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InfectiousICD-10: A95An estimated 200,000 cases and 30,000 deaths worldwide annually, mostly in Africa

Yellow Fever

Also known as: Yellow jack, Bronze John

Yellow fever is a serious viral hemorrhagic disease transmitted by infected mosquitoes, primarily in tropical and subtropical areas of Africa and South America. Most infections cause mild illness, but a small percentage progress to a severe phase with jaundice, bleeding, and organ failure that can be fatal. A highly effective vaccine provides lifelong protection.

Symptoms

Sudden onset of fever, chills, and headache
Muscle aches especially in the back and knees
Nausea, vomiting, and loss of appetite
Jaundice (yellowing of the skin and eyes) in severe cases
Bleeding from the mouth, nose, eyes, or stomach in severe cases
Decreased urination and kidney failure
Most people recover after the initial phase

Causes

  • Infection with the yellow fever virus, a flavivirus
  • Transmission through the bite of infected Aedes or Haemagogus mosquitoes
  • Maintained in nature through a cycle between mosquitoes and primates

Risk Factors

  • Travel to or residence in endemic areas of Africa or South America
  • Lack of vaccination
  • Outdoor activities in tropical regions with mosquito exposure
  • Unvaccinated individuals over age 60 at higher risk for severe disease

Diagnosis

  • Blood tests for yellow fever-specific IgM and IgG antibodies
  • PCR testing for viral RNA in early illness
  • Liver function tests and blood clotting studies
  • Cross-reactivity with other flaviviruses requires careful interpretation

Treatment

  • No specific antiviral treatment available
  • Supportive care with rest, fluids, and pain management
  • Hospitalization for severe cases with monitoring of organ function
  • Blood transfusion for bleeding complications
  • Avoiding aspirin and NSAIDs that can worsen bleeding

Prevention

  • Yellow fever vaccine providing lifelong protection with a single dose
  • Vaccination required for travel to many endemic countries
  • Mosquito bite prevention with repellent and protective clothing
  • Eliminating mosquito breeding sites

When to See a Doctor

  • Fever with jaundice after travel to an endemic area
  • Symptoms developing within two weeks of visiting an at-risk region
  • Any signs of bleeding or organ dysfunction

Frequently Asked Questions

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