Hantavirus Pulmonary Syndrome (HPS) can start showing symptoms after an incubation period typically ranging from 1 to 8 weeks. Early symptoms of HPS resemble influenza or other viral illnesses, which can delay accurate diagnosis. Common early symptoms include:
- Fever and chills
- Fatigue
- Muscle aches (particularly in large muscle groups)
- Headache
- Gastrointestinal symptoms such as nausea, vomiting, abdominal pain, or diarrhea1,7
In Hantavirus Pulmonary Syndrome, disease can progress rapidly to the late stage in four to 10 days. Later symptoms may include:
- Cough and shortness of breath
- Rapid breathing or respiratory distress
- Fluid accumulation in the lungs (pulmonary edema)
- Low blood pressure and shock
Hantaviruses can also cause Hemorrhagic Fever with Renal Syndrome (HFRS). In these cases, symptoms begin to show sooner, around one to two weeks from exposure. Severity of the disease depends on the specific virus, but initial symptoms include:
- Back and abdominal pain
- Fever, chills, nausea
- Intense headaches and blurred vision
Later symptoms include:
- Low blood pressure or lack of blood flow
- Internal bleeding
- Acute kidney failure
Hantavirus diseases can be severe, and early hospitalization with intensive supportive care is often critical for survival. There is no specific antiviral cure, making early recognition and prevention essential. 4,9,11