[Hematemesis disclosing hemorrhagic fever with renal syndrome]. / Hématémèse révélatrice d'une fièvre hémorragique avec syndrome rénal.

We report a case of hematemesis as the presenting sign of hemorrhagic fever with renal syndrome. Gastroscopy revealed hemorrhagic gastropathy. Such lesions are a common finding in epidemic nephropathy, the European form of the disease. The occurrence of such lesions could be induced in a direct, cytopathic effect of the virus but seems also to be related to the severity of thrombocytopenia.