Marburg Virus Disease: A Narrative Review

ABSTRACT Background and Aims Given the recent deadly outbreaks of the Marburg virus (MARV), in early 2023 in Tanzania and Equatorial Guinea, and the most recent one in Rwanda in 2024, there has been renewed attention across Africa on the threat posed by the re‐emergence of MARV as a growing concern...

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Main Authors: Arash Letafati, Somayeh Sadat Hosseini Fakhr, Ali Qaraee Najafabadi, Negin Karami, Hassan Karami
Format: Article
Language:English
Published: Wiley 2025-05-01
Series:Health Science Reports
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Online Access:https://doi.org/10.1002/hsr2.70669
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author Arash Letafati
Somayeh Sadat Hosseini Fakhr
Ali Qaraee Najafabadi
Negin Karami
Hassan Karami
author_facet Arash Letafati
Somayeh Sadat Hosseini Fakhr
Ali Qaraee Najafabadi
Negin Karami
Hassan Karami
author_sort Arash Letafati
collection DOAJ
description ABSTRACT Background and Aims Given the recent deadly outbreaks of the Marburg virus (MARV), in early 2023 in Tanzania and Equatorial Guinea, and the most recent one in Rwanda in 2024, there has been renewed attention across Africa on the threat posed by the re‐emergence of MARV as a growing concern for public health. Therefore, it needs to provide a comprehensive overview of the virus and its related infections, encompassing virus classification, historical outbreaks, transmission dynamics, the intricate interface between the virus and its hosts, the methods of diagnosis, core prevention strategies, and current therapeutic options, to better understand the virus and the disease characteristics in responding to future outbreaks. Methods For this review, four scientific online databases, including PubMed, Google Scholar, Scopus, and Web of Science were thoroughly searched for peer‐reviewed journal papers (original, case reports/series, and review studies) published in English language using the following keywords: Filovirus, Marburg virus, Marburg Haemorrhagic Fever, Marburg virus disease, and Marburg virus outbreak. Results MARV shares similarities with its close cousin —the Ebola virus [EBOV]—in terms of viral characteristics and most clinical features. These two viruses are of animal origin and primarily spread to humans through infected bats (both direct and indirect close contact), which serve as the common natural host reservoirs. The potential for interhuman transmission, coupled with the ability to cross borders of endemic regions combined with the absence of a licensed vaccine and effective treatment, have made MARV a significant threat to human health. This virus is clinically characterized by a range of symptoms and organ dysfunctions. The disease is often fatal in a significant proportion of infected individuals. This viral infection is diagnosed by various diagnostic tools, prevented mainly through personal protective measures, and treated usually with clinical management and supportive care. Conclusion The outbreaks of MARV are continuously threaten public health; therefore, the world must be alert and well‐prepared. For MVD, taking precautions along with investing in research and preparedness at regional, national, and global levels is of crucial importance and should be prioritized.
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spelling doaj-art-756dbd55c4af4d3d8e364b2791fd8b212025-08-20T03:59:36ZengWileyHealth Science Reports2398-88352025-05-0185n/an/a10.1002/hsr2.70669Marburg Virus Disease: A Narrative ReviewArash Letafati0Somayeh Sadat Hosseini Fakhr1Ali Qaraee Najafabadi2Negin Karami3Hassan Karami4Department of Virology, Faculty of Public Health Tehran University of Medical Sciences (TUMS) Tehran IranDepartment of Virology, Faculty of Public Health Tehran University of Medical Sciences (TUMS) Tehran IranDepartment of Biochemistry, Faculty of Biological Sciences Tarbiat Modares University Tehran IranDepartment of Nursing, Faculty of Nursing Alborz University of Medical Sciences Karaj IranDepartment of Virology, Faculty of Public Health Tehran University of Medical Sciences (TUMS) Tehran IranABSTRACT Background and Aims Given the recent deadly outbreaks of the Marburg virus (MARV), in early 2023 in Tanzania and Equatorial Guinea, and the most recent one in Rwanda in 2024, there has been renewed attention across Africa on the threat posed by the re‐emergence of MARV as a growing concern for public health. Therefore, it needs to provide a comprehensive overview of the virus and its related infections, encompassing virus classification, historical outbreaks, transmission dynamics, the intricate interface between the virus and its hosts, the methods of diagnosis, core prevention strategies, and current therapeutic options, to better understand the virus and the disease characteristics in responding to future outbreaks. Methods For this review, four scientific online databases, including PubMed, Google Scholar, Scopus, and Web of Science were thoroughly searched for peer‐reviewed journal papers (original, case reports/series, and review studies) published in English language using the following keywords: Filovirus, Marburg virus, Marburg Haemorrhagic Fever, Marburg virus disease, and Marburg virus outbreak. Results MARV shares similarities with its close cousin —the Ebola virus [EBOV]—in terms of viral characteristics and most clinical features. These two viruses are of animal origin and primarily spread to humans through infected bats (both direct and indirect close contact), which serve as the common natural host reservoirs. The potential for interhuman transmission, coupled with the ability to cross borders of endemic regions combined with the absence of a licensed vaccine and effective treatment, have made MARV a significant threat to human health. This virus is clinically characterized by a range of symptoms and organ dysfunctions. The disease is often fatal in a significant proportion of infected individuals. This viral infection is diagnosed by various diagnostic tools, prevented mainly through personal protective measures, and treated usually with clinical management and supportive care. Conclusion The outbreaks of MARV are continuously threaten public health; therefore, the world must be alert and well‐prepared. For MVD, taking precautions along with investing in research and preparedness at regional, national, and global levels is of crucial importance and should be prioritized.https://doi.org/10.1002/hsr2.70669FilovirusMarburg virusMarburg virus diseaseMarburg virus outbreak
spellingShingle Arash Letafati
Somayeh Sadat Hosseini Fakhr
Ali Qaraee Najafabadi
Negin Karami
Hassan Karami
Marburg Virus Disease: A Narrative Review
Health Science Reports
Filovirus
Marburg virus
Marburg virus disease
Marburg virus outbreak
title Marburg Virus Disease: A Narrative Review
title_full Marburg Virus Disease: A Narrative Review
title_fullStr Marburg Virus Disease: A Narrative Review
title_full_unstemmed Marburg Virus Disease: A Narrative Review
title_short Marburg Virus Disease: A Narrative Review
title_sort marburg virus disease a narrative review
topic Filovirus
Marburg virus
Marburg virus disease
Marburg virus outbreak
url https://doi.org/10.1002/hsr2.70669
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AT aliqaraeenajafabadi marburgvirusdiseaseanarrativereview
AT neginkarami marburgvirusdiseaseanarrativereview
AT hassankarami marburgvirusdiseaseanarrativereview