chronic

Ebola Virus Disease

Treatment options, dosing, cautions and Egyptian brands from the shipped Dawaa Reference card.

Evidence status

Checked against the sources named below

Sources3 sources

Ebola Virus Disease - StatPearls (NCBI Bookshelf NBK560579) - https://www.ncbi.nlm.nih.gov/books/NBK560579/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class AD14.03 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care

Verified against1 document

No dose - referral pathway, no medicine given in primary care

Verified date2026-08

Presentation reference

Is it this?

Reference only, to read alongside your own examination.

Symptoms — what the patient reports (5)

Sudden fever with malaise, headache, poor appetite, and muscle aches marks the onset [fever · headache · malaise · muscle pain · poor appetite]
Nausea, abdominal pain, vomiting, and diarrhea follow the initial fever phase [abdominal pain · diarrhoea · fever · nausea · vomiting]
Red eyes, sore throat, and hiccups can also occur [hiccups · sore throat]
Breathlessness, cough, confusion, and prostration develop as the illness advances [breathlessness · confusion · cough]
Travel to an Ebola outbreak area within 2 to 21 days before symptom onset is a key exposure history

Signs — what you find (3)

A maculopapular rash with bleeding from mucous membranes, skin, eyes, nose, or ears can appear later in the early phase [bleeding · rash]
Fluid losses can average 3 to 5 liters a day and reach as much as 10 liters daily
Patients later in the illness, with higher viral loads, may present severely ill and in shock [shock]

Tests (7)

A complete blood count evaluates hemoglobin, platelets, and white cell counts
A metabolic panel can show acute kidney injury, electrolyte derangements, high liver enzymes, and low blood sugar
A coagulation profile - PT, aPTT, fibrinogen, INR - is monitored to detect coagulopathy
RT-PCR testing for the viral nucleoprotein or glycoprotein is the most sensitive diagnostic test
Rapid lateral flow tests show a pooled sensitivity of 85% and specificity of 95% against RT-PCR
Ebola IgM cannot be detected until at least 6 days after symptom onset
Chest x-ray is used to check for pulmonary edema from capillary leak syndrome

If not this — what else fits (3)

Marburg virus, Lassa fever, Crimean-Congo hemorrhagic fever, dengue, Rift Valley fever, and other bunyaviruses can also cause hemorrhage in a febrile patient
Illnesses with a similar early prodrome include malaria, typhoid fever, measles, leptospirosis, influenza, and COVID-19
Gastroenteritis from shigella, rotavirus, or norovirus can mimic the early gastrointestinal symptoms

SourceStatPearls "Ebola Virus Disease" - disease-level clinical article

Presentation findings are traced to the source above.

NO DRUG THERAPY IN PRIMARY CARE (RECOGNITION & REFERRAL)

1st line

Adult dose and duration

Severe viral haemorrhagic fever with high mortality and no local transmission risk in Egypt. A returning traveller from an active outbreak country with fever must be isolated and reported immediately rather than worked up as routine fever. - Refer

Paediatric dose

Children follow the same pathway: recognise and refer. No primary-care medicine is implied.

Dose source

No dose - referral pathway, no medicine given in primary care

Why

Cautions

Not endemic in Egypt. Relevant to a returning traveller or an imported case; consider the travel history before anything else.
No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.
RED FLAG - Fever plus travel to an active Ebola outbreak area in the past 21 days, or bleeding or haemorrhagic signs: a suspected case needs immediate isolation and health-authority notification, not outpatient management.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.