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BMJ Case Reports 2016; doi:10.1136/bcr-2016-216054
  • CASE REPORT

Ultrastructural pathology of human liver in Rift Valley fever

  1. Noora Saeed2
  1. 1Department of Pathology, College of Medicine, King Khalid University, Abbha, Saudi Arabia
  2. 2Department of Pathology, Jawaharlal Nehru Medical College and Hospital, Aligarh, Uttar Pradesh, India
  1. Correspondence to Dr Noora Saeed, dr.noorasaeed{at}gmail.com
  • Accepted 17 July 2016
  • Published 2 August 2016

Summary

Rift Valley fever (RVF) is a zoonotic disease that primarily affects ruminant animals and can also cause fatal disease in humans. In the current report, we present the ultrastructural changes in the liver of a man aged 60 years who died from RVF in the Aseer Central Hospital, Abha, Saudi Arabia. The main hepatic changes by transmission electron microscopy included the presence of 95–115 nm electron-dense particles consistent with RVF virions, nuclear condensation, vacuolar degeneration, lipid droplet accumulation and mitochondrial damage and dilation. There were also viral inclusion bodies with electron-dense aggregates, dilation of intercellular spaces, damage of sinusoidal microvilli with widening of space of Disse, dilation of bile canaliculi and increasing number of phagolysosomes.

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