Abstract
Disease: Marburg hemorrhagic fever, Ebola hemorrhagic fever.
Etiologic Agents: Marburg virus, Ebola-Sudan virus, Ebola-Zaire virus.
Source: Unknown.
Clinical Manifestations: Acute onset with headache, myalgia, and lethargy. Leads to gastrointestinal symptoms and rash. Serious cases involve severe hemorrhagic manifestations. Death follows blood loss and shock. Mortality can be near 90% in an outbreak.
Pathology: Virus is present in most organs, and lesions are found in many organs. Vascular collapse leading to shock may be due to endothelial damage.
Laboratory Diagnosis: Diagnosis is made by virus isolation from blood and other tissues or by a fourfold rise in indirect fluorescence antibody titer. Caution must be used when handling specimens as viruses are extremely virulent.
Epidemiology: Viruses are indigenous to Africa.
Treatment: None proven.
Prevention and Control: No vaccine is available. Control is by good barrier nursing techniques and proper use of syringes and needles.
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Kiley, M.P. (1988). Filoviridae: Marburg and Ebola Viruses. In: Laboratory Diagnosis of Infectious Diseases Principles and Practice. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3900-0_30
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DOI: https://doi.org/10.1007/978-1-4612-3900-0_30
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