Lassa fever presenting as a cause of post-operative pyrexia following open femoral interlocking nailing

Olasinde A Ayotunde1, Jones Gbenga1, Abejegah Chuks2

  • 1Consultant Orthopaedic Surgeon, Department of Orthopaedic Surgery, Federal Medical Centre, Owo, Ondo, Nigeria.

Tropical Doctor
|July 7, 2021
PubMed

Insights

Lassa fever was diagnosed in a patient experiencing post-operative fever. Strict protective measures likely prevented Lassa virus transmission to healthcare workers.

Area of Science:

  • Infectious Diseases
  • Tropical Medicine
  • Clinical Case Reports

Background:

  • Lassa fever is a severe viral hemorrhagic fever endemic to West Africa.
  • Post-operative pyrexia can have multiple etiologies, necessitating thorough investigation.
  • Early diagnosis and isolation are critical for managing Lassa fever and preventing outbreaks.

Purpose of the Study:

  • To report a case of Lassa fever presenting as post-operative pyrexia.
  • To highlight the importance of considering endemic infectious diseases in febrile patients, even after surgery.
  • To emphasize the effectiveness of protective measures in preventing nosocomial transmission.

Main Methods:

  • Clinical presentation and patient history review.
  • Diagnostic workup including laboratory tests for Lassa fever virus.
  • Implementation and adherence to strict infection control protocols.

Main Results:

  • Lassa fever was diagnosed in a patient with unexplained post-operative fever.
  • No evidence of Lassa fever transmission to medical staff was observed.
  • Prompt implementation of protective measures was associated with successful containment.

Conclusions:

  • Lassa fever should be considered in the differential diagnosis of post-operative pyrexia in endemic or returning traveler populations.
  • Rigorous adherence to protective measures is crucial for preventing Lassa fever transmission in healthcare settings.
  • Effective infection control strategies are vital for patient and healthcare worker safety.

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