Venezuelan haemorrhagic fever

An outbreak of severe haemorrhagic illness began in the municipality of Guanarito, Portuguesa State, Venezuela, in September, 1989. Subsequent detailed study of 15 cases confirmed the presence of a new viral disease, designated Venezuelan haemorrhagic fever. Characteristic features are fever, toxici...

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Veröffentlicht in:The Lancet (British edition) 1991-10, Vol.338 (8774), p.1033-1036
Hauptverfasser: Salas, R., Pacheco, M.E., Ramos, B., Taibo, M.E., Jaimes, E., Vasquez, C., Querales, J., de Manzione, N., Godoy, O., Betancourt, A., Araoz, F., Bruzual, R., Garcia, J., Tesh, R.B., Rico-Hesse, R., Shops, R.E.
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container_end_page 1036
container_issue 8774
container_start_page 1033
container_title The Lancet (British edition)
container_volume 338
creator Salas, R.
Pacheco, M.E.
Ramos, B.
Taibo, M.E.
Jaimes, E.
Vasquez, C.
Querales, J.
de Manzione, N.
Godoy, O.
Betancourt, A.
Araoz, F.
Bruzual, R.
Garcia, J.
Tesh, R.B.
Rico-Hesse, R.
Shops, R.E.
description An outbreak of severe haemorrhagic illness began in the municipality of Guanarito, Portuguesa State, Venezuela, in September, 1989. Subsequent detailed study of 15 cases confirmed the presence of a new viral disease, designated Venezuelan haemorrhagic fever. Characteristic features are fever, toxicity, headache, arthralgia, diarrhoea, conjunctivitis, pharyngitis, leucopenia, thrombocytopenia, and haemorrhagic manifestations. Other features include facial oedema, cervical lymphadenopathy, nausea/vomiting, cough, chest or abdominal pain, and convulsions. The patients ranged in age from 6 to 54 years; all were residents of rural areas in central Venezuela, and 9 died. Infection with Guanarito virus, a newly recognised arenavirus, was shown by direct culture or by serological confirmation in all cases. Epidemiological studies suggest that the disease is endemic in some rural areas of central Venezuela and that it is rodent-borne. Venezuelan haemorrhagic fever has many similarities to Lassa fever and to the arenavirus haemorrhagic fevers that occur in Argentina and Bolivia.
doi_str_mv 10.1016/0140-6736(91)91899-6
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Subsequent detailed study of 15 cases confirmed the presence of a new viral disease, designated Venezuelan haemorrhagic fever. Characteristic features are fever, toxicity, headache, arthralgia, diarrhoea, conjunctivitis, pharyngitis, leucopenia, thrombocytopenia, and haemorrhagic manifestations. Other features include facial oedema, cervical lymphadenopathy, nausea/vomiting, cough, chest or abdominal pain, and convulsions. The patients ranged in age from 6 to 54 years; all were residents of rural areas in central Venezuela, and 9 died. Infection with Guanarito virus, a newly recognised arenavirus, was shown by direct culture or by serological confirmation in all cases. Epidemiological studies suggest that the disease is endemic in some rural areas of central Venezuela and that it is rodent-borne. 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subjects Acute Disease
Adolescent
Adult
Animals
Animals, Wild - microbiology
Arenaviruses, New World - isolation & purification
Biological and medical sciences
Child
Disease
Disease Outbreaks
Female
Hemorrhagic Fever, American - complications
Hemorrhagic Fever, American - epidemiology
Hemorrhagic Fever, American - transmission
Human viral diseases
Humans
Infectious diseases
Lassa fever and arenovirus diseases
Male
Medical research
Medical sciences
Middle Aged
Outbreaks
Rodentia - microbiology
Rural areas
Rural Health
Tropical viral diseases
Venezuela - epidemiology
Viral diseases
title Venezuelan haemorrhagic fever
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