| Age (yrs) |
46 |
42 |
34 |
44 |
33 |
| Nationality |
Dutch |
French |
Romanian |
Swiss |
German |
| Reporting site |
Netherlands |
France |
Romania |
Switzerland |
United Kingdom |
| Area (state) of presumed yellow fever acquisition |
Mairiporã (São Paulo) |
(Minas Gerais) |
Ilha Grande (Rio de Janeiro) |
Ilha Grande (Rio de Janeiro) |
Ilha Grande (Rio de Janeiro) |
| Signs/Symptoms |
Fever, headache, myalgia, nausea, vomiting, diarrhea |
Fever |
Fever, rash, myalgia, encephalopathy |
Fever, petechial rash, arthralgia, vomiting, diarrhea |
Fever, malaise, nausea, jaundice, hepatomegaly |
| Clinical/Laboratory findings |
Hepatitis |
Hepatitis, thrombocytopenia, neutropenia |
Renal and hepatic failure |
Renal and hepatic failure |
Thrombocytopenia, renal and hepatic failure |
| Yellow fever diagnostic testing |
Positive RT-PCR for YFV (urine, whole blood, plasma) |
Positive RT-PCR (blood); positive IgM (initial diagnosis made in Brazil) |
Positive PCR (serum, urine); YF IgM positive; IgG titers rising days 4–8 |
Positive PCR (blood) |
Positive RT-PCR (serum, urine) |
| Yellow fever vaccination status |
No |
No |
No |
No |
No |
| Outcome |
Recovered |
Recovered |
Condition improving as of March 15, 2018 |
Died |
Died |
