Since the disease can progresses in serious cases to pharynx inflammation, conjunctivitis, abdominal pains, diarrhoea, vomiting and clinical manifestations that range from facial drops to respiratory symptoms, loss of hearing, acute hemorrhagic fever, multiple-organ failure, foetal loss and death, 1,2 that under and misdiagnosis is a problem as early diagnosis
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Hasan et al. (2021) studied this question.
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