Imported Lassa fever in Germany: surveillance and management of contact persons.

نویسندگان

  • Walter H Haas
  • Thomas Breuer
  • Günter Pfaff
  • Herbert Schmitz
  • Päivi Köhler
  • Marcel Asper
  • Petra Emmerich
  • Christian Drosten
  • Uta Gölnitz
  • Klaus Fleischer
  • Stephan Günther
چکیده

This study sought to assess the risk of secondary transmission after import of Lassa fever into Europe. A total of 232 persons exposed to a case of Lassa fever imported into Germany were identified. The level of exposure was determined for 157 persons (68%), and 149 (64%) were tested serologically. High-risk or close contact was reported by 30 (19%) of 157 persons. No symptomatic secondary infections were observed. However, Lassa virus-specific immunoglobulin G antibodies were detected in a serum sample obtained from a physician who examined the index patient on day 9 of illness. The physician received ribavirin prophylaxis and did not develop symptoms of Lassa fever. On the basis of these data, the contact was classified as having a probable secondary infection. The study indicates a low risk of transmission during the initial phase of symptomatic Lassa fever, even with high-risk exposures. The risk may increase with progression of disease and increasing virus load.

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عنوان ژورنال:
  • Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

دوره 36 10  شماره 

صفحات  -

تاریخ انتشار 2003