MRCEM Notes

Yellow fever

Type of viral haemorrhagic fever (also dengue fever, Lassa fever, Ebola).

Basics
  • spread by Aedes mosquitos
  • incubation period = 2 - 14 days

Features
  • may cause mild flu-like illness lasting less than one week
  • classic description involves sudden onset of high fever, rigors, nausea & vomiting. Bradycardia may develop. A brief remission is followed by jaundice, haematemesis, oliguria
  • if severe jaundice, haematemesis may occur
  • Councilman bodies (inclusion bodies) may be seen in the hepatocytes
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