McFarland J M, Baddour L M, Nelson J E, Elkins S K, Craven R B, Cropp B C, Chang G J, Grindstaff A D, Craig A S, Smith R J
Department of Medicine, Graduate School of Medicine, The University of Tennessee Medical Center at Knoxville, 37920-6999, USA.
Clin Infect Dis. 1997 Nov;25(5):1143-7. doi: 10.1086/516111.
The last imported case of yellow fever seen in this country was in 1924. We report a case of yellow fever acquired by an American tourist who visited the jungles of Brazil along the Rio Negro and Amazon Rivers. The patient died 6 days after hospital admission and 10 days after his first symptoms appeared. Yellow fever virus was recovered from clinical specimens, and the isolate was genetically similar to the E genotype IIB of South American yellow fever viruses. This patient's illness represents a case of vaccine-preventable death since he failed to be immunized with a recommended preexposure yellow fever vaccine.
该国最后一例输入性黄热病病例出现在1924年。我们报告了一例黄热病病例，患者为一名美国游客，他游览了巴西沿内格罗河和亚马逊河的丛林地区。患者在入院6天后死亡，出现首次症状10天后死亡。从临床标本中分离出了黄热病病毒，分离株在基因上与南美黄热病病毒的E基因型IIB相似。由于该患者未按照建议接种暴露前黄热病疫苗，他的死亡属于疫苗可预防的死亡病例。
