Marburg hemorrhagic fever in Durba and Watsa, Democratic Republic of the Congo: clinical documentation, features of illness, and treatment.
نویسندگان
چکیده
The objective of the present study was to describe day of onset and duration of symptoms of Marburg hemorrhagic fever (MHF), to summarize the treatments applied, and to assess the quality of clinical documentation. Surveillance and clinical records of 77 patients with MHF cases were reviewed. Initial symptoms included fever, headache, general pain, nausea, vomiting, and anorexia (median day of onset, day 1-2), followed by hemorrhagic manifestations (day 5-8+), and terminal symptoms included confusion, agitation, coma, anuria, and shock. Treatment in isolation wards was acceptable, but the quality of clinical documentation was unsatisfactory. Improved clinical documentation is necessary for a basic evaluation of supportive treatment.
منابع مشابه
Use of protective gear and the occurrence of occupational Marburg hemorrhagic fever in health workers from Watsa health zone, Democratic Republic of the Congo.
BACKGROUND Occupational transmission to health workers (HWs) has been a typical feature of Marburg hemorrhagic fever (MHF) outbreaks. The goal of this study was to identify cases of occupational MHF in HWs from Durba and Watsa, Democratic Republic of the Congo; to assess levels of exposure and protection; and to explore reasons for inconsistent use of protective gear. METHODS A serosurvey of ...
متن کاملSerosurvey on Household Contacts of Marburg Hemorrhagic Fever Patients
The first major outbreak of Marburg hemorrhagic fever (MHF) outside a laboratory environment occurred in the subdistrict of Watsa, Democratic Republic of Congo, from October 1998 to August 2000. We performed a serosurvey of household contacts of MHF patients to identify undetected cases, ascertain the frequency of asymptomatic Marburg infection, and estimate secondary attack risk and postinterv...
متن کاملAfrican hemorrhagic fever: Welcome to Marburg country.
lethal, incurable viral infections with a notorious propensity to afflict health care workers. Lassa and Ebola are the best-known culprits, and these killers spread fear well beyond their geographic range. Chances are your hospital has a plan to deal with febrile travellers returning from endemic regions of Africa. Such plans involve isolation, space suit technology and desperate calls to publi...
متن کاملRisk Factors for Marburg Hemorrhagic Fever, Democratic Republic of the Congo
We conducted two antibody surveys to assess risk factors for Marburg hemorrhagic fever in an area of confirmed Marburg virus transmission in the Democratic Republic of the Congo. Questionnaires were administered and serum samples tested for Marburg-specific antibodies by enzyme-linked immunosorbent assay. Fifteen (2%) of 912 participants in a general village cross-sectional antibody survey were...
متن کاملClinical, Virologic, and Immunologic Follow-Up of Convalescent Ebola Hemorrhagic Fever Patients and Their Household Contacts, Kikwit, Democratic Republic of the Congo
Alexander K. Rowe, Jeanne Bertolli,* Ali S. Khan, Epidemiology Program Office and Special Pathogens Branch, Division of Viral and Rickettsial Diseases, National Center for Infectious Rose Mukunu, J. J. Muyembe-Tamfum, David Bressler, Diseases, Centers for Disease Control and Prevention, Atlanta, A. J. Williams, C. J. Peters, Luis Rodriguez, Georgia; Ministry of Health, Kinshasa, Democratic Repu...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The Journal of infectious diseases
دوره 196 Suppl 2 شماره
صفحات -
تاریخ انتشار 2007