IPAP Micro 3 - Hemorrhagic Fever Deck

Top 5 by frequency
Very Frequent ++++
Frequent +++
Infrequent ++
Rare +

Hantavirus Hemorrhagic Fever w/ Renal Syndrome (Hantaan, Seoul, Puumula virus) ++++
Rift Valley Fever (animals) ++++
Dengue Hemorrhagic Fever (4 types) +++
Yellow Fever ++
Lassa Fever ++

Vector:
Rodent excreta

Hantavirus Hemorrhagic Fever w/ Renal Syndrome (Hantaan, Seoul, Puumula virus)
Hantavirus Cardiopulmonary Syndrome (Sin Nombre virus)
Lassa Fever (via RODENT URINE)

Vector:
Mosquitos

Rift Valley Fever
Dengue Hemorrhagic Fever (4 types)
Yellow Fever
Chickungunya virus (fever, arthritis, rash; hemorrhage rare)

Vector:
Human Contact

Ebola Hemorrhagic Fever virus
Marburg Hemorrhagic Fever virus

Vector:
Ticks

Congo-Crimean Hemorrhagic Fever (CCHF)

General Characteristics
Etiologic Agents
Level of contagiousness
Incubation period
Duration of illness
Mortality

Etiologic agents: Enveloped RNA Viruses
Moderately contagious
Incubation period: 4-21 days
Duration of illness: 5-16 days
Mortality: variable (10-90%)

Pt Presentation

Acute fever
Flu-like symptoms
Muscle aches
Rash/erythema/petechiae
Hemorrhage/Capillary leakage (vascular permeability, abnormal blood clotting) -> Shock

Detection & Identification

Clinical signs & symptoms
Geography
Ab detection - IgM indicates current infection - ELISA
Nucleic acid probes (PCR)

Geography:
Asia

Hantavirus Hemorrhagic Fever w/ Renal Syndrome (Northern Asia, Europe)
Dengue Hemorrhagic Fever (SE Asia, Caribbean, coastal South & Central America)
Congo-Crimean Hemorrhagic Fever (Middle East to West China, Africa)
Chickungunya virus (SE Asia, Africa)

Geography:
The Americas

Hantavirus Cardiopulmonary Syndrome [Sin Nombre virus] (North America)
Dengue Hemorrhagic Fever (coastal Central & South America, Caribbean, SE Asia)

Geography:
Africa

Rift Valley Fever (Africa)
Yellow Fever (Tropical Africa, Amazon basin)
Lassa Fever (West Africa)
Congo-Crimean Hemorrhagic Fever (Africa, Middle East to West China)
Ebola Hemorrhagic Fever virus (Africa)
Marburg Hemorrhagic Fever virus (Sub-Saharan Afric

Geography:
Europe

Hantavirus Hemorrhagic Fever w/ Renal Syndrome (Northern Asia, Europe)