title: Imported yellow fever in a United States citizen.
abstract: The last imported case of yellow fever seen in this country was in 1924. We report a case of yellow fever acquired by an American tourist who visited the jungles of Brazil along the Rio Negro and Amazon Rivers. The patient died 6 days after hospital admission and 10 days after his first symptoms appeared. Yellow fever virus was recovered from clinical specimens, and the isolate was genetically similar to the E genotype IIB of South American yellow fever viruses. This patient's illness represents a case of vaccine-preventable death since he failed to be immunized with a recommended preexposure yellow fever vaccine.
authors.affiliation: Department of Medicine, Graduate School of Medicine, The University of Tennessee Medical Center at Knoxville, 37920-6999, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: McFarland
authors.forename: L M
authors.initials: LM
authors.lastname: Baddour
authors.forename: J E
authors.initials: JE
authors.lastname: Nelson
authors.forename: S K
authors.initials: SK
authors.lastname: Elkins
authors.forename: R B
authors.initials: RB
authors.lastname: Craven
authors.forename: B C
authors.initials: BC
authors.lastname: Cropp
authors.forename: G J
authors.initials: GJ
authors.lastname: Chang
authors.forename: A D
authors.initials: AD
authors.lastname: Grindstaff
authors.forename: A S
authors.initials: AS
authors.lastname: Craig
authors.forename: R J
authors.initials: RJ
authors.lastname: Smith
mesh_terms: D000818:Animals; D002460:Cell Line; D017809:Fatal Outcome; D005814:Genes, Viral; D006801:Humans; D008297:Male; D008875:Middle Aged; D010802:Phylogeny; D015004:Yellow Fever / Q000503:physiopathology / Q000821:virology*; D015005:Yellow fever virus / Q000145:classification / Q000302:isolation & purification