Hantaviruses are the causative agents of hantavirus pulmonary syndrome in humans in the Americas; The primary reservoirs are in the rodents of the subfamily Sigmodontinae. In South America, cases of hantavirus pulmonary syndrome caused by numerous viral genotypes have been diagnosed. In Colombia, different serological studies have reported the circulation of hantavirus in humans and rodents. These viruses act in an intimate association with a rodent species that serves as a reservoir and have a distribution around the wild rodent, being limited to a specific geographic region. In South America, the first HPS-associated hantavirus was described in 1993 in Brazil and was called Juquitiva and from 1993 to 2012, more than 1400 cases had been identified in Brazil. This syndrome should be suspected in all patients with respiratory distress syndrome of unclear etiology, in areas endemic for the disease, especially if accompanied by fever, marked leukocytosis and thrombocytopenia and bilateral interstitial infiltrates. Hemorrhagic febrile syndrome has not yet been described in the Americas. There are no clinical or laboratory signs that are pathognomonic of hantavirus infection. The treatment is based on adequate hydration, use of antipyretics and anti-inflammatories and patients with signs of severity should establish a more aggressive management. Triage is indispensable, patients with co-morbidities have a higher mortality risk and therefore should be hospitalized. Future research in Colombia should be directed to multidisciplinary studies that include viral isolation, different clinical forms of case presentation, epidemiological differences, risk factors, and taxonomy of viruses and rodents.Keyswords: Arenavirus, bunyaviridae, reservoirs, rodentia, public health (Source: DeCS).
RESUMENLos hantavirus, virus que son los agentes causantes de síndrome pulmonar por hantavirus en humanos en America; los reservorios primarios están en los roedores de la sub-familia Sigmodontinae. En Suramérica, se han diagnosticado casos del síndrome pulmonar por hantavirus y se han identifico numerosos genotipos virales. En Colombia, se han publicado diferentes estudios serológicos que reportaron la circulación de hantavirus en humanos y roedores. Estos virus actúan en una íntima asociación con una especie de roedor que le sirve de reservorio y presentan una distribución alrededor del roedor silvestre, limitándose a una región geográfica especifica. En Suramérica, el primer hantavirus asociado a SPH fue descrito en 1993 en Brasil y se denominó Juquitiva y desde 1993 hasta el 2012, se habían identificado más de 1400 casos en Brasil. Se debe sospechar de este síndrome en todo paciente con síndrome de distrés respiratorio de etiología no clara, en las zonas endémicas para la enfermedad sobre todo si se acompaña de fiebre, leucocitosis marcada y trombocitopenia e infiltrados intersticiales bilaterales. El síndrome febril hemorrágico aún no se han descrito casos en las Américas. No existen signos clínicos o de laboratorio que sean pato...