Imported Case of Marburg Hemorrhagic Fever—Colorado, 2008

Fujita et al report a case of a woman aged 44 years with no remarkable past medical history and was first diagnosed by convalescent serology. On admission, the patient was afebrile. She was treated with intravenous fluids and was started on doxycycline for possible lep tospirosis. Her hospital course was characterized by pancytopenia, coagulopathy, myositis, pancreatitis, and encephalopathy, all of which are complications that have been associated with Marburg hemorrhagic fever. Testing was negative for leptospirosis, viral hepatitis, malaria, arboviral infection, acute schistosomiasis, rickettsial infection, and viral hemorrhagic fever. Moreover, a CDC editorial note is included.