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UNSW Embryology

Abnormal Development - Lassa virus

© Dr Mark Hill (2009)

Acknowledgements

Introduction

Lassa virus is a member of the virus family Arenaviridae, a single-stranded RNA virus. The virus is the causative agent of a hemorrhagic fever and can be transmitted between species (zoonotic). Discovered in 1969 when two missionary nurses died in Nigeria and today still occurs mainly in West Africa.

Death rates are high for women in the third trimester of pregnancy. Fetal death (95%) occurs in uterus of infected pregnant mothers.

Lassa virus virions (Image: CDC USA)

Page Links: Introduction | Some Recent Findings | References | WWW Links | Glossary

Some Recent Findings

Gunther S, Lenz O. Lassa virus. Crit Rev Clin Lab Sci. 2004;41(4):339-90.

Ornoy A, Tenenbaum A. Pregnancy outcome following infections by coxsackie, echo, measles, mumps, hepatitis, polio and encephalitis viruses. Reprod Toxicol. 2006 May;21(4):446-57.

Viral Infections

Below is a list of some known maternal, then fetal and postnatal infections that impact upon development.

Only a very brief overview is given, for more details see the listed internal and external links.

Australian NHMRC Recommendations

The Australian NHMRC (1988) recommends neonates be assessed for follow-up care under the following conditions.

(see the NHMRC WWW Page)

WWW Links

WHO Haemorrhagic fevers, Viral

CDC (USA)

Viral Hemorrhagic Fevers

Haemorrhagic fevers, ebola

Public Health Training Network Epidemiology and Prevention of Vaccine-Preventable Diseases (viewable Webcasts requires Media Player) |

Advisory Committee on Immunization Practices (ACIP) Recommendations

Royal College of Obstetricians and Gynaecologists (UK)

Infection and Pregnancy - study group recommendations (Jun 2001)

References

Reviews | Articles | Search NCBI Bookshelf | Search PubMed | Glossary

Reviews

Gunther S, Lenz O. Lassa virus. Crit Rev Clin Lab Sci. 2004;41(4):339-90.

Fisher-Hoch SP, McCormick JB. Lassa fever vaccine. Expert Rev Vaccines. 2004 Apr;3(2):189-97.

Degani S. Sonographic findings in fetal viral infections: a systematic review. Obstet Gynecol Surv. 2006 May;61(5):329-36.

Ornoy A, Tenenbaum A. Pregnancy outcome following infections by coxsackie, echo, measles, mumps, hepatitis, polio and encephalitis viruses. Reprod Toxicol. 2006 May;21(4):446-57.

Giles ML, Garland SM, Grover SR, Lewin SM, Hellard ME. Impact of an education campaign on management in pregnancy of women infected with a blood-borne virus. Med J Aust. 2006 Apr 17;184(8):389-92.

Articles

Search NCBI Bookshelf: prenatal viral infection | Medical Microbiology - prenatal viral infection

Search PubMed: Search May 2006 "lassa virus" 370 reference articles of which 27 were reviews.

Search term = lassa virus | prenatal viral infection

Glossary of Terms

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

Other Maternal Factors Prenatal

Alcohol "Fetal Alcohol Syndrome"

Smoking

Chemical

Drug Use

Legal Drugs

Folic Acid

Nutrition

Viral Infection

Rubella

Polio

Sexually Transmitted Diseases

Syphilis

cytomegalovirus

Iodine Deficiency

Trauma

These links require online access to Merck Manuals on Women's Health Issues. http://www.merck.com/mrkshared/mmanual_home2/sec22/sec22.jsp

Risk Factors Present Before Pregnancy

Risk Factors That Develop During Pregnancy

Diseases that complicate Pregnancy

Problems Affecting the Fetus or Newborn

Heart Disease

Heart Failure

Rheumatic Heart Disease

Birth Defects of Heart

Mitral Valve Prolapse

High Blood Pressure

Anemias

Kidney Disease

Infectious Disease

Diabetes

Thyroid

Liver

Asthma

Systemic Lupus Erythematosus

Rheumatoid Arthritis

Myasthenia Gravis

Idiopathic Thrombocytopenic Purpura

>Surgery During Pregnancy

Non-Maternal Postnatal Factors

Sudden Infant Death Syndrome (SIDS)

Malnutrition

Infection

Trauma

Iodine Deficiency

chemical

see also Normal Childhood Development

Where to Next?

You should look at normal development of the effected systems in the embryo. Development Notes

Alternatively, go on to look at Systematic Development of organs and tissues.

Quick Links

Finally

For those wanting to see dynamic processes of development (and have a reasonably quick connection) then the Movies pages are good for watching changes occur.

Other Embryos

The study of human development has relied extensively on studying the process in other model animals. For those wanting to see the process of development in other species then the other embryos pages are a good start.

UNSW Embryology ISBN: 978 0 7334 2609 4

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