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All the Recife cases in 1990 had reported likely rat contacts and were initially diagnosed as leptospirosis with acute renal failure and throm bocytopenia, clinical hallmarks of both HFRS and leptospirosis (3). The etiology of sensorineural hearing loss (SNHL) associated with renal failure and hemodialysis is controversial. 78, died July 22 of renal failure at a Washington, DC hospital. |
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