Incubation period: 1 to 8 weeks after exposure. Symptoms do not appear immediately. If you cleaned up rodent droppings improperly, mark your calendar — and tell your doctor if anything below appears.
Early symptoms (first 3–5 days). Fever (often above 101°F), severe muscle aches (especially thighs, hips, back, shoulders), fatigue, headache. Sometimes nausea, vomiting, dizziness, abdominal pain. Easily mistaken for flu.
Late symptoms (4–10 days in) — MEDICAL EMERGENCY. Coughing, shortness of breath, fluid filling the lungs (pulmonary edema). Once respiratory symptoms appear, HPS is rapidly progressive. Get to an ER immediately and tell them you may have been exposed to rodent droppings.
Survival depends on early intensive care. There is no specific antiviral — but oxygen support, intubation, and ECMO in severe cases can save lives. Mention hantavirus exposure to the ER on arrival. The earlier the team knows, the better the chances.