The last major outbreak of this virus, in Angola, killed more than 200 people.
Many patients develop severe hemorrhoids within a week, which can cause severe bleeding in multiple parts of the body, including from the nose, gums and vagina.
Inflammation of the testicles has been reported by some sufferers of the disease, around 15 days in. Since then, most outbreaks have been reported in Africa. There have been outbreaks reported in Angola, Democratic Republic of Congo, Kenya, South Africa and Uganda. The last time cases were reported was in 2008, when two independent cases were reported in travelers who visited a cave inhabited by Rousettus bat colonies in Uganda.
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