title: A Health Care Worker with Ebola Virus Disease and Adverse Prognostic Factors Treated in Sierra Leone.
abstract: We describe the management of a Sierra Leonean health care worker with severe Ebola virus disease complicated by diarrhea, significant electrolyte disturbances, and falciparum malaria coinfection. With additional resources and staffing, high quality care can be provided to patients with Ebola infection and adverse prognostic factors in west Africa.
authors.affiliation: Department of Academic Medicine, Royal Centre for Defence Medicine, Birmingham, United Kingdom; U.K. Defence Medical Services Ebola Treatment Unit, Kerry Town, Sierra Leone; Royal Canadian Medical Services, Ottawa, Canada matthew.oshea@ndm.ox.ac.uk amcdjohnston@gmail.com.
authors.forename: Matthew K
authors.initials: MK
authors.lastname: O'Shea
authors.affiliation: Department of Academic Medicine, Royal Centre for Defence Medicine, Birmingham, United Kingdom; U.K. Defence Medical Services Ebola Treatment Unit, Kerry Town, Sierra Leone; Royal Canadian Medical Services, Ottawa, Canada.
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Clay
authors.affiliation: Department of Academic Medicine, Royal Centre for Defence Medicine, Birmingham, United Kingdom; U.K. Defence Medical Services Ebola Treatment Unit, Kerry Town, Sierra Leone; Royal Canadian Medical Services, Ottawa, Canada.
authors.forename: Darren G
authors.initials: DG
authors.lastname: Craig
authors.affiliation: Department of Academic Medicine, Royal Centre for Defence Medicine, Birmingham, United Kingdom; U.K. Defence Medical Services Ebola Treatment Unit, Kerry Town, Sierra Leone; Royal Canadian Medical Services, Ottawa, Canada.
authors.forename: Alastair J
authors.initials: AJ
authors.lastname: Moore
authors.affiliation: Department of Academic Medicine, Royal Centre for Defence Medicine, Birmingham, United Kingdom; U.K. Defence Medical Services Ebola Treatment Unit, Kerry Town, Sierra Leone; Royal Canadian Medical Services, Ottawa, Canada.
authors.forename: Stephen
authors.initials: S
authors.lastname: Lewis
authors.affiliation: Department of Academic Medicine, Royal Centre for Defence Medicine, Birmingham, United Kingdom; U.K. Defence Medical Services Ebola Treatment Unit, Kerry Town, Sierra Leone; Royal Canadian Medical Services, Ottawa, Canada.
authors.forename: Melanie
authors.initials: M
authors.lastname: Espina
authors.affiliation: Department of Academic Medicine, Royal Centre for Defence Medicine, Birmingham, United Kingdom; U.K. Defence Medical Services Ebola Treatment Unit, Kerry Town, Sierra Leone; Royal Canadian Medical Services, Ottawa, Canada.
authors.forename: Jeff
authors.initials: J
authors.lastname: Praught
authors.affiliation: Department of Academic Medicine, Royal Centre for Defence Medicine, Birmingham, United Kingdom; U.K. Defence Medical Services Ebola Treatment Unit, Kerry Town, Sierra Leone; Royal Canadian Medical Services, Ottawa, Canada.
authors.forename: Simon
authors.initials: S
authors.lastname: Horne
authors.affiliation: Department of Academic Medicine, Royal Centre for Defence Medicine, Birmingham, United Kingdom; U.K. Defence Medical Services Ebola Treatment Unit, Kerry Town, Sierra Leone; Royal Canadian Medical Services, Ottawa, Canada.
authors.forename: Raymond
authors.initials: R
authors.lastname: Kao
authors.affiliation: Department of Academic Medicine, Royal Centre for Defence Medicine, Birmingham, United Kingdom; U.K. Defence Medical Services Ebola Treatment Unit, Kerry Town, Sierra Leone; Royal Canadian Medical Services, Ottawa, Canada matthew.oshea@ndm.ox.ac.uk amcdjohnston@gmail.com.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Johnston
mesh_terms: D019142:Hemorrhagic Fever, Ebola / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D017758:Infectious Disease Transmission, Patient-to-Professional; D008297:Male; D011379:Prognosis; D012807:Sierra Leone; D055815:Young Adult