Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Experimental and Therapeutic Medicine
Join Editorial Board Propose a Special Issue
Print ISSN: 1792-0981 Online ISSN: 1792-1015
Journal Cover
September-2023 Volume 26 Issue 3

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
September-2023 Volume 26 Issue 3

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML
Case Report Open Access

Hantavirus infections in the South‑Eastern European countries: A study of two cases and literature review

  • Authors:
    • Gabriela Lupușoru
    • Andreea Gabriella Andronesi
    • Mircea Lupușoru
    • Ioana Ailincăi
    • Ruxandra Sfeatcu
    • Ileana Văcăroiu
    • Mihaela Banu
    • Camelia Achim
    • Gener Ismail
  • View Affiliations / Copyright

    Affiliations: Department of Nephrology, The ‘Carol Davila’ University of Medicine and Pharmacy, 050474 Bucharest, Romania, Department of Physiology, The ‘Carol Davila’ University of Medicine and Pharmacy, 050474 Bucharest, Romania, Department of Oral Health and Community Dentistry, The ‘Carol Davila’ University of Medicine and Pharmacy, 050474 Bucharest, Romania, Department of Anatomy, The ‘Carol Davila’ University of Medicine and Pharmacy, 050474 Bucharest, Romania
    Copyright: © Lupușoru et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 430
    |
    Published online on: July 21, 2023
       https://doi.org/10.3892/etm.2023.12129
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

Hantavirus infection is a rare zoonosis in South‑Eastern Europe. Depending on the serotype involved, the virus can cause hemorrhagic fever with renal syndrome which is also known as endemic nephropathy, and cardiopulmonary syndrome. Prompt diagnosis of the disease is essential for reducing the risk of severe manifestations and complications like chronic kidney disease, secondary hypertension or even death because there is no specific treatment or vaccine approved. The present study reported two cases of hemorrhagic fever with renal syndrome diagnosed in the Department of Nephrology of The Fundeni Clinical Institute (Romania). In both patients, kidney needle biopsy played a major role in establishing the diagnosis. The difficulties encountered in diagnosing this disease were also emphasized, taking into consideration the rarity of this infection in South‑Eastern Europe. The key literature data on the epidemiology, pathogenesis and management of this infection were further reviewed.
View Figures

Figure 1

Figure 2

View References

1 

European Centre for Disease Prevention and Control. https://www.ecdc.europa.eu/en/publications-data/hantavirus-infection-annual-epidemiological-report-2020. Accessed June 9, 2023.

2 

Zeier M, Handermann M, Bahr U, Rensch B, Müller S, Kehm R, Muranyi W and Darai G: New ecological aspects of hantavirus infection: A change of a paradigm and a challenge of prevention-a review. Virus Genes. 30:157–180. 2005.PubMed/NCBI View Article : Google Scholar

3 

Avšič-Županc T, Saksida A and Korva M: Hantavirus infections. Clin Microbiol Infect. 21S:e6–e16. 2019.PubMed/NCBI View Article : Google Scholar

4 

Lupuşoru G, Lupuşoru M, Ailincăi I, Bernea L, Berechet A, Spătaru R and Ismail G: Hanta hemorrhagic fever with renal syndrome: A pathology in whose diagnosis kidney biopsy plays a major role (review). Exp Ther Med. 22(984)2021.PubMed/NCBI View Article : Google Scholar

5 

Muia J, Gao W, Haberichter SL, Dolatshahi L, Zhu J, Westfield LA, Covill SC, Friedman KD and Sadler JE: An optimized fluorogenic ADAMTS13 assay with increased sensitivity for the investigation of patients with thrombotic thrombocytopenic purpura. J Thromb Haemost. 11:1511–1518. 2013.PubMed/NCBI View Article : Google Scholar

6 

Brocklebank V, Wood KM and Kavanagh D: Thrombotic microangiopathy and the kidney. Clin J Am Soc Nephrol. 13:300–317. 2018.PubMed/NCBI View Article : Google Scholar

7 

Hauglustaine D, Van Damme B, Vanrenterghem Y and Michielsen P: Recurrent hemolytic uremic syndrome during oral contraception. Clin Nephrol. 15:148–153. 1981.PubMed/NCBI

8 

Hauglustaine D, Vanrenterghem Y, Michielsen OP and van Damme B: Oestrogen containing oral contraceptives, decreased prostacyclin production, and haemolytic uraemic syndrome. Lancet. 1:328–329. 1981.PubMed/NCBI View Article : Google Scholar

9 

Shirai H, Yashima J, Tojimbara T and Honda K: Thrombotic microangiopathy caused by oral contraceptives in a kidney transplant recipient. Nephrology. 21:41–43. 2016.PubMed/NCBI View Article : Google Scholar

10 

van Regenmortel MHV, Fauquet CM, Bishop DHL, Carsten EB, Estes MK, Lemon SM, Maniloff J, Mayo MA, McGeoch DJ, Pringle CR and Wickner RB: Virus Taxonomy: Seventh Report of the International Committee on Taxonomy of Viruses, 1st edition. Academic Press, San Diego, CA, pp35-38, 2000.

11 

Lee HW, Lee PW and Johnson KM: Isolation of the etiologic agent of Korean hemorrhagic fever. J Infect Dis. 190:298–308. 1978.PubMed/NCBI View Article : Google Scholar

12 

Avsic-Zupanc T, Petrovec M, Furlan P, Kaps R, Elgh F and Lundkvist A: Hemorrhagic fever with renal syndrome in the Dolenjska region of Slovenia-a 10-year survey. Clin Infect Dis. 28:860–865. 1999.PubMed/NCBI View Article : Google Scholar

13 

Steer A: Pathogenesis of renal changes in epidemic hemorrhagic fever. In: The Kidney IAP Monograph. Mostofi FK and Smith DE (eds). Williams & Wilkins, Baltimore, MD, pp476-486, 1996.

14 

Jokinen EJ and Lähdevirta JCY: Nephropathiaepidemica: Immunohistochemical study of pathogenesis. Clin Nephrol. 9:1–5. 1978.PubMed/NCBI

15 

Zaki SR, Greer PW, Coffield LM, Goldsmith CS, Nolte KB, Foucar K, Feddersen RM, Zumwalt RE, Miller GL, Khan AS, et al: Hantavirus pulmonary syndrome. Pathogenesis of an emerging infectious disease. Am J Pathol. 146:552–579. 1995.PubMed/NCBI

16 

Kim S, Kang ET, Kim YG, Han JS, Lee JS, Kim JI, Hall WC, Dalrymple JM and Peters CJ: Localization of Hantaan viral envelope glycoproteins by monoclonal antibodies in renal tissues from patients with Korean hemorrhagic fever H. Am J Clin Pathol. 100:398–403. 1993.PubMed/NCBI View Article : Google Scholar

17 

Groen J, Bruijn JA, Gerding MN, Jordans JG, Moll van Charante AW and Osterhaus AD: Hantavirus antigen detection in kidney biopsies from patients with nephropathia epidemica. Clin Nephrol. 46:379–383. 1996.PubMed/NCBI

18 

Poljak M and Avsic Zupanc T: Immunohistochemical detection of Hantaan virus antigen in renal tissue from patient with hemorrhagic fever with renal syndrome. Nephron. 67(252)1994.PubMed/NCBI View Article : Google Scholar

19 

European Centre for Disease Prevention and Control: Hantavirus infection-Annual epidemiological report for 2018. https://www.ecdc.europa.eu/en/publications-data/hantavirus-infection-annual-epidemiological-report-20182020. Accessed January 25, 2022).

20 

National Institute for Public Health: INSP Report for 2018. https://www.insp.gov.ro/index.php/informatii-publice/send/7-informatii-publice/722-raport-insp-2018. Accessed 25 January 25, 2022).

21 

Douron E, Moriniere B, Matheron S, Girard PM, Gonzalez JP, Hirsch F and McCormick JB: HFRS after a wild rodent bite in the Haute-Savoie-and risk of exposure to Hantaan-like virus in a Paris laboratory. Lancet. 1:676–677. 1984.PubMed/NCBI View Article : Google Scholar

22 

Gavrilovskaya IN, Brown EJ, Ginsberg MH and Mackow ER: Cellular entry of hantaviruses which cause hemorrhagic fever with renal syndrome is mediated by beta3 integrins. J Virol. 73:3951–3959. 1999.PubMed/NCBI View Article : Google Scholar

23 

Peebles RS Jr and Graham BS: Viruses, dendritic cells and the lung. Respir Res. 2:245–249. 2001.PubMed/NCBI View Article : Google Scholar

24 

Schönrich G, Rang A, Lütteke N, Raftery MJ, Charbonnel N and Ulrich RG: Hantavirus-induced immunity in rodent reservoirs and humans. Immunol Rev. 225:163–189. 2008.PubMed/NCBI View Article : Google Scholar

25 

Saksida A, Wraber B and Avšič-Županc T: Serum levels of inflammatory and regulatory cytokines in patients with hemorrhagic fever with renal syndrome. BMC Infect Dis. 11(142)2011.PubMed/NCBI View Article : Google Scholar

26 

Hägele S, Müller A, Nusshag C, Reiser J, Zeier M and Krautkrämer E: Motility of human renal cells is disturbed by infection with pathogenic hantaviruses. BMC Infect Dis. 18(645)2018.PubMed/NCBI View Article : Google Scholar

27 

McCAUGHEY C and Hart CA: Hantaviruses. J Med Microbiol. 49:587–599. 2000.PubMed/NCBI View Article : Google Scholar

28 

Linderholm M and Elgh F: Clinical characteristics of hantavirus infections on the Eurasian continent. Curr Top Microbiol Immunol. 256:135–151. 2001.PubMed/NCBI View Article : Google Scholar

29 

Krüger DH, Ulrich R and Lundkvist AA: Hantavirus infections and their prevention. Microbes Infect. 3:1129–1144. 2001.PubMed/NCBI View Article : Google Scholar

30 

Gavrilovskaya IN, Gorbunova EE and Mackow ER: Pathogenic hantaviruses direct the adherence of quiescent platelets to infected endothelial cells. J Virol. 84:4832–4839. 2010.PubMed/NCBI View Article : Google Scholar

31 

Laine O, Mäkelä S, Mustonen J, Huhtala H, Szanto T, Vaheri A, Lassila R and Joutsi-Korhonen L: Enhanced thrombin formation and fibrinolysis during acute Puumala hantavirus infection. Thromb Res. 126:154–158. 2010.PubMed/NCBI View Article : Google Scholar

32 

Wang M, Wang J, Wang T, Li J, Hui L and Ha X: Thrombocytopenia as a predictor of severe acute kidney injury in patients with Hantaan virus infections. PLoS One. 8(e53236)2013.PubMed/NCBI View Article : Google Scholar

33 

Rasche FM, Uhel B, Krüger DH, Karges W, Czock D, Hampl W, Keller F, Meisel H and von Müller L: Thrombocytopenia and acute renal failure in Puumala hantavirus infections. Emerg Infect Dis. 10:420–425. 2004.PubMed/NCBI View Article : Google Scholar

34 

Paakkala A, Mustonen J, Viander M, Huhtala H and Pasternack A: Complement activation in nephropathia epidemica caused by Puumala hantavirus. Clin Nephrol. 53:424–431. 2000.PubMed/NCBI

35 

Sane J, Laine O, Mäkelä S, Paakkala A, Jarva H, Mustonen J, Vapalahti O, Meri S and Vaheri A: Complement activation in Puumala hantavirus infection correlates with disease severity. Ann Med. 44:468–475. 2012.PubMed/NCBI View Article : Google Scholar

36 

Vaheri A, Henttonen H, Voutilainen L, Mustonen J, Sironen T and Vapalahti O: Hantavirus infections in Europe and their impact on public health. Rev Med Virol. 23:35–49. 2012.PubMed/NCBI View Article : Google Scholar

37 

Stojanovic M, Pekic S, Cvijovic G, Miljic D, Doknic M, Nikolic-Djurovic M, Micic D, Hrvacevic R, Nesic V and Popovic V: High risk of hypopituitarism in patients who recovered from hemorrhagic fever with renal syndrome. J Clin Endocrinol Metab. 93:2722–2728. 2008.PubMed/NCBI View Article : Google Scholar

38 

Miettinen MH, Mäkelä SM, Ala-Houhala IO, Huhtala HS, Kööbi T, Vaheri AI, Pasternack AI, Pörsti IH and Mustonen JT: Ten-year prognosis of Puumala hantavirus-induced acute interstitial nephritis. Kidney Int. 69:2043–2048. 2006.PubMed/NCBI View Article : Google Scholar

39 

Mäkelä S, Jaatinen P, Miettinen M, Salmi J, Ala-Houhala I, Huhtala H, Hurme M, Pörsti I, Vaheri A and Mustonen J: Hormonal deficiencies during and after Puumala hantavirus infection. Eur J Clin Microbiol Infect Dis. 29:705–713. 2010.PubMed/NCBI View Article : Google Scholar

40 

Miettinen M, Mäkelä S, Haapala M, Helanterä A, Helin H, Vänttinen T and Mustonen J: Glomerulonephritis emerging shortly after Puumala hantavirus infection: A report on 7 patients. Clin Nephrol. 75:550–556. 2011.PubMed/NCBI View Article : Google Scholar

41 

Tulumovic D, Imamovic G, Mesic E, Hukic M, Tulumovic A, Imamovic A and Zerem E: Comparison of the effects of Puumala and Dobrava viruses on early and long-term renal outcomes in patients with haemorrhagic fever with renal syndrome. Nephrology (Carlton). 15:340–343. 2010.PubMed/NCBI View Article : Google Scholar

42 

Mustonen J, Mäkelä S, Helin H, Helanterä A, Miettinen M, Partanen J and Pasternack A: Mesangiocapillary glomerulonephritis caused by Puumala hantavirus infection. Nephron. 89:402–407. 2001.PubMed/NCBI View Article : Google Scholar

43 

Satoskar A and Tibor Nadasdy TFS: Acute postinfectious glomerulonephritis and glomerulonephritis caused by persistent bacterial infection. In: Heptinstall's Pathology of the Kidney. Jannette JC, Olson JL and Silva FG (eds). 7th edition. Lippincott Williams & Wilkins, Philadelphia, PA, pp678-798, 2014.

44 

Huggins JW: Prospects for treatment of viral hemorrhagic fevers with ribavirin, a broad-spectrum antiviral drug. Rev Infect Dis. 11 (Suppl 4):S750–S761. 1989.PubMed/NCBI View Article : Google Scholar

45 

Huggins JW, Hsiang CM, Cosgriff TM, Guang MY, Smith JI, Wu ZO, LeDuc JW, Zheng ZM, Meegan JM, Wang QN, et al: Prospective, double-blind, concurrent, placebo-controlled clinical trial of intravenous ribavirin therapy of hemorrhagic fever with renal syndrome. J Infect Dis. 164:1119–1127. 1991.PubMed/NCBI View Article : Google Scholar

46 

Rusnak JM, Byrne WR, Chung KN, Gibbs PH, Kim TT, Boudreau EF, Cosgriff T, Pittman P, Kim KY, Erlichman MS, et al: Experience with intravenous ribavirin in the treatment of hemorrhagic fever with renal syndrome in Korea. Antiviral Res. 81:68–76. 2009.PubMed/NCBI View Article : Google Scholar

47 

Vial PA, Valdivieso F, Ferres M, Riquelme R, Rioseco ML, Calvo M, Castillo C, Díaz R, Scholz L, Cuiza A, et al: High-dose intravenous methylprednisolone for hantavirus cardiopulmonary syndrome in Chile: A double-blind, randomized controlled clinical trial. Clin Infect Dis. 57:943–951. 2013.PubMed/NCBI View Article : Google Scholar

Related Articles

  • Abstract
  • View
  • Download
  • Twitter
Copy and paste a formatted citation
Spandidos Publications style
Lupușoru G, Andronesi AG, Lupușoru M, Ailincăi I, Sfeatcu R, Văcăroiu I, Banu M, Achim C and Ismail G: Hantavirus infections in the South‑Eastern European countries: A study of two cases and literature review. Exp Ther Med 26: 430, 2023.
APA
Lupușoru, G., Andronesi, A.G., Lupușoru, M., Ailincăi, I., Sfeatcu, R., Văcăroiu, I. ... Ismail, G. (2023). Hantavirus infections in the South‑Eastern European countries: A study of two cases and literature review. Experimental and Therapeutic Medicine, 26, 430. https://doi.org/10.3892/etm.2023.12129
MLA
Lupușoru, G., Andronesi, A. G., Lupușoru, M., Ailincăi, I., Sfeatcu, R., Văcăroiu, I., Banu, M., Achim, C., Ismail, G."Hantavirus infections in the South‑Eastern European countries: A study of two cases and literature review". Experimental and Therapeutic Medicine 26.3 (2023): 430.
Chicago
Lupușoru, G., Andronesi, A. G., Lupușoru, M., Ailincăi, I., Sfeatcu, R., Văcăroiu, I., Banu, M., Achim, C., Ismail, G."Hantavirus infections in the South‑Eastern European countries: A study of two cases and literature review". Experimental and Therapeutic Medicine 26, no. 3 (2023): 430. https://doi.org/10.3892/etm.2023.12129
Copy and paste a formatted citation
x
Spandidos Publications style
Lupușoru G, Andronesi AG, Lupușoru M, Ailincăi I, Sfeatcu R, Văcăroiu I, Banu M, Achim C and Ismail G: Hantavirus infections in the South‑Eastern European countries: A study of two cases and literature review. Exp Ther Med 26: 430, 2023.
APA
Lupușoru, G., Andronesi, A.G., Lupușoru, M., Ailincăi, I., Sfeatcu, R., Văcăroiu, I. ... Ismail, G. (2023). Hantavirus infections in the South‑Eastern European countries: A study of two cases and literature review. Experimental and Therapeutic Medicine, 26, 430. https://doi.org/10.3892/etm.2023.12129
MLA
Lupușoru, G., Andronesi, A. G., Lupușoru, M., Ailincăi, I., Sfeatcu, R., Văcăroiu, I., Banu, M., Achim, C., Ismail, G."Hantavirus infections in the South‑Eastern European countries: A study of two cases and literature review". Experimental and Therapeutic Medicine 26.3 (2023): 430.
Chicago
Lupușoru, G., Andronesi, A. G., Lupușoru, M., Ailincăi, I., Sfeatcu, R., Văcăroiu, I., Banu, M., Achim, C., Ismail, G."Hantavirus infections in the South‑Eastern European countries: A study of two cases and literature review". Experimental and Therapeutic Medicine 26, no. 3 (2023): 430. https://doi.org/10.3892/etm.2023.12129
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team