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The challenging management of Rift Valley Fever in humans: literature review of the clinical disease and algorithm proposal

Emilie Javelle 1, 2, 3, * Alexandre Lesueur 1 Vincent Pommier de Santi 2, 4, 3 Franck de Laval 4, 5 Thibault Lefebvre 6 Guillaume Holweck 1 Guillaume A. Durand 7, 8, 9 Isabelle Leparc-Goffart 8, 7, 9 Gaetan Texier 2, 4, 3 Fabrice Simon 1, 7, 3
* Corresponding author
1 Hôpital d'Instruction des Armées Laveran
2 VITROME - Vecteurs - Infections tropicales et méditerranéennes
3 IHU Marseille - Institut Hospitalier Universitaire Méditerranée Infection
4 CESPA - Centre d'épidémiologie et de santé publique des armées [Marseille]
5 SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale
6 Service de Santé des Armées
7 UVE - Unité des Virus Emergents
8 IRBA - Institut de Recherche Biomédicale des Armées [Antenne Marseille]
9 CNR Arbovirus - Centre National de Référence des Arbovirus [Marseille]
Unité de Virologie [Marseille]
Abstract : Rift Valley Fever (RVF) is an emerging zoonotic arbovirus with a complex cycle of transmission that makes difficult the prediction of its expansion. Recent outbreaks outside Africa have led to rediscover the human disease but it remains poorly known. The wide spectrum of acute and delayed manifestations with potential unfavorable outcome much complicate the management of suspected cases and prediction of morbidity and mortality during an outbreak. We reviewed literature data on bio-clinical characteristics and treatments of RVF human illness. We identified gaps in the field and provided a practical algorithm to assist clinicians in the cases assessment, determination of setting of care and prolonged follow-up.
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Emilie Javelle, Alexandre Lesueur, Vincent Pommier de Santi, Franck de Laval, Thibault Lefebvre, et al.. The challenging management of Rift Valley Fever in humans: literature review of the clinical disease and algorithm proposal. Annals of Clinical Microbiology and Antimicrobials, BioMed Central, 2020, 19 (1), pp.4. ⟨10.1186/s12941-020-0346-5⟩. ⟨inserm-02454557⟩

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