Afebrile presentation of 2014 Western Africa Ebolavirus infection: the thing that should not be forgotten

Beuy Joob, Viroj Wiwanitkit

1Medical Academic Center, Bangkok Thailand

2Hainan Medical University, China

3Faculty of Medicine, University of Nis, Serbia

4Joseph Ayobabalola University, Nigeria

5Dr DY Patil Medical University, India

Afebrile presentation of 2014 Western Africa Ebolavirus infection: the thing that should not be forgotten

Beuy Joob1*, Viroj Wiwanitkit2,3,4,5

1Medical Academic Center, Bangkok Thailand

2Hainan Medical University, China

3Faculty of Medicine, University of Nis, Serbia

4Joseph Ayobabalola University, Nigeria

5Dr DY Patil Medical University, India

The 2014 Western Ebolavirus infectionis the serious emerging disease at present[1-3]. This disease result in high fatality and rapidly widespread in Africa, hence, it becomes the present concern for medical society[1-3]. The knowledge on clinical presentation on this new Ebola virus infection is extremely limited. It is known only that Ebola virus infection can present as an acute febrile illness with hemorrhagic complication. Here, the authors try to summarize on the magnitude of “fever” as presentation in the 2014 Western Ebolavirus infection. Based on available data from 15 confirmed casesreported from Guinea[1-4], not all cases showed fever at presentation. The rate of afebrile case at presentation is equal to 9.3%. Hence, it should be noted that the afebrile 014 Western Ebolavirus infection is possible and this challenge the immigration system that mainly use fever screening as tool for screening traveler from outbreak area.

Conflict of interest statement

We declare that we have no conflict of interest.

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[2] Fletcher TE, Brooks TJ, Beeching NJ. Ebola and other viral haemorrhagicfevers. BMJ 2014; 349: g5079.

[3] Gostin LO, Lucey D, Phelan A. The ebola epidemic: A global health emergency. JAMA 2014. doi: 10.1001/jama.2014.11176. [Epub ahead of print]

[4] Baize S, Pannetier D, Oestereich L, Rieger T, Koivogui L, Magassouba N,et al. Emergence of Zaire ebola virus disease in Guinea - Preliminary report. N Engl J Med 2014. [Epub ahead of print]

ent heading

10.1016/S1995-7645(14)60324-2

*Corresponding author: BeuyJoob, Medical Academic Center, Bangkok Thailand. E-mail: beuyjoob@hotmail.com