Acute Viral Diseases: Lassa Fever

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Lassa Fever is an acute viral disease found in a family of viruses called Arenaviridae. All Arenaviridae are spread through human contact with a rodent host and their viral particles are contained in a fat membrane and acquire ribosomes from their host cells (The Centers for Disease Control and Prevention, 2014). Lassa Fever was first described in Sierra Leone in the 1950's, however, the virus responsible for the illness was not identified as Lassa Fever until two nurses from Nigeria died of it in 1969 (Ogbu, O., Ajuluchukwa, E., & Uneke, C. J., 2007).
Lassa Fever is spread by the multimammate rat, Mastomys natalensis, a very common rodent in central, east and West Africa and tends to live near humans due to easy access of food (The Centers for Disease Control and Prevention, 2014). The virus can be spread from rat-to-human, most often fecal-oral, or by inhaling contaminated air into the respiratory system or from person-to-person through body fluids (Ogbu, O., et al, 2007). The disease is asymptomatic or mild in 80% of cases, however, the remaining 20% develop the disease in systems throughout the body after an incubation period of 6-21 days (Heymann, D. L., 2008). The illness begins gradually with generic systems such as fever, sore throat, headache, cough, nausea, vomiting, headache, chest pain, abdominal pair and body aches and progresses through several systems in the body (Heymann, D. L., 2008). The disease attacks the circulatory system by multiplying viral particles in the blood vessels causing capillary lesions leading to hemorrhaging in other parts of the body including the brain, digestive system, heart and lungs. (Ogbu, O., et al, 2007). The cardiovascular system can be affected as well with most cases showing an abnormal EKG reading with changes in the T-wave and ST-segment, pericarditis, tachycardia or bradycardia, hypertension or hypotension (Magill, A. J., Ryan, E. T., Hill, D., 2013 & Soloman, T., 2013; Ogbu, O., et al, 2007). The respiratory symptoms include cough, shortness of breath and bronchitis (Ogbu, O., et al, 2007). The neurological symptoms can vary from fine tremors and confusion to much more serious symptoms such as seizures and encephalopathy (Magill, A. J., et al, 2013).
Lassa Fever found in several West African countries and is considered endemic in Nigeria, Guinea, Liberia and Sierra Leone with cases also found in Mali, Ghana, Côte d’Ivoire and Burkina Faso with blood work showing evidence of infection in Togo and Benin (The Centers for Disease Control and Prevention, 2014).

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