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A Case of Yellow Fever Vaccine–Associated Viscerotropic Disease in Ecuador

Richard W. DouceHospital Vozandes, Quito, Ecuador

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Diana FreireHospital Vozandes, Quito, Ecuador

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Betzabe TelloHospital Vozandes, Quito, Ecuador

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Gavino A. VásquezHospital Vozandes, Quito, Ecuador

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We report the first case of viscerotropic syndrome in Ecuador. Because of similarities between yellow fever and viscerotropic syndrome, the incidence of this recently described complication of vaccination with the 17D yellow fever vaccine is not known. There is a large population in South America that is considered at risk for possible reemergence of urban yellow fever. Knowledge of potentially fatal complications of yellow fever vaccine should temper decisions to vaccinate populations where the disease is not endemic.

Author Notes

*Address correspondence to Richard W. Douce, Hospital Vozandes, Casilla 0691, Quito, Ecuador. E-mail: rdouce@hcjb.org.ec

Authors' address: Richard W. Douce, Diana Freire, Betzabe Tello, and Gavino A. Vásquez, Hospital Vozandes, Quito, Ecuador.

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