[ XXXX in Ile-de-France].

@entity1 @entity101 @entity882 @entity177 @entity9673 @entity158 @entity1714
@entity9673 , Puumala serotype, is a well-known disease in the northeast of France, but not in the Paris area, despite regularly diagnosed cases. A retrospective study was performed from January 1999 to December 2000 to assess the clinical and epidemiological characteristics of this disease in the "R  gion Ile-de-France". Fourteen cases were diagnosed. All required hospitalisation. @entity1 presented usually with high fever, @entity158 , @entity177 , moderate @entity882 and, sometimes, transitional acute @entity1714 witch is pathognomonic of the disease. In each case, a contact with a forest was found. Twelve @entity1 recovered completely. One @entity1 with pre-existing @entity177 died and another developed a persistent arterial @entity101 . Invasive procedures were often used before the diagnosis. @entity9673 does exist in the "R  gion Ile-de-France". Failure to recognise this disease in this area lead to unnecessary invasive procedures and hospitalizations.
