Hemorrhagic fever with renal syndrome accompanied by panhypopituitarism and central diabetes insipidus: a case report

J Neurovirol. 2018 Jun;24(3):382-387. doi: 10.1007/s13365-018-0624-6. Epub 2018 Mar 5.

Abstract

Central diabetes insipidus (DI) was detected in a patient with hemorrhagic fever with renal syndrome (HFRS) who had been molecularly and serologically diagnosed with Hantaan virus infection. We recommend that clinicians differentiate central DI in HFRS patients with a persistent diuretic phase even when pituitary MRI findings are normal.

Keywords: Diabetes insipidus; Hantaan virus; Hypopituitarism; Viral hemorrhagic fevers.

Publication types

  • Case Reports

MeSH terms

  • Deamino Arginine Vasopressin / therapeutic use
  • Diabetes Insipidus, Neurogenic / diagnostic imaging
  • Diabetes Insipidus, Neurogenic / metabolism
  • Diabetes Insipidus, Neurogenic / physiopathology*
  • Diabetes Insipidus, Neurogenic / virology
  • Hantaan virus / classification
  • Hantaan virus / genetics*
  • Hantaan virus / isolation & purification
  • Hemorrhagic Fever with Renal Syndrome / diagnostic imaging
  • Hemorrhagic Fever with Renal Syndrome / metabolism
  • Hemorrhagic Fever with Renal Syndrome / physiopathology*
  • Hemorrhagic Fever with Renal Syndrome / virology
  • Humans
  • Hypopituitarism / diagnostic imaging
  • Hypopituitarism / metabolism
  • Hypopituitarism / physiopathology*
  • Hypopituitarism / virology
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Phylogeny
  • Thyroxine / therapeutic use

Substances

  • Deamino Arginine Vasopressin
  • Thyroxine

Supplementary concepts

  • Combined Pituitary Hormone Deficiency