Viral hemorrhagic fevers

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Symptoms

By Mayo Clinic staff

Signs and symptoms of viral hemorrhagic fevers vary by disease. In general, initial symptoms may include:

  • High fever
  • Fatigue
  • Dizziness
  • Muscle aches
  • Weakness

Symptoms can become life-threatening
Severe cases of some types of viral hemorrhagic fevers may cause bleeding:

  • Under the skin
  • In internal organs
  • From the mouth, eyes or ears

Other signs and symptoms of severe infections can include:

  • Shock
  • Nervous system malfunctions
  • Coma
  • Delirium
  • Seizures
  • Kidney failure

When to see a doctor
The best time to see a doctor is before you travel to a developing country to ensure you've received any available vaccinations and pre-travel advice for staying healthy. If you develop signs and symptoms once you return home, consider consulting a doctor who focuses on international medicine or infectious diseases. A specialist may be able to recognize and treat your illness faster. Be sure to let your doctor know what areas you've visited.

References
  1. Bell M. Viral hemorrhagic fevers. In: Goldman L, et al. Cecil Medicine. 23rd ed. Philadelphia Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/206119449-3/1014371662/1492/1348.html#4-u1.0-B978-1-4160-2805-5..50409-2_16895. Accessed June 11, 2010.
  2. Viral hemorrhagic fever (VHF): Current, comprehensive information on pathogenesis, microbiology, epidemiology, diagnosis, treatment and prophylaxis. Center for Infectious Disease Research and Policy. http://www.cidrap.umn.edu/cidrap/content/bt/vhf/biofacts/vhffactsheet.html. Accessed June 11, 2010.
  3. Viral hemorrhagic fevers: Fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/ncidod/dvrd/spb/mnpages/dispages/vhf.htm. Accessed June 11, 2010.
  4. Farnon EC, et al. Viral hemorrhagic fevers. 2010 Yellow Book. Centers for Disease Control and Prevention. http://wwwnc.cdc.gov/travel/yellowbook/2010/chapter-5/viral-hemorrhagic-fevers.aspx. Accessed June 11, 2010.
  5. Peters CJ. What are VHFs and how can we respond medically? In: Mandell GL, et al. Mandell, Douglas and Bennett's Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2009. http://www.mdconsult.com/book/player/book.do?method=display&type=bookPage&decorator=header&eid=4-u1.0-B978-0-443-06839-3..00327-1&uniq=205678381&isbn=978-0-443-06839-3&sid=1012990473#lpState=opened&lpTab=contentsTab&content=4-u1.0-B978-0-443-06839-3..00327-1--s0020%3Bfrom%3Dtoc%3Btype%3DbookPage%3Bisbn%3D978-0-443-06839-3. Accessed June 14, 2010.
  6. Zielinski-Gutierrez E, et al. Protection against mosquitoes, ticks and other insects and arthropods. Centers for Disease Control and Prevention. http://wwwnc.cdc.gov/travel/yellowbook/2010/chapter-2/protection-against-mosquitoes-ticks-insects-arthropods.aspx. Accessed June 17, 2010.
  7. Clean up rodent food sources and nesting sites. Centers for Disease Control and Prevention. http://www.cdc.gov/rodents/prevent_infestations/clean_up.html. Accessed June 17, 2010.
DS00539 Aug. 14, 2010

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