Snapshot A 36-year-old man presents to an emergency room in Colorado for shortness of breath. He reports that he works as an exterminator and is often exposed to cockroaches, rodents, and mold. He reports having a flu-like cold a week ago with fevers, chills, muscle aches, and fatigue. A few days ago, he started having a nonproductive cough and shortness of breath even without exertion. His past medical history includes hypertension and hyperlipidemia. On physical exam, there are diffuse rales on bilateral lung fields and decreased breath sounds in the bases. Chest radiograph shows centrally-distributed pulmonary infiltrates, bilateral pleural effusions, and blurred pericardiac border. He is admitted for further management. (Hantavirus pulmonary syndrome) Introduction Classification login to view 8 more bullets Epidemiology login to view 6 more bullets Pathogenesis login to view 1 more bullet Prognosis login to view 4 more bullets Presentation HPS login to view 9 more bullets HFRS login to view 7 more bullets Imaging Chest radiography login to view 8 more bullets Studies Labs login to view 10 more bullets Making the diagnosis login to view 2 more bullets Differential Cardiac pulmonary edema login to view 2 more bullets Acute respiratory distress syndrome login to view 2 more bullets Treatment Management approach login to view 1 more bullet Conservative login to view 6 more bullets Complications Acute tubular necrosis