A Sporadic and Lethal Lassa Fever Case in Forest Guinea, 2019

Lassa fever is a rodent-borne disease caused by Lassa virus (LASV). It causes fever, dizziness, vertigo, fatigue, coughing, diarrhea, internal bleeding and facial edema. The disease has been known in Guinea since 1960 but only anectodical acute cases have been reported to date. In January 2019, a 35...

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Main Authors: N’Faly Magassouba, Enogo Koivogui, Sory Conde, Moussa Kone, Michel Koropogui, Barrè Soropogui, Ifono Kekoura, Julia Hinzmann, Stephan Günther, Sakoba Keita, Sophie Duraffour, Elisabeth Fichet-Calvet
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/12/10/1062
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author N’Faly Magassouba
Enogo Koivogui
Sory Conde
Moussa Kone
Michel Koropogui
Barrè Soropogui
Ifono Kekoura
Julia Hinzmann
Stephan Günther
Sakoba Keita
Sophie Duraffour
Elisabeth Fichet-Calvet
author_facet N’Faly Magassouba
Enogo Koivogui
Sory Conde
Moussa Kone
Michel Koropogui
Barrè Soropogui
Ifono Kekoura
Julia Hinzmann
Stephan Günther
Sakoba Keita
Sophie Duraffour
Elisabeth Fichet-Calvet
author_sort N’Faly Magassouba
collection DOAJ
description Lassa fever is a rodent-borne disease caused by Lassa virus (LASV). It causes fever, dizziness, vertigo, fatigue, coughing, diarrhea, internal bleeding and facial edema. The disease has been known in Guinea since 1960 but only anectodical acute cases have been reported to date. In January 2019, a 35-year-old man, a wood merchant from Kissidougou, Forest Guinea, presented himself at several health centers with persistent fever, frequent vomiting and joint pain. He was repeatedly treated for severe malaria, and died three weeks later in Mamou regional hospital. Differential diagnosis identified LASV as the cause of death. No secondary cases were reported. The complete LASV genome was obtained using next-generation sequencing. Phylogenetic analysis showed that this strain, namely the Kissidougou strain, belongs to the clade IV circulating in Guinea and Sierra Leone, and is thought to have emerged some 150 years ago. Due to the similarity of symptoms with malaria, Lassa fever is still a disease that is difficult to recognize and that may remain undiagnosed in health centers in Guinea.
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spelling doaj.art-b0f4dfbf5717447d96f0941233253ebb2023-11-20T14:50:34ZengMDPI AGViruses1999-49152020-09-011210106210.3390/v12101062A Sporadic and Lethal Lassa Fever Case in Forest Guinea, 2019N’Faly Magassouba0Enogo Koivogui1Sory Conde2Moussa Kone3Michel Koropogui4Barrè Soropogui5Ifono Kekoura6Julia Hinzmann7Stephan Günther8Sakoba Keita9Sophie Duraffour10Elisabeth Fichet-Calvet11Laboratoire des Fièvres Hémorragiques en Guinée, Conakry, GuineaAgence Nationale de Sécurité Sanitaire, Ministry of Health, Conakry, GuineaAgence Nationale de Sécurité Sanitaire, Ministry of Health, Conakry, GuineaAgence Nationale de Sécurité Sanitaire, Ministry of Health, Conakry, GuineaLaboratoire des Fièvres Hémorragiques en Guinée, Conakry, GuineaLaboratoire des Fièvres Hémorragiques en Guinée, Conakry, GuineaLaboratoire des Fièvres Hémorragiques en Guinée, Conakry, GuineaVirology Department, Bernhard Nocht Institute for Tropical Medicine, 20359 Hamburg, GermanyVirology Department, Bernhard Nocht Institute for Tropical Medicine, 20359 Hamburg, GermanyAgence Nationale de Sécurité Sanitaire, Ministry of Health, Conakry, GuineaVirology Department, Bernhard Nocht Institute for Tropical Medicine, 20359 Hamburg, GermanyVirology Department, Bernhard Nocht Institute for Tropical Medicine, 20359 Hamburg, GermanyLassa fever is a rodent-borne disease caused by Lassa virus (LASV). It causes fever, dizziness, vertigo, fatigue, coughing, diarrhea, internal bleeding and facial edema. The disease has been known in Guinea since 1960 but only anectodical acute cases have been reported to date. In January 2019, a 35-year-old man, a wood merchant from Kissidougou, Forest Guinea, presented himself at several health centers with persistent fever, frequent vomiting and joint pain. He was repeatedly treated for severe malaria, and died three weeks later in Mamou regional hospital. Differential diagnosis identified LASV as the cause of death. No secondary cases were reported. The complete LASV genome was obtained using next-generation sequencing. Phylogenetic analysis showed that this strain, namely the Kissidougou strain, belongs to the clade IV circulating in Guinea and Sierra Leone, and is thought to have emerged some 150 years ago. Due to the similarity of symptoms with malaria, Lassa fever is still a disease that is difficult to recognize and that may remain undiagnosed in health centers in Guinea.https://www.mdpi.com/1999-4915/12/10/1062Lassa feverKissidougouGuineaLassa genomephylogeny
spellingShingle N’Faly Magassouba
Enogo Koivogui
Sory Conde
Moussa Kone
Michel Koropogui
Barrè Soropogui
Ifono Kekoura
Julia Hinzmann
Stephan Günther
Sakoba Keita
Sophie Duraffour
Elisabeth Fichet-Calvet
A Sporadic and Lethal Lassa Fever Case in Forest Guinea, 2019
Viruses
Lassa fever
Kissidougou
Guinea
Lassa genome
phylogeny
title A Sporadic and Lethal Lassa Fever Case in Forest Guinea, 2019
title_full A Sporadic and Lethal Lassa Fever Case in Forest Guinea, 2019
title_fullStr A Sporadic and Lethal Lassa Fever Case in Forest Guinea, 2019
title_full_unstemmed A Sporadic and Lethal Lassa Fever Case in Forest Guinea, 2019
title_short A Sporadic and Lethal Lassa Fever Case in Forest Guinea, 2019
title_sort sporadic and lethal lassa fever case in forest guinea 2019
topic Lassa fever
Kissidougou
Guinea
Lassa genome
phylogeny
url https://www.mdpi.com/1999-4915/12/10/1062
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