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Volume 15, Number 11—November 2009

Dispatch

Hemorrhagic Fever with Renal Syndrome in 4 US Soldiers, South Korea, 2005

Jin-Won SongComments to Author , Sung-Sil Moon1, Se Hun Gu, Ki-Joon Song, Luck Ju Baek, Heung Chul Kim, Todd Kijek2, Monica L. O’Guinn, John S. Lee, Michael J. Turell, and Terry A. Klein

Author affiliations: Korea University, Seoul, South Korea (J.-W. Song, S.-S. Moon, S.H. Gu, K.-J. Song, L.J. Baek); 65th Medical Brigade, Seoul (H.C. Kim, T. Kijek, T.A. Klein); US Army Medical Research Institute of Infectious Diseases, Fort Detrick, Maryland, USA (M.L. O’Guinn, J.S. Lee, M.J. Turrell)

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Table 1

History of patients who acquired hantavirus infections while training near the Demilitarized Zone, South Korea, during 2005*†

Patient no. Onset‡ TMC report Date of diagnosis§ Date confirmed¶ Ribavirin therapy Date discharged Training dates (all locations) Incubation period, d Training dates (infection source) Estimated incubation period, d
1 Oct 25 Oct 27 Oct 28 Nov 1 Oct 30 Nov 5 Sep 20–29 26–35 Sep 25–29 (FP-60) 26–30
2 Nov 3 Nov 8 Nov 9 Nov 12 Nov 9 Dec 8 Oct 8–21 13–26 Oct 8–18 (TBTA-S) 16–26
3 Nov 5 Nov 9 Nov 12 Nov 16 Nov 13 Nov 20 Oct 8–15 21–28 Oct 8–15 (TBNA-N) 21–28
4 Nov 12 1st, Nov 13; 2nd, Nov 14 Nov 15 Nov 17 No Nov 20 Oct 8–21 22–35 Oct 8–18 (TBTA-S) 25–35

*TMC, Troop Medical Clinic; HFRS, hemorrhagic fever renal syndrome; FP, firing point; TBTA, Twin Bridges Training Area; S, south; N, north.
†HFRS type was Hantaan virus for all infections. Patients 1 and 3 were hospitalized for 8 days, patient 4 for 5 days, and patient 2 for 29 days. Patient 2 was sent to Samsung Hospital for dialysis during part of his hospitalization at Brian Allgood Army Community Hospital (BAACH). US Army Medical Department–Korea does not have dialysis capability.
‡Onset of symptoms.
§Diagnosis by ELISA at BAACH.
¶Confirmation of hantavirus type by reverse transcription–PCR, Korea University.

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1Current affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

2Current affiliation: University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

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