Heartland virus

Background
  • New phlebovirus discovered in NW Missouri 2012, cases also describe in Tennessee[1]
  • Transmitted by lone star tick
  • 8 reported cases (as of 2014)[2]
Heartland virus cases
Year Location Deaths Cases
2009 Northwestern Missouri 0 2
2012-2013[3] Missouri, Tennessee[4] 1 6
2014 Missouri,[5] Oklahoma[6] 1 2

Clinical Features
  • Similar to other tick-born illnesses: fatigue, fever, arthralgias and myalgias
  • Diarrhea
  • Leukopenia, thrombocytopenia, elevated transaminases

Differential Diagnosis

Tick Borne Illnesses

Workup
  • No confirmatory testing available

Management
  • Supportive measures

Disposition
  • Discharge unless patient with other serious medical illness

See Also

References
  1. Hall J, Khan Sajid Small Bugs with Big Bites, EM Resident Oct/Nov 2014 Vol 4:5; 11
  2. http://www.cdc.gov/ncezid/dvbd/heartland/
  3. http://www.medscape.com/viewarticle/822710
  4. http://cid.oxfordjournals.org/content/early/2014/06/09/cid.ciu434.abstract
  5. http://www.tahlequahdailypress.com/local/x701910561/Taking-up-arms-against-Heartland-disease
  6. http://www.cbsnews.com/news/rare-heartland-virus-kills-man-in-oklahoma/
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