Publications by authors named "Chris Aire"

Background: Managing Lassa fever (LF) patients is challenging because of the complexity of this life-threatening infectious disease, the necessary isolation measures, and the limited resources in countries where it is endemic. Point-of-care ultrasonography (POCUS) is a promising low-cost imaging technique that may help in guiding the management of patients.

Methods: We conducted this observational study at the Irrua Specialist Teaching Hospital in Nigeria.

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Article Synopsis
  • The study focuses on the emergence and dissemination patterns of the SARS-CoV-2 B.1.1.318 and B.1.525 (Eta) variants in Nigeria and Africa, highlighting their significance for public health policies during a pandemic.
  • By combining genomic and travel data, the research indicates that both variants originated from within Africa, with B.1.525 emerging specifically in Nigeria before spreading globally.
  • The findings emphasize the importance of understanding regional connectivity and bidirectional transmission in Africa, revealing that the risks of virus importation between countries have been underestimated.
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Background: Lassa fever is endemic in several west African countries. Case-fatality rates ranging from 21% to 69% have been reported. The pathophysiology of the disease in humans and determinants of mortality remain poorly understood.

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Objectives: To assess the prevalence of acute kidney injury (AKI), and its impact on outcome in hospitalized pediatric patients with Lassa fever (LF).

Methods: We reviewed the presenting clinical and laboratory features and outcomes of 40 successive hospitalized children with PCR-confirmed LF. The diagnosis and staging of AKI was based on KDIGO criteria.

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Lassa virus (LASV) is the causative agent of Lassa fever (LF), an often-fatal hemorrhagic disease. LF is endemic in Nigeria, Sierra Leone and other West African countries. Diagnosis of LASV infection is challenged by the genetic diversity of the virus, which is greatest in Nigeria.

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Lassa virus is genetically diverse with several lineages circulating in West Africa. This study aimed at describing the sequence variability of Lassa virus across Nigeria and inferring its spatiotemporal evolution. We sequenced and isolated 77 Lassa virus strains from 16 Nigerian states.

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Lassa fever in pregnancy causes high rates of maternal and fetal death, but limited data are available to guide clinicians. We retrospectively studied 30 pregnant Lassa fever patients treated with early ribavirin therapy and a conservative obstetric approach at a teaching hospital in southern Nigeria during January 2009–March 2018. Eleven (36.

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Article Synopsis
  • * Despite testing negative for the Lassa virus (LAV) in her blood, LAV was detected in her cerebrospinal fluid (CSF) through RT-PCR testing, leading to a diagnosis of acute LAV encephalitis.
  • * After receiving supportive care and an 18-day ribavirin treatment, she fully recovered with no long-term neurological issues, and follow-up tests showed no presence of the virus in her CSF.
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Background: Lassa fever is a viral haemorrhagic disease endemic to west Africa. No large-scale studies exist from Nigeria, where the Lassa virus (LASV) is most diverse. LASV diversity, coupled with host genetic and environmental factors, might cause differences in disease pathophysiology.

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To end the largest known outbreak of Ebola virus disease (EVD) in West Africa and to prevent new transmissions, rapid epidemiological tracing of cases and contacts was required. The ability to quickly identify unknown sources and chains of transmission is key to ending the EVD epidemic and of even greater importance in the context of recent reports of Ebola virus (EBOV) persistence in survivors. Phylogenetic analysis of complete EBOV genomes can provide important information on the source of any new infection.

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