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Lassa Fever in a Rural Setting

Discussion

A 35-year-old female farmer from a remote village presented to a local health center with a four-day history of fever, fatigue, and severe headache. She reported worsening symptoms, including muscle pain, chest discomfort, and a persistent sore throat. Over the past two days, she also experienced nausea and vomiting. Her condition raised concern when she began showing signs of bleeding gums and nosebleeds.

The patient had been living in a small house where rodents were frequently observed, especially around stored grain. She mentioned that other family members had recently experienced similar, milder symptoms. Given her rural environment and potential exposure to rodent droppings, the healthcare team suspected a viral haemorrhagic fever, specifically Lassa fever, a disease endemic in the region.

Laboratory tests confirmed the diagnosis, and the patient was admitted for isolation and supportive care. Public health officials were alerted, and efforts were made to inform the village about the risks associated with rodent exposure. The health department implemented rodent control measures and provided education on proper food storage and hygiene practices to prevent further infections.

The case highlighted the importance of early recognition of Lassa fever in rural areas, public health surveillance, and community-based interventions to control rodent populations and reduce the spread of the virus.

Questions
1. What were the initial symptoms that led the patient to seek medical attention?

a). Cough and shortness of breath

b). Fever, fatigue, and severe headache

c). Rash and joint pain

d). Abdominal pain and diarrhoea

 

 

 

 

 

2. What environmental factor contributed to the patient’s risk of Lassa fever?

a). Contaminated water supply

b). Close contact with infected individuals

c). Presence of rodents around stored grain

d). Recent travel to an urban area

3. What key symptom indicated a more severe progression of the disease?

a). Mild headache

b). Bleeding gums and nosebleeds

c). Loss of appetite

d). Fatigue

4. What public health measures were taken following the diagnosis of Lassa fever in this case?

a). Immediate vaccination of all villagers

b). Implementation of rodent control measures and education on food storage

c). Quarantine of the entire village

d). Closure of local markets

Reveal answers

Answers

  1. b). Fever, fatigue, and severe headache
  2. c). Presence of rodents around stored grain
  3. b). Bleeding gums and nosebleeds
  4. b). Implementation of rodent control measures and education on food storage