Volume 12, Number 5—May 2006
Historical Lassa Fever Reports and 30-year Clinical Update
|Patient no.||Year of import||From||To||Clinical manifestations|
|1||1969||Nigeria||New York, NY||Fever, malaise, headache, nausea, sore throat, epigastric/right upper quadrant tenderness, pleural effusion, facial/cervical edema, dysphagia, elevated transaminases, cough, dyspnea, pulmonary infiltrates, epiglottal edema, lethargy, nystagmus, lightheadedness, dizziness without vertigo, ataxia, alopecia (2)|
|2||1975||Sierra Leone||Washington, DC||Abdominal pain, diarrhea, fever, headache, myalgia, arthralgia, conjunctival injection, lymphadenopathy, weight loss, pleuritic chest pain, pleural effusion, unilateral deafness|
|3||1976||Sierra Leone||Washington, DC||Abdominal cramps, nausea, vomiting, diarrhea, fatigue, headache, retroorbital pain, neck/back pain, paresthesias, right ear pain, fever, vertigo, syncope, dysmorphopsias, alopecia, weight loss, ecchymoses, insomnia, depression, hypotension, left-sided facial weakness, right-sided Babinski reflex, Weber test lateralized to the left (3)|
|4||1989||Nigeria||Chicago, IL||Shaking chills, fever, sore throat, myalgia, headache, dysphagia, bloody diarrhea, elevated transaminases, hypotension, adult respiratory distress syndrome, death (4)|
|5||2004||Sierra Leone and Liberia||Trenton, NJ||Chills, fever, sore throat, diarrhea, back pain, adult respiratory distress syndrome, death (1)|
*Patients 1–4 are US citizens; patient 5 is a Liberian national.
1Portions of this patient's clinical signs and symptoms were originally published in Zweighaft et al. (2).