Published: 25 May 2026
Author(s): Emanuele Durante-Mangoni, Iolanda Cafarella, Silvia Mercadante, Nathalie Scarpulla, on behalf of the European Federation of Internal Medicine (EFIM) Infectious Diseases in Internal Medicine Working Group
Issue: May 2026
Section: Review Article

Orthohantaviruses are zoonotic RNA-viruses transmitted to humans through inhalation of aerosols contaminated by infected rodent excreta. Among hantavirus species, Andes virus (ANDV) owns unique capacity for sustained human-to-human transmission, occurring via respiratory droplets and prolonged close contact with symptomatic individuals, with a median reproductive number exceeding 2 and an incubation period ranging from 9 to 40 days.ANDV infection can present with a wide range of clinical manifestations.

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