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Hantavirus infections by Puumala or Dobrava-Belgrade virus in pregnant women
Abstract
Background Hantavirus infection in humans usually occurs via inhalation of infectious aerosolized excreta of rodents. Horizontal human-to-human transmission was reported only for the highly virulent Andes virus. The likelihood of vertical transmission and the clinical outcome of hantavirus infections in pregnancy is still unpredictable. Objectives Very few data were published about the impact of hantaviruses in pregnancy. Here we present four cases of pregnant women infected by European hantaviruses. The risk of vertical virus transmission was investigated. Study design Four pregnant women with clinical signs of acute hantavirus disease were investigated for hantavirus IgM and IgG after onset of clinical symptoms. Furthermore, the newborns were tested for presence of viral RNA and antibodies in cord blood and, if any parameter was found positive, 8-12 months after delivery. Results Four women suffered from a hantavirus infection, two of them due to infection by Puumala virus and two by Dobrava-Belgrade virus. Three women delivered healthy babies by vaginal route and one woman by Caesarean section (week 28). In no case hantavirus RNA was detected in cord blood after delivery or in the 8-12 month old babies. Hantavirus IgG was detectable in the cord blood of 3 babies (but not in the preterm child); these antibodies disappeared after 8-12 months indicating a passive transfer of immunoglobulins. No child had any clinical sign of hantavirus infection. Conclusions In this study, th…
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“None of the 4 noncomparative studies conducted outside of Argentina and Chile found evidence for human-to-human transmission [30, 31, 33, 37].”
From Evidence for Human-to-Human Transmission of Hantavirus: A Systematic Review (2022) · cites this paper as [30]
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Evidence for Human-to-Human Transmission of Hantavirus: A Systematic Review
Toledo, J., Haby, M. M., Reveiz, L., Sosa Leon, L., Angerami, R., & Aldighieri, S. (2022) · The Journal of Infectious Diseases · doi:10.1093/infdis/jiab461 · Cited by 78
“The remaining 14 studies used noncomparative designs, 10 of which involved the investigation of 1 or more clusters of cases [8–11, 25, 26, 32, 33, 35, 37], 2 were serological surveys of contacts [13, 14], and 2 investigated pregnant women with hantavirus infection for the possibility of vertical transmission of infect…”
Background
Metadata
- Authors
- Hofmann, J., Führer, A., Bolz, M., Waldschläger-Terpe, J., Meier, M., Lüdders, D., Enders, M., Oltmann, A., Meisel, H., & Krüger, D. H.
- Affiliations
- Charité – Universitätsmedizin Berlin (DE)
- Universitätsmedizin Rostock (DE)
- University of Rostock (DE)
- University Hospital Schleswig-Holstein (DE)
- Corresponding author
- Hofmann, Jörg
- Venue
- Journal of Clinical Virology
- Publisher
- Elsevier BV
- Published
- 2012-11
- Volume
- 55
- Issue
- 3
- Pages
- 266-269
- ISSN
- 1386-6532 (ISSN-L)
- OpenAlex
- W2131215523
- Cited by
- 27
- References
- 0
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 1 · 2017: 2 · 2015: 1 · 2013: 6
- FWCI
- 1.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Virology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Robert Koch Institut
- Topics
- Health Sciences › Medicine › Infectious Diseases › Viral Infections and Vectors
- Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
- Health Sciences › Medicine › Infectious Diseases › Viral Infections and Outbreaks Research
- Keywords
- hantavirus infection, Puumala virus, Dobrava-Belgrade virus, pregnancy, vertical transmission, umbilical cord blood, neonates, IgM and IgG antibodies, rodent-borne zoonoses, Andes virus
- MeSH terms
- Adult, Antibodies, Viral, Female, Fetal Blood, Orthohantavirus, Humans, Immunoglobulin G, Immunoglobulin M, Infant, Newborn, Male, Pregnancy, Pregnancy Complications, Infectious, RNA, Viral, Infectious Disease Transmission, Vertical, Hantavirus Infections, Puumala virus, Young Adult
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- Hofmann, J., Führer, A., Bolz, M., Waldschläger-Terpe, J., Meier, M., Lüdders, D., Enders, M., Oltmann, A., Meisel, H., & Krüger, D. H. (2012). Hantavirus infections by Puumala or Dobrava-Belgrade virus in pregnant women. Journal of Clinical Virology. https://doi.org/10.1016/j.jcv.2012.07.011