Table 3.
Features of acute Ebola virus disease illness associated with convalescent symptoms and diagnoses at first survivor clinic visit.
Uveitis | Ocular symptom or ocular diagnoses1 | Auditory symptoms2 | Arthralgias2 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Yes (N=50) | No (N=227) | p | Yes (N=167 ) | No (N=110 ) | p | Yes (N=67 ) | No (N=210 ) | p | Yes (N=210 ) | No (N=67 ) | p | |
Sex | 0·08 | 0·08 | 0·08 | 0·90 | ||||||||
Female | 35(70%) | 128 (56%) | 105 (63%) | 58 (53%) | 40 (60%) | 123 (59%) | 124 (59%) | 39 (58%) | ||||
Male | 15 (30%) | 99 (44%) | 62 (37%) | 52 (47%) | 27 (40%) | 87 (41%) | 86 (41%) | 28 (42%) | ||||
Age-group (years) | 0·343 | 0·313 | 0·183 | 0·0043 | ||||||||
< 5 | 0 (0%) | 6 (3%) | 3 (2%) | 3 (3%) | 0 (0%) | 6 (3%) | 3 (1%) | 3 (4%) | ||||
5–20 | 10 (20%) | 54 (24%) | 33 (20%) | 31 (28%) | 15 (22%) | 49 (23%) | 40 (19%) | 24 (35%) | ||||
21–40 | 34 (68%) | 124 (55%) | 98 (59%) | 60 (55%) | 35 (52%) | 123 (59%) | 124 (59%) | 34 (51%) | ||||
>40 | 6 (12%) | 43 (19%) | 33 (20%) | 16 (15%) | 17 (25%) | 32 (15%) | 43 (20%) | 6 (9%) | ||||
Acute EVD clinical features4 | ||||||||||||
Fever5 | 50 (100%) | 205 (90%) | 0·023 | 161 (96%) | 94 (85%) | 0·001 | 62 (93%) | 193 (92%) | 0·87 | 194 (92%) | 61 (91%) | 0·72 |
Fatigue | 49 (98%) | 221 (98%) | 1·003 | 163 (98%) | 107(98%) | 1·003 | 64 (96%) | 206 (99%) | 0·163 | 206 (98%) | 64 (97%) | 0·633 |
Headache | 48 (96%) | 206 (91%) | 0·383 | 157 (94%) | 97 (89%) | 0·13 | 60 (90%) | 194 (93%) | 0·39 | 196 (93%) | 58 (88%) | 0·15 |
Loss of appetite | 47 (94%) | 195 (86%) | 0·13 | 149 (89%) | 93 (85%) | 0·34 | 61 (91%) | 181 (87%) | 0·33 | 183 (87%) | 59 (89%) | 0·62 |
Nausea or vomiting | 40 (80%) | 173 (77%) | 0·60 | 134 (80%) | 79 (72%) | 0·13 | 51 (76%) | 162 (78%) | 0·81 | 163 (78%) | 50 (76%) | 0·75 |
Abdominal pain | 34 (68%) | 158 (70%) | 0·79 | 114 (68%) | 78 (72%) | 0·56 | 49 (73%) | 143 (68%) | 0·47 | 148 (70%) | 44 (67%) | 0·56 |
Diarrhoea | 41 (82%) | 170 (75%) | 0·31 | 130 (78%) | 81 (74%) | 0·561 | 50 (75%) | 161 (77%) | 0·69 | 160 (76%) | 51(77%) | 0·86 |
Blood in the stool | 14 (28%) | 61 (27%) | 0·89 | 42 (25%) | 33 (31%) | 0·33 | 19 (29%) | 56 (27%) | 0·75 | 62 (30%) | 13 (20%) | 0·11 |
Myalgias or arthralgias | 47 (94%) | 203 (90%) | 0·443 | 155 (93%) | 95 (87%) | 0·12 | 65 (97%) | 185 (89%) | 0·04 | 193 (92%) | 57 (86%) | 0·18 |
Sore throat | 14 (28%) | 92 (41%) | 0·09 | 114 (68%) | 56 (51%) | 0·005 | 14 (21%) | 92 (44%) | 0·0007 | 75 (36%) | 31 (47%) | 0·10 |
Hiccups | 18 (26%) | 86 (36%) | 0·97 | 57 (34%) | 43 (40%) | 0·.37 | 32 (48%) | 68 (33%) | 0·02 | 78 (37%) | 22 (33%) | 0·57 |
Red eyes | 37 (74%) | 170 (76%) | 0·82 | 134 (80%) | 73 (68%) | 0·02 | 57 (85%) | 150 (72%) | 0·03 | 165 (79%) | 42 (65%) | 0·02 |
Blurry vision | 27 (54%) | 136 (60%) | 0·42 | 108 (65%) | 55 (50%) | 0·02 | 47 (70%) | 116 (56%) | 0·03 | 131 (62%) | 32 (49%) | 0·05 |
Bleeding gums | 11 (22%) | 68 (30%) | 0·25 | 50 (30%) | 29 (27%) | 0·55 | 27 (40%) | 52 (25%) | 0·02 | 67 (32%) | 12 (18%) | 0·03 |
Miscarriage | 2 (4%) | 10 (4%) | 1·003 | 7 (4%) | 5 (5%) | 1·003 | 3 (4%) | 9 (4%) | 1·003 | 8 (4%) | 4 (6%) | 0·493 |
Cycle threshold values at EVD diagnosis (N=190)6,7, Median (IQR) | 22.4 (19.5–26.1) | 26·8 (23·5–29·0) | <0·0001 | 25 (22·0–28·0) | 27·7 (24·5–29·5) | <0·0001 | 26·5 (23·5–28·1) | 26 (22·5–28·8) | 0·96 | 26·5 (23·2–28·9) | 24·1 (22·1–28·6) | 0·15 |
Duration of acute EVD (N=190) 6,7, Median (IQR) | 14 (9–19) | 12 (9–17) | 0·185 | 13 (9–16) | 12 (8–18) | 0.54 | 13 (9–18) | 13 (9–17) | 0·87 | 12 (9–17) | 14 (9–19) | 0.15 |
Data are n (%) or median (IQR) unless otherwise stated. EVD=Ebola virus disease.
Symptoms began during ETU stay or after discharge; diagnoses includes uveitis or conjunctivitis
Symptoms began during ETU stay or after discharge
Fisher’s exact test
At anytime during acute EVD illness (before and within Ebola facility, including ETU), self-reported. Fever included history of fever within the 2 days prior to Ebola facility admission or temperature >38.0°C at the time of EVD case-investigation by the surveillance team. Acute EVD symptom data were missing in 32 of 4,155 responses (0.1%).
All patients with uveitis had a history of fever during acute EVD
A subset of patients had data on cycle-threshold and duration of acute EVD
Wilcoxon rank-sum 2-sided test was used because the distribution of the data were skewed