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Early Release - Tula Virus as Causative Agent of Hantavirus Disease in Immunocompetent Person, Germany - Volume 27, Number 4—April 2021 - Emerging Infectious Diseases journal

Hantaviridae, genus Microtus arvalis) ( 2). TULV, a broadly distributed virus in different parts of Eurasia, is hosted by common voles but has also been found in related vole species ( 3). Clinical findings of TULV pathogenicity are very rare. In 2003, a case of TULV-associated hantavirus disease was diagnosed by serologic and molecular epidemiologic means ( 4). So far, direct molecular evidence for TULV infection has only been found in 2 cases (1 in an immunocompromised patient who had severe hantavirus disease [ 5], the other in an immunocompetent person without preexisting illness who had mild hantavirus disease [ We report molecular evidence of TULV infection in a 21-year old immunocompetent man who originated from a small village near Hamburg, northern Germany. He was admitted to hospital for sudden fever, sickness, severe headache, abdominal pain, and limb pain since the day before. His medical history was unremarkable. The patient worked as a sanitary and heating engine

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