Published Date: 2001-11-15 23:50:00
Subject: PRO/AH> Yellow fever, imported - Belgium ex Gambia (03)
Archive Number: 20011115.2814
YELLOW FEVER, IMPORTED - BELGIUM EX GAMBIA (03)
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Yellow fever, imported - Belgium ex Gambia 20011112.2789Yellow fever, imported - Belgium ex Gambia (02) 20011113.2795
Date: Wed 14 Nov 2001
From: Alfons Van Gompel <fvgompel@poliklin.itg.be> [edited
Follow-up on The Belgian Case of Yellow Fever Imported from Gambia
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Mon 12 Nov 2001: Relatively stable but bleeding at injection sites,
prothrombin time 15 percent, ASAT 10 000 U/l.
Tue 13 Nov 2001: ASAT: 594 U/l, bleeding from colostomy (Morbus Crohn). In
the afternoon decreased consciousness followed later in the afternoon by
convulsions (status epilepticus). Intubation and artificial ventilation. 12
mg of highly purified neutralising murine antibodies were given (source:
Dr. Mathias Niedrig, Robert Koch Institut, Berlin, Germany). Preparations
were made for liver transplantation. During the night further deterioration
of the clinical condition.
Wed 14 Nov 2001: The patient died at 6 a.m. because of massive
gastrointestinal bleeding, shock and hepatic encephalopathy.
Post mortem examination will be performed.
[Submitted by Dr. R. Colebunders <bcoleb@itg.be> on behalf of the team of
the Institute of Tropical Medicine, Antwerp, Belgium and the clinicians who
took care for this patient in the hospital settings.
--
Dr. A. Van Gompel
Head of the medical services
Institute of Tropical Medicine,
Antwerp, Belgium
<fvgompel@poliklin.itg.be>
[ProMED-mail regrets the death of this patient. This tragic incident
indicates the level of risk to which visitors to West Africa expose
themselves at the present time, and the need for protective vaccination
prior to travel. - Mod.CP
............................cp/pg/es
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