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Ebola — symptoms reference

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Phase 1 — Early (days 1-3 after symptom onset)

  • Sudden fever (often >38.6°C / 101.5°F)
  • Severe fatigue / weakness
  • Muscle pain
  • Headache
  • Sore throat

Often mistaken for flu, malaria, or typhoid — exposure history is critical.

Phase 2 — Advanced (days 4-10)

  • Vomiting
  • Diarrhea (often bloody)
  • Rash
  • Impaired kidney and liver function
  • In severe cases: internal and external bleeding (e.g. oozing from gums, blood in stool)

Death typically occurs days 6-16 after symptom onset from multi-organ failure or shock.

Transmission

Quick facts

Family
Filoviridae
Incubation
2-21 days (typically 8-10 days)
Mortality
25-90% case fatality historically; recent outbreaks 40-60% with supportive care, lower with mAb114/REGN-EB3 therapy
Vaccine
Yes (Ervebo for Zaire ebolavirus)
When to seek care: Immediately if you develop unexplained fever within 21 days of: (a) travel to an active ebola outbreak area, (b) contact with a confirmed/suspected case, (c) contact with sick wildlife (fruit bats, non-human primates), or (d) work in a healthcare setting that treats ebola. Tell the clinician about exposure history BEFORE clinical examination.
This page is informational, not medical advice. If you have potential ebola exposure, contact your local health authority or call your country's emergency line.