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Pathology of Bolivian Hemorrhagic Fever

Dr Sampurna Roy MD

Bolivian hemorrhagic fever is an acute febrile disease with hemorrhagic manifestations that are almost identical to those of Argentine hemorrhagic fever.

It is a disease endemic to northeastern Bolivia.

Mortality rate of this disease is 25 to 35%.

The etiological agent is Machupo virus (MACV, family Arenaviridae).

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The virus is similar to that which causes Argentine hemorrhagic fever, and its reservoir is also wild rodents.

Bolivian hemorrhagic fever was first recognized in rural areas of northern Bolivia (1959), and there were two major epidemics in Bolivian villages during 1962-64.

The rodent Calomys callosus was identified as the primary vector and reservoir for the virus.

Human disease is biphasic with symptoms first identified in the prodromal phase which include general illness and flu-like symptoms. One third of patients enter a hemorrhagic/neurologic phase where the most severe symptoms are identified including hemorrhage and coma. Survivors enter a convalescent stage, which can last weeks to months.

 

Further reading:

Pathology of chronic Bolivian hemorrhagic fever

Prospects for the control of Bolivian hemorrhagic fever

Reemergence of Bolivian Hemorrhagic Fever, 2007–2008.

Hemorrhagic Fever Viruses as Biological Weapons

Chapare virus, a newly discovered arenavirus isolated from a fatal hemorrhagic fever case in Bolivia.

Genetic diversity among Bolivian arenaviruses.  

Natural nidality in Bolivian hemorrhagic fever and the systematics of the reservoir species.

Experimental study of the possibility of emergency prophylaxis of Bolivian hemorrhagic fever.

Bolivian hemorrhagic fever--El Beni Department, Bolivia, 1994.

 

                                                                                                                      

 

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Dr Sampurna Roy  MD

Consultant  Histopathologist (Kolkata - India)


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