Hemorrhagic fever with renal syndrome (HFRS), caused by different hantaviru
ses, is a distinct clinical syndrome endemic in several parts of Asia and E
urope. However, the clinical picture can sometimes be indistinguishable fro
m that of other infectious or noninfectious diseases. In this report Nye de
scribe a clinical case, which is a rare occurrence but is a prime example o
f the difficulties in the diagnosis of HFRS in areas with a low prevalence
of the disease.