Hat-tip Pathfinder.
Geography here probably rules out Ebola or Marburg. Rift Valley Fever (RVF) and Lassa are among the more likely candidates here. A large RVF epidemic around this time last year in Mauritania killed at least 17 people (http://www.flutrackers.com/forum/showthread.php?t=154585)
http://www.cridem.org/C_Info.php?article=632917
14-08-201201:25
Health: caution when lacking skills and awareness!
In the rural commune of Legane Kiffa / Assaba, three (3) persons had fever accompanied by headache, joint pain and bleeding, particularly in the gums. The first person who has visited the hospital Kiffa the eight (8) current and started a prescribed treatment after medical tests and consultation with a dentist.
Happened to the emergency room of the National Hospital August 11, 2008 to 23 hours, the duty doctor seems to cling only to the platelet count of his patient come to Kiffa. Noting that this rate was lower in Kiffa (76) became normal (267), the only contribution of this doctor was limited to recommend a repeat count and complete blood count (CBC) in another laboratory instead.
Yet in the tropics and subtropics, such symptoms would think of Viral Hemorrhagic Fevers (VHF) especially this year when the contacts between people and animals were more and intimate; doctor should push our thinking to look at through serology, a possible pathogen, transmitted directly or indirectly.
About the recommendation of our doctor Emergency National Hospital, the laboratory siDNA revealed a platelet count of 33 in the morning and Maurilab, 44 to 23 hours. When recovering its results after around 30 minutes, the patient finds that they were stapled to the bulletin review of Aisha (wife), code 8477.
Carefully checking, it also found that the code written on the receipt is held by 8566 and that the results provided identifier is 8556. After negotiations, the first result was withdrawn by the agent from the laboratory to deliver papers then having the same code (8566) and not for the same (?).
Without further comment, the health authorities should monitor closely the evolution of such infectious fevers generally (caused by viruses) and may be accompanied by bleeding. These include to avoid thinking only yellow fever, the fever Rift Valley or Crimean-Congo VHF as these are numerous and their agents are of great diversity.
This is a reminder that emergency services are often entrusted to young trainees or contractors who lack much experience. Otherwise, the parents of the patient in question would not even going to serologic testing and take precautionary measures for the dual purpose of (i) identify the pathogen causing the disease and (2) avoid or limit the spread thereof.
On the other hand, the conditions of approval and control must be strict and stringent for medical laboratories which, following the mimicry of Mauritania, begin to grow like champions.
It is quite obvious that in transactions of determining diagnosis, prescription drugs and surgery, the most important role and responsibility to return the greatest leaders of biology, imaging and anesthesia.
Dr. Sidi Ahmed Taleb El Moctar
Geography here probably rules out Ebola or Marburg. Rift Valley Fever (RVF) and Lassa are among the more likely candidates here. A large RVF epidemic around this time last year in Mauritania killed at least 17 people (http://www.flutrackers.com/forum/showthread.php?t=154585)
http://www.cridem.org/C_Info.php?article=632917
14-08-201201:25
Health: caution when lacking skills and awareness!
In the rural commune of Legane Kiffa / Assaba, three (3) persons had fever accompanied by headache, joint pain and bleeding, particularly in the gums. The first person who has visited the hospital Kiffa the eight (8) current and started a prescribed treatment after medical tests and consultation with a dentist.
Happened to the emergency room of the National Hospital August 11, 2008 to 23 hours, the duty doctor seems to cling only to the platelet count of his patient come to Kiffa. Noting that this rate was lower in Kiffa (76) became normal (267), the only contribution of this doctor was limited to recommend a repeat count and complete blood count (CBC) in another laboratory instead.
Yet in the tropics and subtropics, such symptoms would think of Viral Hemorrhagic Fevers (VHF) especially this year when the contacts between people and animals were more and intimate; doctor should push our thinking to look at through serology, a possible pathogen, transmitted directly or indirectly.
About the recommendation of our doctor Emergency National Hospital, the laboratory siDNA revealed a platelet count of 33 in the morning and Maurilab, 44 to 23 hours. When recovering its results after around 30 minutes, the patient finds that they were stapled to the bulletin review of Aisha (wife), code 8477.
Carefully checking, it also found that the code written on the receipt is held by 8566 and that the results provided identifier is 8556. After negotiations, the first result was withdrawn by the agent from the laboratory to deliver papers then having the same code (8566) and not for the same (?).
Without further comment, the health authorities should monitor closely the evolution of such infectious fevers generally (caused by viruses) and may be accompanied by bleeding. These include to avoid thinking only yellow fever, the fever Rift Valley or Crimean-Congo VHF as these are numerous and their agents are of great diversity.
This is a reminder that emergency services are often entrusted to young trainees or contractors who lack much experience. Otherwise, the parents of the patient in question would not even going to serologic testing and take precautionary measures for the dual purpose of (i) identify the pathogen causing the disease and (2) avoid or limit the spread thereof.
On the other hand, the conditions of approval and control must be strict and stringent for medical laboratories which, following the mimicry of Mauritania, begin to grow like champions.
It is quite obvious that in transactions of determining diagnosis, prescription drugs and surgery, the most important role and responsibility to return the greatest leaders of biology, imaging and anesthesia.
Dr. Sidi Ahmed Taleb El Moctar