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Published on: July 24, 2016
Lymphocytic choriomeningitis virus infection induced by percutaneous exposure
O Aebischer1, P Meylan2, S Kunz3
1Department of Internal Medicine, CHUV, 1011 Lausanne, Switzerland, oriane.aebischer@chuv.ch.
Abstract:
We report a case of acquired lymphocytic choriomeningitis virus (LCMV) infection due to an accidental percutaneous inoculation of LCMV at work. The injured worker developed a flu-like syndrome, followed by pericarditis and meningoencephalitis. Seroconversion was confirmed by ELISA. The patient made a complete recovery. We review measures undertaken to prevent a similar event and propose a follow-up protocol in the event of accidental LCMV exposure.
Insights
An accidental workplace exposure led to lymphocytic choriomeningitis virus (LCMV) infection. The patient recovered fully after developing flu-like symptoms, pericarditis, and meningoencephalitis, highlighting the need for safety protocols.
Area of Science:
- Virology
- Infectious Diseases
- Neuroscience
Background:
- Lymphocytic choriomeningitis virus (LCMV) is a rodent-borne arenavirus.
- Occupational exposure to LCMV can occur through percutaneous injury.
- LCMV infection can lead to severe neurological complications.
Observation:
- A healthcare worker sustained a percutaneous injury at work, leading to accidental LCMV inoculation.
- The patient presented with a flu-like illness, progressing to pericarditis and meningoencephalitis.
- Serological confirmation of LCMV infection was established via ELISA.
Findings:
- Acquired LCMV infection following occupational percutaneous inoculation.
- Clinical manifestations included systemic, cardiac, and neurological involvement.
- Complete recovery was achieved with appropriate medical management.
Implications:
- Highlights the risk of LCMV transmission in occupational settings.
- Emphasizes the importance of implementing and adhering to safety protocols to prevent accidental inoculation.
- Proposes a follow-up strategy for managing accidental LCMV exposures in the workplace.
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