Letafati Arash, Salahi Ardekani Omid, Karami Hassan, Soleimani Mina
Department of Virology, Faculty of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Department of Bacteriology & Virology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Microb Pathog. 2023 Aug;181:106213. doi: 10.1016/j.micpath.2023.106213. Epub 2023 Jun 23.
Ebola virus disease (EVD), which is also referred to as Ebola hemorrhagic fever, is a highly contagious and frequently lethal sickness caused by the Ebola virus. In 1976, the disease emerged in two simultaneous outbreaks in Sudan and the Democratic Republic of Congo. Subsequently, it has caused intermittent outbreaks in several African nations. The virus is primarily spread via direct contact with the bodily fluids of an infected individual or animal. EVD is distinguished by symptoms such as fever, fatigue, muscle pain, headache, and hemorrhage. The outbreak of EVD in West Africa in 2014-2016 emphasized the need for effective control and prevention measures. Despite advancements and the identification of new treatments for EVD, the primary approach to treatment continues to be centered around providing supportive care. Early detection and supportive care can enhance the likelihood of survival. This includes intravenous fluids, electrolyte replacement, and treatment of secondary infections. Experimental therapies, for instance, monoclonal antibodies and antiviral drugs, have shown promising results in animal studies and some clinical trials. Some African countries have implemented the use of vaccines developed for EVD, but their effectiveness and long-term safety are still being studied. This article provides an overview of the history, transmission, symptoms, diagnosis, treatment, epidemiology, and Ebola coinfection, as well as highlights the ongoing research efforts to develop effective treatments and vaccines to combat this deadly virus.
埃博拉病毒病(EVD),也被称为埃博拉出血热,是一种由埃博拉病毒引起的高度传染性且往往致命的疾病。1976年,该疾病在苏丹和刚果民主共和国同时爆发。随后,它在几个非洲国家间歇性爆发。该病毒主要通过直接接触受感染个体或动物的体液传播。埃博拉病毒病的症状包括发热、疲劳、肌肉疼痛、头痛和出血。2014 - 2016年西非的埃博拉病毒病疫情凸显了有效控制和预防措施的必要性。尽管在埃博拉病毒病的治疗方面取得了进展并发现了新的治疗方法,但主要的治疗方法仍然以提供支持性护理为核心。早期检测和支持性护理可以提高生存几率。这包括静脉输液、电解质补充以及继发性感染的治疗。例如,单克隆抗体和抗病毒药物等实验性疗法在动物研究和一些临床试验中显示出了有前景的结果。一些非洲国家已开始使用为埃博拉病毒病研发的疫苗,但其有效性和长期安全性仍在研究中。本文概述了埃博拉病毒病的历史、传播、症状、诊断、治疗、流行病学以及埃博拉病毒合并感染情况,同时强调了为研发有效治疗方法和疫苗以对抗这种致命病毒而正在进行的研究工作。