Dengue in Guinea: Clinical Description and Investigation of an Imported Case
Traore FA *
National Institute of Public Health, Ministry of Health and Public Hygiene, Republic of Guinea and Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Republic of Guinea.
Kpamy DO
Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Republic of Guinea and National Health Security Agency, Ministry of Health and Public Hygiene, Republic of Guinea.
Sako FB
Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Republic of Guinea and National Directorate of Epidemiology and Disease Control, Ministry of Health and Public Hygiene, Republic of Guinea.
Touré AA
National Institute of Public Health, Ministry of Health and Public Hygiene, Republic of Guinea and Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Republic of Guinea.
Bah I
Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Republic of Guinea.
Diallo MOS
Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Republic of Guinea.
Diare A
National Health Security Agency, Ministry of Health and Public Hygiene, Republic of Guinea.
Kourouma ML
National Health Security Agency, Ministry of Health and Public Hygiene, Republic of Guinea.
Camara G
National Health Security Agency, Ministry of Health and Public Hygiene, Republic of Guinea.
Keita I
National Institute of Public Health, Ministry of Health and Public Hygiene, Republic of Guinea.
Doukouré SM
National Health Security Agency, Ministry of Health and Public Hygiene, Republic of Guinea.
Tolno F
National Health Security Agency, Ministry of Health and Public Hygiene, Republic of Guinea.
Leno JP
Ratoma Communal Health Directorate, Ministry of Health and Public Hygiene, Republic of Guinea.
Barry EL
Ratoma Communal Health Directorate, Ministry of Health and Public Hygiene, Republic of Guinea.
Keita K
Conakry City Health Directorate, Ministry of Health and Public Hygiene, Republic of Guinea.
Keita L
National Health Security Agency, Ministry of Health and Public Hygiene, Republic of Guinea.
Kagbadouno M
National Program for the Fight Against Neglected Tropical Diseases - Case management, Ministry of Health and Public Hygiene, Republic of Guinea.
Camara AD
National Program for the Fight Against Neglected Tropical Diseases - Case management, Ministry of Health and Public Hygiene, Republic of Guinea.
Balde TB
African Field Epidemiology Network, Uganda.
*Author to whom correspondence should be addressed.
Abstract
Introduction: A neglected tropical disease, we report a case of imported dengue fever in the Republic of Guinea in a student permanently resident in a neighbouring country who was visiting Conakry (Guinea) for professional reasons.
Case Presentation: Symptoms began with the onset of fever, headache, rhinorrhea and arthralgia motivating self-medication at home. He consulted two private clinics and was admitted to a national hospital before being transferred to a second hospital without improvement. The diagnosis of dengue fever was confirmed by RT-PCR 10 days after the onset of symptoms. The patient died of the disease. The active search for febrile cases showed no increase in the number of reports. No epidemiological link was found. The entomological survey was conducted around the confirmed case.
Conclusion: This report highlights the errors and delays in diagnosing a case of dengue fever and highlights the need to set up a robust surveillance system to prevent the potential spread of dengue fever in non-endemic areas. It also focuses on the sequencing of the isolated viral strain, its comparison with the strain circulating in the country of origin and the need for cross-border collaboration in the context of integrated disease surveillance and response and the International Health Regulations.
Keywords: Dengue, Guinea, importation, clinical, investigation, West Africa