Aseptic Meningitis Caused by Lassa Virus: Case Series Report

The Lassa virus is known to cause disease in different organ systems of the human body, with varying clinical manifestations. The features of severe clinical disease may include bleeding and/or central nervous system manifestations. Whereas Lassa fever encephalopathy and encephalitis are well described in the literature, there is paucity of data on Lassa virus meningitis. We present the clinical description, laboratory diagnosis, and management of 4 consecutive cases of aseptic meningitis associated with Lassa virus infection without bleeding seen in a region of Nigeria known to be endemic for both the reservoir rodent and Lassa fever. The 4 patients recovered fully following intravenous ribavirin treatment and suffered no neurologic complications.

[1]  P. Okokhere,et al.  Central nervous system manifestations of lassa fever in Nigeria and the effect on mortality , 2013, Journal of the Neurological Sciences.

[2]  Z. Colman Lassa Fever in Nigeria , 2013 .

[3]  Pardis C Sabeti,et al.  Molecular Diagnostics for Lassa Fever at Irrua Specialist Teaching Hospital, Nigeria: Lessons Learnt from Two Years of Laboratory Operation , 2012, PLoS neglected tropical diseases.

[4]  S. Günther,et al.  Hospital‐based surveillance for Lassa fever in Edo State, Nigeria, 2005–2008 , 2012, Tropical medicine & international health : TM & IH.

[5]  W. Marsden I and J , 2012 .

[6]  C. Drosten,et al.  Reverse ELISA for IgG and IgM antibodies to detect Lassa virus infections in Africa. , 2006, Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology.

[7]  S. Günther,et al.  Lassa Fever, Nigeria, 2003 and 2004 , 2005, Emerging infectious diseases.

[8]  D. Agbonlahor,et al.  Lassa virus: Seroepidemiological survey of rodents caught in Ekpoma and environs , 2005, Tropical doctor.

[9]  S. Günther,et al.  Lassa fever encephalopathy: Lassa virus in cerebrospinal fluid but not in serum. , 2001, The Journal of infectious diseases.

[10]  T. Ksiazek,et al.  Lassa fever in Guinea: I. Epidemiology of human disease and clinical observations. , 2001, Vector borne and zoonotic diseases.

[11]  A. White,et al.  Tropical Infectious Diseases: Principles, Pathogens, and Practice , 2000, Annals of Internal Medicine.

[12]  L. Hutwagner,et al.  Review of cases of nosocomial Lassa fever in Nigeria: the high price of poor medical practice , 1995, BMJ.

[13]  D. Brown,et al.  Early diagnosis of Lassa fever by reverse transcription-PCR , 1994, Journal of clinical microbiology.

[14]  J. McCormick,et al.  A case-control study of the clinical diagnosis and course of Lassa fever. , 1987, The Journal of infectious diseases.

[15]  P. Jahrling,et al.  EARLY DIAGNOSIS OF HUMAN LASSA FEVER BY ELISA DETECTION OF ANTIGEN AND ANTIBODY , 1985, The Lancet.

[16]  A. Anusz [Lassa fever]. , 1981, Pielegniarka i polozna.

[17]  T. Monath,et al.  Lassa fever in the Eastern Province of Sierra Leone, 1970-1972. II. Clinical observations and virological studies on selected hospital cases. , 1974, The American journal of tropical medicine and hygiene.