1921
Volume 94, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract

We report the case of an Ebola virus (EBOV) RNA–negative pregnant woman who delivered an EBOV RNA–positive stillborn infant at a community health center in rural Sierra Leone, 1 month after the mother's last possible exposure. The mother was later found to be immunoglobulins M and G positive indicating previous infection. The apparent absence of Ebola symptoms and not recognizing that the woman had previous contact with an Ebola patient led health workers performing the delivery to wear only minimal personal protection, potentially exposing them to a high risk of EBOV infection. This case emphasizes the importance of screening for epidemiological risk factors as well as classic and atypical symptoms of Ebola when caring for pregnant women, even once they have passed the typical time frame for exposure and incubation expected in nonpregnant adults. It also illustrates the need for health-care workers to use appropriate personal protection equipment when caring for pregnant women in an Ebola setting.

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/content/journals/10.4269/ajtmh.15-0619
2016-02-03
2017-11-22
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References

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  5. Sierra Leone Ministry of Health and Sanitation, World Health Organization, 2014. Clinical Management of Patients in the Ebola Treatment Centers and Other Care Centers in Sierra Leone: A Pocket Guide (Interim Emergency Guidelines). Freetown, Sierra Leone: Ministry of Health and Sanitation.
  6. Caluwaerts S, Lagrou D, , 2014. Guidance Paper—Pregnant Women in Ebola Treatment Center—MSF-OCB 2014—v1.4. Available at: https://www.rcog.org.uk/globalassets/documents/news/etc-preg-guidance-paper.pdf. Accessed March 10, 2015.
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  • Received : 24 Aug 2015
  • Accepted : 30 Sep 2015

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