{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T01:00:45Z","timestamp":1783472445808,"version":"3.55.0"},"reference-count":18,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:p>We report the first case of viscerotropic syndrome in Ecuador. Because of similarities between yellow fever and viscerotropic syndrome, the incidence of this recently described complication of vaccination with the 17D yellow fever vaccine is not known. There is a large population in South America that is considered at risk for possible reemergence of urban yellow fever. Knowledge of potentially fatal complications of yellow fever vaccine should temper decisions to vaccinate populations where the disease is not endemic.<\/jats:p>","DOI":"10.4269\/ajtmh.2010.09-0570","type":"journal-article","created":{"date-parts":[[2010,3,26]],"date-time":"2010-03-26T23:33:07Z","timestamp":1269646387000},"page":"740-742","source":"Crossref","is-referenced-by-count":8,"title":["A Case of Yellow Fever Vaccine\u2013Associated Viscerotropic Disease in Ecuador"],"prefix":"10.4269","volume":"82","author":[{"given":"Richard W.","family":"Douce","sequence":"first","affiliation":[{"name":"Hospital Vozandes, Quito, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Freire","sequence":"additional","affiliation":[{"name":"Hospital Vozandes, Quito, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Betzabe","family":"Tello","sequence":"additional","affiliation":[{"name":"Hospital Vozandes, Quito, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavino A.","family":"V\u00e1squez","sequence":"additional","affiliation":[{"name":"Hospital Vozandes, Quito, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"R1","series-title":"Control of Yellow Fever: Field Guide","author":"Pan American Health Organization","year":"2005"},{"key":"R2","series-title":"PAHO Epidemiol Bull","first-page":"1","article-title":"Outbreak of yellow fever in Paraguay","volume":"27","author":"Pan American Health Organization","year":"2008"},{"key":"R3","series-title":"Final Statement by the Pan American Health Organization\/World Health Organization (PAHO\/WHO) on Investigation of Serious Adverse Events in Peru following Receipt of Yellow Fever Vaccine Produced by Bio-Manguinhos, Brazil. 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