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Radiologic findings of the hantavirus pulmonary syndrome.

THE PATIENT, a 19-year-old male smoker, was admitted to a rural Utah hospital in August 1994 with a dry cough, body aches, and fever to 39.4°C (1030F). He had been given amoxicillin for pharyngitis by another physician two days before admission. He reported recently cleaning mice feces and nests from an old house. On the initial examination, his respiratory rate was 24 breaths per minute, and pulse oximetry showed 90% saturation with the patient breathing 5 liters of oxygen per minute by nasal cannula. He had no retractions, rales, or wheezes. His heart was unremarkable. Laboratory studies revealed a leukocyte count of 25.8 X 109 per liter (25,800 per mm3), a hematocrit of 0.52 (52%), platelet count 24 x 109 per liter (24,000 per mm3), and a lactate dehydrogenase level of 741 U per liter. Arterial blood gas measurements with the patient breathing room air revealed a pH of 7.52, a Pco2 of 23