Hantavirus symptoms timeline
Symptoms typically appear 1–8 weeks after exposure to infected rodents. The disease has distinct phases — recognising them early matters.
Shortness of breath, rapid heart rate, low blood pressure, or sudden severe back or abdominal pain after possible rodent exposure — go to an emergency department immediately.
HPS — Hantavirus Pulmonary Syndrome
Caused by New World hantaviruses including the Andes strain (ANDV) at the centre of the 2026 MV Hondius outbreak. Primarily affects the lungs.
Fever, fatigue, severe muscle aches (thighs, hips, back). May include headache, chills, nausea, abdominal pain.
Cough, shortness of breath, fluid in the lungs. Can rapidly progress to respiratory failure. Hospitalisation usually required.
Survivors typically recover fully but may experience fatigue for months.
HFRS — Hemorrhagic Fever with Renal Syndrome
Caused by Old World hantaviruses (Hantaan, Seoul, Puumala). Primarily affects the kidneys rather than the lungs.
Sudden fever, chills, headache, blurred vision, flushed face, small red rash spots.
Drop in blood pressure, shock can occur.
Reduced urine output, kidney failure, possible internal bleeding.
Urine output increases; recovery over weeks to months.
If you have been potentially exposed to hantavirus, contact your local health authority or a healthcare provider. For the 2026 MV Hondius outbreak, follow WHO and CDC guidance.