{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T17:58:16Z","timestamp":1791655096183,"version":"4.3.4"},"reference-count":22,"publisher":"Microbiology Society","issue":"4","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Not applicable","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,1]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1099\/acmi.0.000554.v3","type":"journal-article","created":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T11:18:14Z","timestamp":1712920694000},"source":"Crossref","is-referenced-by-count":3,"title":["Hantavirus infection in central Sri Lanka \u2013 an unusual clinical presentation: a case report"],"prefix":"10.1099","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7354-6720","authenticated-orcid":false,"given":"T. T.","family":"Pattiyakumbura","sequence":"first","affiliation":[{"name":"National Hospital Kandy, Kandy, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. H.","family":"Pathirathne","sequence":"additional","affiliation":[{"name":"Provincial General Hospital Badulla, Badulla, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. A. R. V.","family":"Muthugala","sequence":"additional","affiliation":[{"name":"National Hospital Kandy, Kandy, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"345","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00062-09"},{"key":"R2","volume-title":"Mandell, Douglas, and Bennett\u2019s Principles and Practice of Infectious Diseases E-Book","author":"Bennett","year":"2019"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.7883\/yoken.JJID.2021.837"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcvp.2021.100052"},{"key":"R5","article-title":"Clinical Manifestation | Hantavirus | DHCPP | CDC","year":"2019"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0009624"},{"key":"R7","volume-title":"Atypical Bacterial Pneumonia,\u201d in StatPearls, Treasure Island (FL)","author":"Stamm","year":"2022"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2019.07.001"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1016\/s0928-0197(97)10019-8"},{"key":"R10","volume-title":"\u201cHantavirus Cardiopulmonary Syndrome,\u201d in StatPearls, Treasure Island (FL)","author":"Akram","year":"2022"},{"key":"R11","doi-asserted-by":"crossref","first-page":"72","DOI":"10.7883\/yoken.64.72","article-title":"Serological evidence of Thailand virus-related hantavirus infection among suspected leptospirosis patients in Kandy, Sri Lanka","volume":"64","author":"Gamage","year":"2011","journal-title":"Jpn J Infect Dis"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.3201\/eid2601.181685"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268814003707"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-020-02417-6"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/4069862"},{"key":"R16","first-page":"1263","article-title":"Hantavirus disease in Sri Lanka","volume":"2","author":"Vitarana","year":"1988","journal-title":"Lancet Lond Engl"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.1128\/9781555815974"},{"key":"R18","doi-asserted-by":"publisher","DOI":"10.1111\/1469-0691.12291"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199404073301401"},{"key":"R20","article-title":"Hantavirus cardiopulmonary syndrome - UpToDate"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.3390\/v13112150"},{"key":"R22","doi-asserted-by":"publisher","DOI":"10.1186\/s42522-022-00073-y"}],"container-title":["Access Microbiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.microbiologyresearch.org\/content\/journal\/acmi\/10.1099\/acmi.0.000554.v3?crawler=true&mimetype=application\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T11:15:38Z","timestamp":1778238938000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.microbiologyresearch.org\/content\/journal\/acmi\/10.1099\/acmi.0.000554.v3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,1]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4,1]]}},"URL":"https:\/\/doi.org\/10.1099\/acmi.0.000554.v3","relation":{"has-preprint":[{"id-type":"doi","id":"10.1099\/acmi.0.000554.v1","asserted-by":"subject"},{"id-type":"doi","id":"10.1099\/acmi.0.000554.v2","asserted-by":"subject"},{"id-type":"doi","id":"10.1099\/acmi.0.000554.v2","asserted-by":"object"},{"id-type":"doi","id":"10.1099\/acmi.0.000554.v1","asserted-by":"object"}]},"ISSN":["2516-8290"],"issn-type":[{"value":"2516-8290","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,1]]}}}