Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2020; 8(22): 5795-5801
Published online Nov 26, 2020. doi: 10.12998/wjcc.v8.i22.5795
Hemorrhagic fever with renal syndrome complicated with aortic dissection: A case report
Feng-Qi Qiu, Cong-Cong Li, Jian-Ya Zhou
Feng-Qi Qiu, Jian-Ya Zhou, Department of Respiratory Disease, Thoracic Disease Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310000, Zhejiang Province, China
Cong-Cong Li, Department of Critical Care Medicine, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310000, Zhejiang Province, China
Author contributions: Qiu FQ reviewed the literature and wrote the first draft of the manuscript; Li CC reviewed the literature and contributed to manuscript drafting; Zhou JY analyzed the imaging findings and contributed to manuscript revision; All authors read and approved the final manuscript version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian-Ya Zhou, PhD, Chief Doctor, Professor, Department of Respiratory Disease, Thoracic Disease Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, No. 79 Qingchun Road, Xiacheng District, Hangzhou 310003, Zhejiang Province, China. zhoujy@zju.edu.cn
Received: August 21, 2020
Peer-review started: August 21, 2020
First decision: September 13, 2020
Revised: September 13, 2020
Accepted: September 23, 2020
Article in press: September 23, 2020
Published online: November 26, 2020
Core Tip

Core Tip: Microvascular injury presenting with hemorrhage in mucus is a typical symptom in hemorrhagic fever with renal syndrome (HFRS) patients. Infection related aortic dissection occurs sporadically, and there has been no report of concurrent HFRS and aortic dissection. HFRS complicated with aortic dissection is rare and a difficult clinical condition that deserves further study and discussion.