Ebola virus infection - Viral hemorrhagic fever

Critical urgency
-Very severe
It is an infectious disease caused by the Ebola virus. It is highly virulent, with a mortality rate close to 60%. It is only transmitted by sick people (not carriers) via contact with body secretions, blood or implanted tissue. It manifests with high fever and muscle pain, headache, pain when swallowing, vomiting and/or bleeding. It is suspected if there has been previous contact with people in endemic areas (Liberia, Sierra Leone, Guinea-Conakry, and Nigeria). It is confirmed by laboratory tests. There is no specific treatment. It is always urgent to seek a consultation when infection and fever are suspected.
Bibliographic references
  1. Mike Bray, Daniel S Chertow. Epidemiology and pathogenesis of Ebola virus disease. UpToDate. Apr 12, 2016.
  2. Mike Bray, Daniel S Chertow. Clinical manifestations and diagnosis of Ebola virus disease. UpToDate. Apr 28, 2016.
  3. Mike Bray, Daniel S Chertow. Treatment and prevention of Ebola virus disease. UpToDate. Oct 25, 2016.
  4. Uyeki TM, Mehta AK, Davey RT Jr, et al. Clinical Management of Ebola Virus Disease in the United States and Europe. N Engl J Med 2016; 374:636.
  5. WHO Ebola Response Team. Ebola Virus Disease among Male and Female Persons in West Africa. N Engl J Med 2016; 374:96.
  6. Dean NE, Halloran ME, Yang Y, Longini IM. Transmissibility and Pathogenicity of Ebola Virus: A Systematic Review and Meta-analysis of Household Secondary Attack Rate and Asymptomatic Infection. Clin Infect Dis 2016; 62:1277.
  7. Janvier F, Foissaud V, Cotte J, et al. Monitoring of Prognostic Laboratory Markers in Ebola Virus Disease. J Infect Dis 2016; 213:1049.
  8. Ministerio de Sanidad, Servicios Sociales e Igualdad. INFORMACIÓN SOBRE EL BROTE DE ENFERMEDAD POR VIRUS ÉBOLA (EVE). Last accessed: Feb 15, 2017 https://www.msssi.gob.es/profesionales/saludPublica/ccayes/alertasActual/ebola/infProfesionales.htm
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Bleeding through the ear


    Widespread muscle pain


    Diarrhea with blood


    High fever of 40ºC/104ºF or above


    Tiredness / fatigue

Pre-hospital care recommendations

Call medical assistance for instructions.
Keep calm.
Use over-the-counter analgesics and antipyretics for muscle pain or fever (temperature > 100.4 F).