THE EARLY FIELD DIAGNOSIS OF EPIDEMIC HEMORRHAGIC FEVER

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Abstract
Experience gained in the study of cases of epidemic hemorrhagic fever evacuated through the clearing company of an American Division in Korea in the summer and fall of 1951 is summarized. Prominent symptoms are frontal headache, anorexia, nausea and vomiting and lumbar pain. Physical findings include "toxic" appearance, erythema of the face and neck, conjunctival injection and edema, pharyngeal injection, and palatal and axillary petechiae. Laboratory findings of most value are albuminuria and later, leukocytosis. Mono-nuclear cells also appear in the urine, and lipiduria is an interesting finding. Atypical cases without fever, with fever as their only symptom, and with symptoms of combat exhaustion, are occassionally seen. The disease has been most commonly confused with acute bacterial pharyngitis, influenza, infectious mononucleosis, and sometimes, infectious hepatitis.

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