Imported yellow fever in a United States citizen.
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.
McFarland
J M
JM
Department of Medicine, Graduate School of Medicine, The University of Tennessee Medical Center at Knoxville, 37920-6999, USA.
Baddour
L M
LM
Nelson
J E
JE
Elkins
S K
SK
Craven
R B
RB
Cropp
B C
BC
Chang
G J
GJ
Grindstaff
A D
AD
Craig
A S
AS
Smith
R J
RJ
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