Interestingly, individual patients may suffer from both haemorrhagic and thrombotic sequelae during the course of their illness.
Macroscopically, haemorrhagic lesions which were observed in the lung 3, 5, 7 and 14 days after infection gradually disappeared.
Brain-damaged subjects were included if they experienced a singleepisode cerebrovascular accident (ischaemic stroke or haemorrhagic infarct) localized in one hemisphere.
After 9 days, two larvae were found in the optic chiasma plus a haemorrhagic legion and a larva in the retina (fig. 3).
There was only one haemorrhagic death at presentation within the study group, due to a gastrointestinal bleed associated with steroid treatment.
The researchers had specific definitions and grades for both thromboembolic and haemorrhagic complications.
The tentative diagnosis was haemorrhagic fever and sepsis.
It would seem that the haemorrhagic side-effects outweigh the benefits in routine s econdary prevention.