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. Author manuscript; available in PMC: 2018 Mar 16.
Published in final edited form as: Lancet Infect Dis. 2017 Apr 28;17(9):e280–e292. doi: 10.1016/S1473-3099(17)30234-7

Table 1. Clinical manifestations of investigational findings in Ebola virus disease, reported by studies done during the west Africa epidemic.

Signs and symptoms13 reported in more than 10% of patients with acute Ebola virus disease Investigational findings that have been reported during acute Ebola virus disease Signs and symptoms during survivor syndrome from Ebola virus disease
General Fever, fatigue, hiccups Raised pro-inflammatory markers, including CRP; elevated lactate34 Fatigue,3537 depression,3639 anxiety,36,37,39 insomnia35,36,38
Neurological and visual Headache, confusion Detectable Ebola virus RNA in the cerebrospinal fluid;40,41 diffuse swelling, microvascular occlusions as observed by MRI42 Difficulty concentrating, mood changes, and memory loss;38,39 headaches;35,36,38,43 dizziness;38 difficulties hearing;35,3739,44 visual disturbances;3537,39,43,44 peripheral paraesthesia or dysaethesia37
Cardiovascular Chest pain Bradycardia,45 arrhythmias as shown by electrocardiogram;46 myocarditis shown during MRI47 Chest pain,36,38,43 palpitations35,37,38
Pulmonary Cough, dyspnoea, sore throat Pulmonary oedema and pulmonary effusion as observed on x-ray and USS46 Dyspnoea37
Gastrointestinal Anorexia, vomiting, diarrhoea, abdominal pain, odynophagia Paralytic ileus and bowel wall oedema shown by USS29,48 Anorexia,35,38 abdominal pain,35,36,38,43 constipation38
Hepatobiliary Jaundice Transaminitis with high AST:ALT ratio34,49 ··
Renal, urological, and electrolytes ·· Acute kidney injury,34,50,51 raised creatine kinase,34 hypokalaemia34,49,51 or hyperkalaemia,34 hyponatraemia,34 hypocalcaemia,49 hypoglycaemia16 Decreased libido; sexual dysfunction and testicular pain36,38
Haematological Clinically significant haemorrhage uncommon, likely to be more frequent in pregnant women. Leucopenia, thrombocytopenia, raised INR, haematoconcentration34 Anaemia35
Skin and musculoskeletal Myalgia, arthralgia, conjunctivitis ·· Arthralgia;35,36,39,43,44 myalgia;36 alopecia, skin peeling, and pruritus35,36,38,39,43

USS=ultrasound scan. ALT=alanine transaminase. AST=aspartate transaminase. CRP=C-reactive protein. INR=international normalised ratio.