Pdf pathogenesis and pathophysiology of yellow fever. Infection may be asymptomatic and go unnoticed or, on the. If left untreated, it can cause permanent damage to the heart. It is characterized by variable symptoms ranging from a minimal flulike illness to one that may be complicated by a toxic phase characterized by hemorrhage, hepatic failure, proteinuria, renal failure, and death. Yellow fever yf is an infectious, noncontagious disease caused by a rna virus of the family flaviviridae that cause dengue and other hemorrhagic fevers, which is transmitted to man by the bite of hematophagous mosquitoes first described in the caribbean, yellow fever is the oldest known viral hemorrhagic fever. In the second stage, which may occur 34 days after onset, the patient may go into temporary remission and symptoms subside. Yellow fever is endemic in subsaharan africa, central and south america, and the caribbean, with most cases approximately 90% occurring in africa. A hepatocytes contain small and large lipid droplets in the cytoplasm vacuoles. Globally, an estimated 84,000 to 170,000 severe cases occur annually, resulting in 29,000 to 60,000 deaths. Yellow fever yf is a mosquitoborne infection that is caused by the yf virus and is endemic to africa and south america.
Jaundice is yellowing of the skin and eyes, which is why. The injection of the yellow fever blood into ringtail monkeys, rabbits, cats, guatusas, weasels. A single dose of yellow fever vaccine does not offer long. The infection is most common in areas of africa and south america, affecting travelers to and residents of those areas. It will be apparent to the reader that there is much to learn about the pathogenesis of yf. Yellow fever virus and yellow fever vaccine likelihood of. Pdf it will be apparent to the reader that there is much to learn about the pathogenesis of yf. Pathogenesis and pathophysiology of yellow fever thomas p.
Many hepatocytes are undergoing necrapoptosis arrowhead. Yellow fever is a serious, potentially deadly flulike disease spread by mosquitoes. The midzone of the liver lobule is principally affected, with sparing of cells bordering the central vein and portal tracts 7. Guinea pigs are usually rather sensitive to the infection, though many appeared to be somewhat resistant and some even refractory. Yellow fever is a viral infection spread by a particular type of mosquito. Hemorrhagic spots were almost always found in the lungs and gastrointestinal mucosa. The yellow in the name reflectsthe development of jaundice. The condition usually appears in children between the ages of 5 and 15. We are organizing a conference on pharmaceuticals conference in berlin, germany during july 27 28, 2020.
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