A Case of Severe Ebola Virus Infection Complicated by Gram-Negative Septicemia
A relief worker who became infected with the Ebola virus while working in Sierra Leone during the largest recorded Ebola epidemic was evacuated to Hamburg, Germany, for care. The details of his severe illness and response to supportive care are reported. Since December 2013, a Zaire ebolavirus (EBOV...
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| Veröffentlicht in: | NEW ENGLAND JOURNAL OF MEDICINE 2014-12, Vol.371 (25), p.2394-2401 |
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| container_title | NEW ENGLAND JOURNAL OF MEDICINE |
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| creator | Kreuels, Benno Wichmann, Dominic Emmerich, Petra Schmidt-Chanasit, Jonas de Heer, Geraldine Kluge, Stefan Sow, Abdourahmane Renné, Thomas Günther, Stephan Lohse, Ansgar W Addo, Marylyn M Schmiedel, Stefan |
| description | A relief worker who became infected with the Ebola virus while working in Sierra Leone during the largest recorded Ebola epidemic was evacuated to Hamburg, Germany, for care. The details of his severe illness and response to supportive care are reported.
Since December 2013, a
Zaire ebolavirus
(EBOV) epidemic of unprecedented scale has ravaged West Africa, with a focus on Guinea, Sierra Leone, and Liberia.
1
–
4
The current epidemic has led to a public health emergency in the region, exacerbated by high rates of infection among health care personnel. A substantial number of fatal cases are among health care workers.
2
Several international health care workers have been evacuated to specialized centers in Europe and the United States. The patient transferred to our isolation unit worked for the World Health Organization (WHO) as an epidemiologist in Sierra Leone and was airlifted at . . . |
| doi_str_mv | 10.1056/NEJMoa1411677 |
| format | Article |
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Since December 2013, a
Zaire ebolavirus
(EBOV) epidemic of unprecedented scale has ravaged West Africa, with a focus on Guinea, Sierra Leone, and Liberia.
1
–
4
The current epidemic has led to a public health emergency in the region, exacerbated by high rates of infection among health care personnel. A substantial number of fatal cases are among health care workers.
2
Several international health care workers have been evacuated to specialized centers in Europe and the United States. The patient transferred to our isolation unit worked for the World Health Organization (WHO) as an epidemiologist in Sierra Leone and was airlifted at . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMoa1411677</identifier><identifier>PMID: 25337633</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Waltham, MA: Massachusetts Medical Society</publisher><subject>Adult ; Anti-Infective Agents - therapeutic use ; Bacteremia - drug therapy ; Bacteremia - etiology ; Bacterial diseases ; Bacterial infections ; Bacterial sepsis ; Biological and medical sciences ; Case reports ; Critical Care ; Diarrhea - etiology ; Diarrhea - therapy ; Ebola virus ; Ebolavirus ; Ebolavirus - genetics ; Ebolavirus - isolation & purification ; Encephalopathy ; Fluid Therapy ; General aspects ; Gram-Negative Bacterial Infections - drug therapy ; Gram-Negative Bacterial Infections - etiology ; Hemorrhagic Fever, Ebola - complications ; Hemorrhagic Fever, Ebola - therapy ; Hepatitis B, Chronic - complications ; Human bacterial diseases ; Humans ; Infectious diseases ; Male ; Medical sciences ; Medical treatment ; Parenteral Nutrition ; Respiratory failure ; Ribonucleic acid ; RNA ; RNA, Viral - blood ; Septicemia ; Sierra Leone ; Sweat ; Urine ; Viral diseases ; Viral Load</subject><ispartof>NEW ENGLAND JOURNAL OF MEDICINE, 2014-12, Vol.371 (25), p.2394-2401</ispartof><rights>Copyright © 2014 Massachusetts Medical Society. All rights reserved.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c524t-323435cd56bb440f60e822b5e904c2f800a7149f90a6e3b78a481e25ac13bd5d3</citedby><cites>FETCH-LOGICAL-c524t-323435cd56bb440f60e822b5e904c2f800a7149f90a6e3b78a481e25ac13bd5d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMoa1411677$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1638906380?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,885,2757,2758,26102,27923,27924,52381,54063,64384,64386,64388,72240</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=29013802$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25337633$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:130253671$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Kreuels, Benno</creatorcontrib><creatorcontrib>Wichmann, Dominic</creatorcontrib><creatorcontrib>Emmerich, Petra</creatorcontrib><creatorcontrib>Schmidt-Chanasit, Jonas</creatorcontrib><creatorcontrib>de Heer, Geraldine</creatorcontrib><creatorcontrib>Kluge, Stefan</creatorcontrib><creatorcontrib>Sow, Abdourahmane</creatorcontrib><creatorcontrib>Renné, Thomas</creatorcontrib><creatorcontrib>Günther, Stephan</creatorcontrib><creatorcontrib>Lohse, Ansgar W</creatorcontrib><creatorcontrib>Addo, Marylyn M</creatorcontrib><creatorcontrib>Schmiedel, Stefan</creatorcontrib><title>A Case of Severe Ebola Virus Infection Complicated by Gram-Negative Septicemia</title><title>NEW ENGLAND JOURNAL OF MEDICINE</title><addtitle>N Engl J Med</addtitle><description>A relief worker who became infected with the Ebola virus while working in Sierra Leone during the largest recorded Ebola epidemic was evacuated to Hamburg, Germany, for care. The details of his severe illness and response to supportive care are reported.
Since December 2013, a
Zaire ebolavirus
(EBOV) epidemic of unprecedented scale has ravaged West Africa, with a focus on Guinea, Sierra Leone, and Liberia.
1
–
4
The current epidemic has led to a public health emergency in the region, exacerbated by high rates of infection among health care personnel. A substantial number of fatal cases are among health care workers.
2
Several international health care workers have been evacuated to specialized centers in Europe and the United States. The patient transferred to our isolation unit worked for the World Health Organization (WHO) as an epidemiologist in Sierra Leone and was airlifted at . . .</description><subject>Adult</subject><subject>Anti-Infective Agents - therapeutic use</subject><subject>Bacteremia - drug therapy</subject><subject>Bacteremia - etiology</subject><subject>Bacterial diseases</subject><subject>Bacterial infections</subject><subject>Bacterial sepsis</subject><subject>Biological and medical sciences</subject><subject>Case reports</subject><subject>Critical Care</subject><subject>Diarrhea - etiology</subject><subject>Diarrhea - therapy</subject><subject>Ebola virus</subject><subject>Ebolavirus</subject><subject>Ebolavirus - genetics</subject><subject>Ebolavirus - isolation & purification</subject><subject>Encephalopathy</subject><subject>Fluid Therapy</subject><subject>General aspects</subject><subject>Gram-Negative Bacterial Infections - drug therapy</subject><subject>Gram-Negative Bacterial Infections - etiology</subject><subject>Hemorrhagic Fever, Ebola - complications</subject><subject>Hemorrhagic Fever, Ebola - therapy</subject><subject>Hepatitis B, Chronic - complications</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medical treatment</subject><subject>Parenteral Nutrition</subject><subject>Respiratory failure</subject><subject>Ribonucleic acid</subject><subject>RNA</subject><subject>RNA, Viral - blood</subject><subject>Septicemia</subject><subject>Sierra Leone</subject><subject>Sweat</subject><subject>Urine</subject><subject>Viral diseases</subject><subject>Viral Load</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kU1v1DAQhi0EosvCkSuyhJB6CfV3nGO1WkpR2R74uFq2M0FekjjYSVH_fV116Qok5jBjjR7PvPaL0GtK3lMi1dlu--lztFRQqur6CVpRyXklBFFP0YoQpitRN_wEvch5T0pQ0TxHJ6xAteJ8hXbneGMz4NjhL3ADCfDWxd7i7yEtGV-OHfg5xBFv4jD1wdsZWuxu8UWyQ7WDH3YON1BuTnPwMAT7Ej3rbJ_h1aGu0bcP26-bj9XV9cXl5vyq8pKJueKMCy59K5VzRWunCGjGnISGCM86TYiti9KuIVYBd7W2QlNg0nrKXStbvkbVw9z8G6bFmSmFwaZbE20wh9bPcgIjqablS9bo9IGfUvy1QJ7NELKHvrcjxCUbqngjGq25Kujbf9B9XNJYXnNP6YaURI4CfIo5J-geJVBi7o0xfxlT-DeHqYsboH2k_zhRgHcHwGZv-y7Z0Yd85BpCy1525IYhmxH2w38W3gFBpJ60</recordid><startdate>20141218</startdate><enddate>20141218</enddate><creator>Kreuels, Benno</creator><creator>Wichmann, Dominic</creator><creator>Emmerich, Petra</creator><creator>Schmidt-Chanasit, Jonas</creator><creator>de Heer, Geraldine</creator><creator>Kluge, Stefan</creator><creator>Sow, Abdourahmane</creator><creator>Renné, Thomas</creator><creator>Günther, Stephan</creator><creator>Lohse, Ansgar W</creator><creator>Addo, Marylyn M</creator><creator>Schmiedel, Stefan</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>20141218</creationdate><title>A Case of Severe Ebola Virus Infection Complicated by Gram-Negative Septicemia</title><author>Kreuels, Benno ; Wichmann, Dominic ; Emmerich, Petra ; Schmidt-Chanasit, Jonas ; de Heer, Geraldine ; Kluge, Stefan ; Sow, Abdourahmane ; Renné, Thomas ; Günther, Stephan ; Lohse, Ansgar W ; Addo, Marylyn M ; Schmiedel, Stefan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c524t-323435cd56bb440f60e822b5e904c2f800a7149f90a6e3b78a481e25ac13bd5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Anti-Infective Agents - 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The details of his severe illness and response to supportive care are reported.
Since December 2013, a
Zaire ebolavirus
(EBOV) epidemic of unprecedented scale has ravaged West Africa, with a focus on Guinea, Sierra Leone, and Liberia.
1
–
4
The current epidemic has led to a public health emergency in the region, exacerbated by high rates of infection among health care personnel. A substantial number of fatal cases are among health care workers.
2
Several international health care workers have been evacuated to specialized centers in Europe and the United States. The patient transferred to our isolation unit worked for the World Health Organization (WHO) as an epidemiologist in Sierra Leone and was airlifted at . . .</abstract><cop>Waltham, MA</cop><pub>Massachusetts Medical Society</pub><pmid>25337633</pmid><doi>10.1056/NEJMoa1411677</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0028-4793 |
| ispartof | NEW ENGLAND JOURNAL OF MEDICINE, 2014-12, Vol.371 (25), p.2394-2401 |
| issn | 0028-4793 1533-4406 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; New England Journal of Medicine |
| subjects | Adult Anti-Infective Agents - therapeutic use Bacteremia - drug therapy Bacteremia - etiology Bacterial diseases Bacterial infections Bacterial sepsis Biological and medical sciences Case reports Critical Care Diarrhea - etiology Diarrhea - therapy Ebola virus Ebolavirus Ebolavirus - genetics Ebolavirus - isolation & purification Encephalopathy Fluid Therapy General aspects Gram-Negative Bacterial Infections - drug therapy Gram-Negative Bacterial Infections - etiology Hemorrhagic Fever, Ebola - complications Hemorrhagic Fever, Ebola - therapy Hepatitis B, Chronic - complications Human bacterial diseases Humans Infectious diseases Male Medical sciences Medical treatment Parenteral Nutrition Respiratory failure Ribonucleic acid RNA RNA, Viral - blood Septicemia Sierra Leone Sweat Urine Viral diseases Viral Load |
| title | A Case of Severe Ebola Virus Infection Complicated by Gram-Negative Septicemia |
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