ABSTRACT
We report on an Ebola virus disease (EVD) survivor who showed Ebola virus in seminal fluid 531 days after onset of disease. The persisting virus was sexually transmitted in February 2016, about 470 days after onset of symptoms, and caused a new cluster of EVD in Guinea and Liberia.
Subject(s)
Disease Outbreaks , Ebolavirus/genetics , Hemorrhagic Fever, Ebola , Semen/virology , Sexually Transmitted Diseases, Viral , Ebolavirus/isolation & purification , Female , Guinea , Hemorrhagic Fever, Ebola/transmission , Hemorrhagic Fever, Ebola/virology , Humans , Male , Polymerase Chain Reaction , RNA, Viral/analysis , Sexually Transmitted Diseases, Viral/transmission , Sexually Transmitted Diseases, Viral/virology , SurvivorsABSTRACT
During public health crises such as the recent outbreaks of Ebola virus disease in West Africa, breakdowns in public health systems can lead to epidemics of vaccine-preventable diseases. We report here on an outbreak of measles in the prefecture of Lola, Guinea, which started in January 2015.
Subject(s)
Coinfection , Disease Outbreaks , Hemorrhagic Fever, Ebola/epidemiology , Measles/epidemiology , Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Female , Guinea/epidemiology , Hemorrhagic Fever, Ebola/history , History, 21st Century , Humans , Infant , Infant, Newborn , Male , Measles/history , Middle Aged , Population Surveillance , Seasons , Young AdultABSTRACT
In this case report, we describe a clinical presentation and therapeutic history of a unique case diagnosed with Lassa fever and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a 23-year-old man from Yomou prefecture in southeast Guinea identified with suspected Ebola Virus Disease (EVD) in the midst of an ongoing outbreak of that disease in the same region. On May 3, 2021, he was admitted to the Nzérékoré Epidemic disease treatment center where his clinical condition deteriorated significantly. Laboratory testing performed on the same day reveals a negative EVD polymerase chain reaction (PCR). Three days later, the patient was tested positive for SARS-CoV-2 and Lassa fever by reverse transcriptase PCR (RT-PCR) assays. Laboratory examination also indicated severe hematological and biochemical deteriorations in the patient. This case substantiates the need for systematic differential diagnosis during epidemic-prone disease outbreaks to better manage severely unwell patients.