[Hemorrhagic forms of Rift Valley fever in Mauritania].

B Philippe, A Jouan, O Riou, I Coulibaly, B Leguenno, J Meegan, M Mondo, J P Digoutte
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Abstract

During and after a Rift Valley fever (RVF) epidemic in Southern Mauritania, we collected 600 clinical observations. 348 were confirmed to be RVF cases. Among the 5 clinical forms we observed, some are benign but others, especially those with hemorrhagic signs are serious. We observed 48 icterohemorrhagic forms with 25 deaths. An icterus was associated with hemorrhagic signs, varying from gingivorrhagia to abundant bleeding. Biological hepato-nephritis was always present in major hemorrhagic forms. Fulminant forms, spectacular and characteristic are excellent markers for epidemiological studies in the field.

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[毛里塔尼亚的出血性裂谷热]。
在毛里塔尼亚南部裂谷热流行期间和之后,我们收集了600份临床观察报告。348例确诊为裂谷热病例。在我们观察到的5种临床表现中,有些是良性的,但其他的,特别是有出血症状的是严重的。我们观察到48例黄疸出血,其中25例死亡。黄疸伴有出血体征,从牙龈出血到大量出血不等。生物性肝肾炎常以大出血形式出现。暴发性、壮观性和特征性是该领域流行病学研究的优秀标志。
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