclusions supported by the data?

    Strongly support

    Do you have any concerns of possible image manipulation, plagiarism or any other unethical practices?

    No

    Is there a potential financial or other conflict of interest between yourself and the author(s)?

    No

    If this manuscript involves human and/or animal work, have the subjects been treated in an ethical manner and the authors complied with the appropriate guidelines?

    Yes

  4. Access Microbiology

    Comments to Author

    1. Description of the case(s): The Case is well described. 2. Presentation of results: Sufficient 3. How the style and organization of the paper communicates and represents key findings: Few grammatical and syntax errors need attention 4. Literature analysis or discussion: Reasonable 5. Any other relevant comments: What specific renal function tests did you perform, and what are the results?

    Please rate the quality of the presentation and structure of the manuscript

    Very good

    To what extent are the conclusions supported by the data?

    Strongly support

    Do you have any concerns of possible image manipulation, plagiarism or any other unethical practices?

    No

    Is there a potential financial or other conflict of interest between yourself and the author(s)?

    No

    If this manuscript involves human and/or animal work, have the subjects been treated in an ethical manner and the authors complied with the appropriate guidelines?

    No: This is a clinical case report

  5. Version published to 10.1099/acmi.0.000554.v2 on Access Microbiology
  6. Access Microbiology

    Thank you for submitting your paper to Access Microbiology. It has been editorially reviewed and I have discussed your manuscript with colleagues. It has been noted from similarity reports and literature survey that a second case report describing a similar subject of discussion exists in the literature, a citation to help you identify this paper is below. Dalugama, C., Nanayakkara, M., Rathnayaka, N. et al. Atypical case of hantavirus infection in Sri Lanka mimicking leptospirosis: a case report. https://doi.org/10.1186/s13256-020-02417-6 It would benefit the paper to include some discussion, contrasting your own experiences of the case with this other identified piece of published literature.

  7. Version published to 10.1099/acmi.0.000554.v1 on Access Microbiology