ID4U - Infectious Disease Podcasts for Users of the CMES program
Jul 16, 2026 · 15 min · 14 segments
Dr. Jessica Pelletier, Dr. Sidwell Kyeyune, and Dr. Kakande Reagan discuss the epidemiology, pathophysiology, clinical presentation, diagnostic workup, management, and prevention of Marburg virus…
Kakande ReaganGuest
Jess PelletierHostSidwell KayuniGuestYou're at the emergency department, and you receive a 25-year-old male, a coal miner.
He was admitted a few minutes back with a three-day history of fever, malaise, headache, and nausea.
He obtained a clinical assessment at the clinic nearby his home where he was diagnosed with malaria and was prescribed analgesics and oral antimalarials.
Since his assessment, he has had multiple episodes of vomiting, worsening myalgia, and anorexia.
Earlier today, he developed difficulty in breathing, has had bloody vomitus, bloody stool, and abdominal pain.
When you go ahead to examine him, you find that he's febrile with a temperature of 38.9 degrees.
He's having bloody secretions and is bleeding through the nose and mouth and has episodes of vomiting blood.
Following your assessment, this prompts you to think about possible viral hemorrhagic fever, and you proceed to isolate this patient.
You collect blood samples, run some labs, VCBC, liver immune function tests, malaria test, as well as check any possible causes of viral hemorrhagic fever, including serology, ELISA, PCR, and the RT-PCR.
In the meantime, as we have his labs pending, we initiate fluid resuscitation.
We are evaluating for possible blood transfusion and start symptomatic management with analgesia and antibiotics as well as treat his underlying malaria and assessing for any other co-infections.
You're at the emergency department, and you receive a 25-year-old male, a coal miner.
He was admitted a few minutes back with a three-day history of fever, malaise, headache, and nausea.
He obtained a clinical assessment at the clinic nearby his home where he was diagnosed with malaria and was prescribed analgesics and oral antimalarials.
Since his assessment, he has had multiple episodes of vomiting, worsening myalgia, and anorexia.
Earlier today, he developed difficulty in breathing, has had bloody vomitus, bloody stool, and abdominal pain.
When you go ahead to examine him, you find that he's febrile with a temperature of 38.9 degrees.
He's having bloody secretions and is bleeding through the nose and mouth and has episodes of vomiting blood.
Following your assessment, this prompts you to think about possible viral hemorrhagic fever, and you proceed to isolate this patient.
You collect blood samples, run some labs, VCBC, liver immune function tests, malaria test, as well as check any possible causes of viral hemorrhagic fever, including serology, ELISA, PCR, and the RT-PCR.
In the meantime, as we have his labs pending, we initiate fluid resuscitation.
We are evaluating for possible blood transfusion and start symptomatic management with analgesia and antibiotics as well as treat his underlying malaria and assessing for any other co-infections.
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