'The index case
was a seven-year-old child who took ill on July 2, 2019, with similar symptoms of fever and yellowness of the eyes but was referred to the General Hospital, Iboko.
Three of the five females were probably secondary ones exposed to the index case
who reported a history of direct contact with camels.
At the time of re-hospitalisation the index case
's twin was asymptomatic.
We defined the index case
as the first chikungunya patient reported by the NDSS within this region.
The index case
was brought to emergency with bilateral painful lower limbs.
On the one side, the authors described that the patient experienced 'recurrent episodes of loss of consciousness (in the absence of seizures).' In the next sentence, they state that 'the duration of these episodes was about 1 min while the seizure frequency was around 5-6 times per year.' These statements are contradictory and it remains unclear when the first seizures truly occurred in the index case
. What do the authors mean with 'in the absence of seizures?' According to the case description, it is conceivable that the onset of seizures was at the age 8 years, but this issue requires further specification.
Vytiaco explained that the government was not able to establish the index case
, or the very first farm affected by AI, due to non-reporting by farmers.
The researchers investigated the cluster, which comprised the family of the index case
(mother, father, three siblings).
Eligible child contacts were aged below 5 years old and shared the same household with a selected index case
within 3 months prior to the diagnosis of the latter.
(7) Unrecognized seropositive individuals may include family members of the index case
, who share the same source of brucellosis and similar genetic and environmental risk factors for the disease.
Here, we present a family in which MEN2A was detected in the index case
and two brothers had detected pheochromocytoma and medullary thyroid cancer.
An association of these younger patients with rickets, Down's syndrome, or a familial type of myelofibrosis has often been reported.1 The index case
is interesting as it was found in a 6-year old and there was no underlying cause.