Managing severe yellow fever in the intensive care: lessons learnt from Brazil.

E G Kallas,A Wilder-Smith

doi:10.1093/jtm/taz043

E G Kallas, A Wilder-Smith

Open Access

https://doi.org/10.1093/jtm/taz043

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Abstract

Managing severe yellow fever in the intensive care: lessons learnt from Brazil.

Highlights

yellow fever (YF) can be a treacherous disease as its initial clinical presentation may be quite benign and non-specific, but can take a fulminant course within a matter of a few days
11 unvaccinated Chinese working in Angola were infected with YF virus and exported the virus to China, the first documented exportation of YF via travellers to Asia, thereby underpinning the need for better preparedness for YF spread into Asia.[3]
In 2016, YF outbreaks emerged at the gates of the most populated areas of metropolitan São Paulo and Rio de Janeiro in Brazil

Summary

Introduction

YF can be a treacherous disease as its initial clinical presentation may be quite benign and non-specific, but can take a fulminant course within a matter of a few days. Clinicians in non-YF endemic countries have to be equipped to manage complicated YF as clinicians working in YF endemic areas, considering the high percentage of symptomatic patients who develop severe disease. Ho’s paper in this issue of the Journal of Travel Medicine presents one of the biggest cohorts of severe YF cases, offering many lessons for clinical management.[5]

Results

Conclusion