Ebola history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Michael Maddaleni, B.S.; Guillermo Rodriguez Nava, M.D. [2]
Overview
Ebola causes a variety of symptoms which may include fever, chills vomiting, diarrhea, generalized pain or malaise, and sometimes internal and external bleeding, that follow an incubation period of 2-21 days. These symptoms are common to all species of Ebola virus, but the different species may present with differences in the severity of symptoms.
History
- In an outbreak situation, several cases occur around the same time. They may be grouped together, and there may be person-to-person transmission. An initial diagnosis of a viral hemorrhagic fever (VHF) can be made based on the signs and symptoms of the specific [[VHF]
- Suspecting a VHF during a non-outbreak situation, in a single case is more difficult. The early symptoms of a VHF include high fever and headache. These are also symptoms of many infections seen at the health facility
- Most patients who present with fever do not have a VHF. Their fever is more often caused by malaria, typhoid fever, dysentery,severe bacterial infection or other fever-producing illness usually seen in the area
- When a patient presents with fever, exclude other causes of fever. For example, do a malaria smear or take a stool culture as soon as possible
- Treat the most likely cause of the fever according to the appropriate treatment guidelines
- If the fever continues after 3 days of recommended treatment, and if the patient shows evidence of bleeding or shock, consider a VHF
- Review the patient’s history for any contact with someone who was ill, with fever and bleeding or who died from an unexplained illness with these symptoms.
- If no other cause is found for the patient’s signs and symptoms, suspect a VHF. Begin VHF Isolation Precautions.[1]
The internal bleeding is caused by a chemical reaction between the virus and the platelets, which creates a chemical that will cut cell sized holes into the capillary walls. After 5-7 days, the person will die of "a million cuts." Occasionally, internal and external hemorrhage from orifices, such as the nose and mouth may also occur, as well as from incompletely healed injuries such as needle-puncture sites. Fewer than 50 percent of patients will not develop any hemorrhage.
Common Symptoms
- Symptoms are varied and often appear suddenly.
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Less Common Symptoms
- Severe bleeding (urine and/or gastrointestinal tract)
References
- ↑ "Infection Control for Viral Hemorrhagic Fevers in the African Health Care Setting" (PDF). line feed character in
|title=at position 75 (help) - ↑ Ndambi R, Akamituna P, Bonnet MJ, Tukadila AM, Muyembe-Tamfum JJ, Colebunders R (1999). "Epidemiologic and clinical aspects of the Ebola virus epidemic in Mosango, Democratic Republic of the Congo, 1995". J Infect Dis. 179 Suppl 1: S8–10. doi:10.1086/514297. PMID 9988156.
- ↑ Bwaka MA, Bonnet MJ, Calain P, Colebunders R, De Roo A, Guimard Y; et al. (1999). "Ebola hemorrhagic fever in Kikwit, Democratic Republic of the Congo: clinical observations in 103 patients". J Infect Dis. 179 Suppl 1: S1–7. doi:10.1086/514308. PMID 9988155.
- ↑ Feldmann H, Geisbert TW (2011). "Ebola haemorrhagic fever". Lancet. 377 (9768): 849–62. doi:10.1016/S0140-6736(10)60667-8. PMC 3406178. PMID 21084112.