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      Dr  Sampurna Roy  MD

 
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The arenavirus Lassa causes a severe illness called Lassa fever.

Lassa fever was first recognized in herdsmen’s village in Nigeria in 1969.   Lassa fever is known to be endemic in Guinea (Conakry), Liberia, Sierra Leone and parts of Nigeria, but probably exists in other West African countries as well. Lassa fever has been seldom investigated outside of a few hyperendemic regions, where the described epidemiology may differ from that in areas of low or moderate incidence of disease.

Lassa fever is a serious, highly infectious, viral, hemorrhagic disease characterized by high fever, prostration, generalized hemorrhages, abdominal pain, vomiting, diarrhea, severe pharyngitis, dyspnea, serous effusions, facial edema, and shock.

It is fatal in almost half the cases. Some studies indicate that 300 000 to 500 000 cases of Lassa fever and 5000 deaths occur yearly across West Africa.

The lassa virus emerged suddenly and may be a virulent mutant of the lymphocytic choriomeningitis virus.

The lassa virus appears to have a natural cycle of transmission in rodents and has been isolated repeatedly from a rat, Mastomys natalensis (commonly known as the “multimammate rat”). Mastomys infected with Lassa virus can shed the virus in their excreta (urine and faeces).

According to a study, Mastomys natalensis, the reservoir of Lassa virus, constituted 50%-60% of the rodents captured in houses but only 10%-20% of those captured in surrounding agriculture and bush areas, a finding suggesting that houses are the most-important location for transmission of Lassa virus.

Lassa fever is difficult to distinguish from many other diseases which cause fever, including malaria , shigellosis , typhoid fever , yellow fever and other viral haemorrhagic fevers.  Visit: Ebola Virus Infection  ; Marburg Virus Disease .

The disease spreads from patients to uninfected persons in households and hospitals.

Anti-Lassa antibodies are detected by indirect immunofluorescence assay (IFA) or by enzyme-immunoassay (ELISA).

                     

Abstracts:

Reverse ELISA for IgG and IgM antibodies to detect Lassa virus infections in Africa.J Clin Virol. 2006 Dec;37(4):277-81. Epub 2006 Sep 25.

Historical Lassa fever reports and 30-year clinical update.Emerg Infect Dis. 2006 May;12(5):835-7.

Development of a new vaccine for the prevention of Lassa fever.
PLoS Med. 2005 Jun;2(6):e183. Epub 2005 Jun 28

Lassa fever in Guinea: I. Epidemiology of human disease and clinical observations.Vector Borne Zoonotic Dis. 2001 Winter;1(4):269-81

Lassa fever in Guinea: II. Distribution and prevalence of Lassa virus infection in small mammals.Vector Borne Zoonotic Dis. 2001 Winter;1(4):283-97

Genetic diversity among Lassa virus strains.J Virol. 2000 Aug;74(15):6992-7004.

A prospective study of the epidemiology and ecology of Lassa fever.J Infect Dis. 1987 Mar;155(3):437-44

 
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