RT Book, Section A1 Kuhn, Jens H. A2 Jameson, J. Larry A2 Fauci, Anthony S. A2 Kasper, Dennis L. A2 Hauser, Stephen L. A2 Longo, Dan L. A2 Loscalzo, Joseph SR Print(0) ID 1155971093 T1 Ebolavirus and Marburgvirus Infections T2 Harrison's Principles of Internal Medicine, 20e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9781259644016 LK accesspharmacy.mhmedical.com/content.aspx?aid=1155971093 RD 2024/04/25 AB Several viruses of the family Filoviridae cause severe and frequently fatal infections in humans. Introduction of filoviruses into human populations is an extremely rare event that most likely occurs by direct or indirect contact with healthy filovirus hosts or by contact with infected, sick, or deceased mammals. Filoviruses are highly infectious but not especially contagious. Human-to-human transmission takes place through direct person-to-person (usually skin-to-skin) contact or exposure to infected bodily fluids and tissues; no evidence of such transmission by aerosol or respiratory droplets in natural outbreak settings is available. Infections progress rapidly from influenza-like to gastrointestinal manifestations and coagulopathy, typically culminating in multiple-organ dysfunction syndrome and shock. The occurrence of primary subclinical infections is controversial, but a small percentage of survivors may be subclinically and persistently infected. Treatment of filovirus infections is entirely supportive in nature because no specific efficacious antiviral agents or vaccines are yet licensed.