Exposure of Health Care Workers to Crimean-Congo Hemorrhagic Fever in Senegal: An Investigation of Two Imported Cases

NM, Manga; L, Fortes Deguenonvo; Nm, Dia

doi:10.4172/2332-0877.1000310

Cited by 1 publication

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“…These were aggravation of digestive bleeding, puffiness of the face, tonsillitis, and persistent fever despite triple antibiotic therapy. Indeed, bleeding is often perceived as one of the main signs suggestive of viral hemorrhagic fevers [12–14]. This sign attracts the attention of caregivers more often, whereas it is present in only 5 to 70% of cases and only appears at the third progressive stage of the disease [1, 15].…”

Section: Discussionmentioning

confidence: 99%

Report of a fatal case of Lassa fever in Parakou in 2018: clinical, therapeutic and diagnostic aspects

et al. 2018

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BackgroundLassa fever is one of the most lethal neglected tropical diseases in West Africa. It is a serious public health problem in this region of Africa where it is endemic in several countries. However, it remains a very little known disease by healthcare workers. The lack of specificity of its clinical manifestations makes its diagnosis difficult even in an epidemic context.Case presentationWe report here a confirmed case of Lassa fever whose diagnosis could not be suspected until 11 days after the symptomatology began. This case was recognized as a suspected case of Lassa fever in the Internal Medicine Department of the Regional and Teaching Hospital of Borgou due to the persistence of the fever and the worsening of the patient’s clinical condition despite triple antibiotic therapy in general and especially due to the appearance of hemorrhages. Confirmation of the presence of Lassa fever virus by Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) assay on blood sample was obtained after his death despite late initiation of Ribavirin treatment.ConclusionThis case challenges Benin’s health authorities on the need to facilitate access to diagnosis of viral hemorrhagic fevers and to train caregivers at all levels of the health system for better management of these diseases.

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