Emergency Preparedness

Kern Medical Bioterrorism Response Guide Section 2-C-2 – Viral Hemorrhagic Fever

Table 1: VHF Differential Diagnostic Variables Viral Hemorrhagic Fever (HF) Prominent Clinical Variables Argentine and Bolivian HF

Epigastric, retroorbital and low back pain, vesicles on palate, hyporeflexia with gait abnormalities, tremors of tongue and upper extremities, hematuria, proteinuria Retrosternal chest pain, back pain, sore throat, peripheral edema, proteinuria, hemorrhage uncommon, hearing loss, elevated AST Retinitis, loss of vision (delayed), jaundice, DIC DIC, thrombocytopenia, jaundice Renal failure, proteinuria, hematuria, oliguria, polyuric, blanching erythemic rash Pulmonary vascular permeability, ARDS, hypoxia, dyspnea, hemorrhage and renal failure rare Photophobia, lymphadenopathy, jaundice, pancreatitis, delirium, coma, maculopapular rash on truck, DIC

Lassa fever

Rift Valley fever

Crimean-Congo fever Hantavirus HF with Renal Syndrome Hantavirus Pulmonary Syndrome

Marburg and Ebola HF

Yellow fever

Jaundice

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