Viral Hemorrhagic Fevers
- PMID: 32809552
- Bookshelf ID: NBK560717
Viral Hemorrhagic Fevers
Excerpt
Viral hemorrhagic fevers (VHFs) represent a group of severe systemic febrile illnesses caused by four families of viruses - Arenaviridae, Bunyaviridae, Filoviridae, and Flaviviridae. These enveloped viruses are characterized by a myriad of symptoms that range from coagulopathies, hemodynamic instability, altered mental status, and, if severe enough, death. The degree of clinical illness can vary widely with some viruses causing mild illness, while others can be life-threatening.
Most of the viruses implicated in these diseases require vectors for transmission to humans, with the majority being arthropod-borne or rodent-borne infections. Given their zoonotic nature, these diseases are generally confined to the endemic areas where their hosts live. However, given increased human migration and further globalization, these diseases are no longer limited to their geographic origins. This article will provide a general overview of viral hemorrhagic fevers and focus on those diseases which have the highest overall mortality rates.
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Conflict of interest statement
Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Bente DA, Forrester NL, Watts DM, McAuley AJ, Whitehouse CA, Bray M. Crimean-Congo hemorrhagic fever: history, epidemiology, pathogenesis, clinical syndrome and genetic diversity. Antiviral Res. 2013 Oct;100(1):159-89. - PubMed
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- Hidalgo J, Richards GA, Jiménez JIS, Baker T, Amin P. Viral hemorrhagic fever in the tropics: Report from the task force on tropical diseases by the World Federation of Societies of Intensive and Critical Care Medicine. J Crit Care. 2017 Dec;42:366-372. - PubMed
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