{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T23:56:57Z","timestamp":1781654217461,"version":"3.54.5"},"reference-count":9,"publisher":"BMJ","issue":"6508","license":[{"start":{"date-parts":[[1985,11,30]],"date-time":"1985-11-30T00:00:00Z","timestamp":502156800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1985,11,30]]},"abstract":"<jats:p>During 1984, 23 patients in whom a diagnosis of viral haemorrhagic fever was considered presented to the accident and emergency department at St Thomas's Hospital. There were no confirmed cases of viral haemorrhagic fever. Nine patients were transferred to Coppett's Wood Hospital, the nearest specially designated high security isolation unit. Malaria was the final diagnosis in 14, and in six this diagnosis was confirmed only after examining repeated smears at Coppett's Wood Hospital. Transferral of patients to such units is time consuming, expensive, and often unnecessary. Specially designated isolation units in district general hospitals and all teaching hospitals would simplify and improve the care not only of patients with a possible viral haemorrhagic fever but also patients with tuberculosis, multiply resistant staphylococcal infections, and viral infections that may be hazardous if transmitted to immunocompromised patients.<\/jats:p>","DOI":"10.1136\/bmj.291.6508.1554","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"1554-1555","source":"Crossref","is-referenced-by-count":5,"title":["Patients with suspected Lassa fever in London during 1984: problems in their management at St Thomas's Hospital."],"prefix":"10.1136","volume":"291","author":[{"given":"A J","family":"Tilzey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Webster","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J E","family":"Banatvala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1985,11,30]]},"reference":[{"key":"ref_1","first-page":"966","article-title":"Assessment of patients with suspected viral haemorrhagic fevers","volume":"i:","author":"RID, I.Emond; H, Smith; PD, Welsh","year":"1978","unstructured":"I Emond RID, Smith H, Welsh PD. Assessment of patients with suspected viral haemorrhagic fevers. Br Medy 1978;i:966-7.","journal-title":"Br Medy"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"677","DOI":"10.4269\/ajtmh.1970.19.677","article-title":"Lassa fever, a new virus disease of man from West Africa 11. Report of a laboratoryacquired infection treated with plasma from a person recently recovered from the disease","volume":"19","author":"Leifer, E.","year":"1970","unstructured":"Leifer E. Lassa fever, a new virus disease of man from West Africa 11. Report of a laboratoryacquired infection treated with plasma from a person recently recovered from the disease. AmJ7 Trop Med Hvg 1970;19:677-9.","journal-title":"AmJ7 Trop Med Hvg"},{"key":"ref_3","first-page":"152","article-title":"Public health aspects of viral haemorrhagic fevers in Britain","volume":"98","author":"Galbraith, N.S.; Berrie, J.R.H.; Forbes, P.; Young, S.","year":"1978","unstructured":"Galbraith NS, Berrie JRH, Forbes P, Young S. Public health aspects of viral haemorrhagic fevers in Britain. R SocHealihJ 1978;98:152-61.","journal-title":"R SocHealihJ"},{"key":"ref_4","first-page":"1003","article-title":"A case of Lassa fever: experience at St Thomas's Hospital","volume":"285","author":"Cooper, C.B.; Gransden, W.R.; Webster, M.","year":"1982","unstructured":"Cooper CB, Gransden WR, Webster M, et al. A case of Lassa fever: experience at St Thomas's Hospital. BrMedJ 1982;285:1003-5.","journal-title":"BrMedJ"},{"key":"ref_5","article-title":"Memorandum in Lassa fever","author":"Department of Health and Social Security, Welsh Office","year":"1976","unstructured":"Department of Health and Social Security, Welsh Office. Memorandum in Lassa fever. London: HMSO, 1976."},{"key":"ref_6","year":"1985","unstructured":"(Accepted 13 August 1985)"},{"key":"ref_7","first-page":"12","article-title":"Rate-responsive pacing","volume-title":"Clinical Progress in Pacing and Electrophysiology 1983; 1","author":"Rickards, A.F.; Donaldson, R.M.","unstructured":"Rickards AF, Donaldson RM. Rate-responsive pacing. Clinical Progress in Pacing and Electrophysiology 1983; 1: 12-9."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1344","DOI":"10.1111\/j.1540-8159.1983.tb04478.x","article-title":"Rate-responsive pacing using the evoked QT principle. A physiological alternative to atrial synchronous pacemakers","volume":"6","author":"Donaldson, R.M.; Rickards, A.F.","year":"1983","unstructured":"Donaldson RM, Rickards AF. Rate-responsive pacing using the evoked QT principle. A physiological alternative to atrial synchronous pacemakers. PACE 1983;6:1344-9.","journal-title":"PACE"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1111\/j.1540-8159.1985.tb05766.x","article-title":"Rate-responsive pacing: clinical experience","volume":"8","author":"de Oro A, Goicolea; MW, Ayza; R, De La Llana","year":"1985","unstructured":"Goicolea de Oro A, Ayza MW, De La Llana R, et al. Rate-responsive pacing: clinical experience. PACE 1985;8:322-8.","journal-title":"PACE"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.291.6508.1554","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.291.6508.1554","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T19:32:15Z","timestamp":1765481535000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.291.6508.1554"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1985,11,30]]},"references-count":9,"journal-issue":{"issue":"6508","published-online":{"date-parts":[[1985,11,30]]},"published-print":{"date-parts":[[1985,11,30]]}},"alternative-id":["10.1136\/bmj.291.6508.1554"],"URL":"https:\/\/doi.org\/10.1136\/bmj.291.6508.1554","relation":{},"ISSN":["0267-0623","1468-5833"],"issn-type":[{"value":"0267-0623","type":"print"},{"value":"1468-5833","type":"electronic"}],"subject":[],"published":{"date-parts":[[1985,11,30]]}}}