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General Practice

Lassa Fever: symptoms, causes & treatment in Nigeria

Also known as rat fever, viral haemorrhagic fever.

This page is general health information, not a diagnosis. Always consult a licensed clinician about your own health.

Overview

Lassa fever is a viral illness spread mainly through food or household items contaminated by infected multimammate rats, with outbreaks reported in several Nigerian states most dry seasons. Early symptoms look like malaria or typhoid, which is why a fever that does not respond to antimalarials needs urgent review. Early hospital treatment greatly improves survival.

Symptoms

  • Fever and general weakness
  • Headache
  • Sore throat
  • Muscle and chest pain
  • Nausea, vomiting or diarrhoea
  • Bleeding from gums, nose or other sites (late, severe sign)
  • Hearing problems during recovery

Causes & risk factors

  • Contact with food or surfaces contaminated by rat urine or droppings
  • Eating rats or poorly stored grains
  • Contact with body fluids of an infected person
  • Poor food storage that attracts rodents

Treatment & self-care

Suspected Lassa fever needs immediate referral to a hospital or designated treatment centre, where antiviral treatment and supportive care are given under isolation. Do not self-medicate at home. Store food in covered containers, keep the home rat-free and report unusual fevers early.

See a doctor urgently if

  • Fever not improving after a completed, confirmed malaria treatment
  • Fever with sore throat, vomiting and severe weakness
  • Any unusual bleeding from gums, nose, eyes or in urine or stool
  • Fever after contact with rats or with a sick person from an outbreak area

This condition can be an emergency. If any of the signs above are severe or getting worse, go to the nearest emergency room now or call 112 or 199 — do not wait for an online consultation.

Frequently asked questions

What are the first signs of Lassa Fever?
Early signs often include fever and general weakness, headache, sore throat. Symptoms vary from person to person, so a proper assessment by a doctor is the only way to be sure.
Can Lassa Fever be treated?
Suspected Lassa fever needs immediate referral to a hospital or designated treatment centre, where antiviral treatment and supportive care are given under isolation. Do not self-medicate at home. Store food in covered containers, keep the home rat-free and report unusual fevers early.
When should I see a doctor about Lassa Fever?
See a doctor promptly if you notice: fever not improving after a completed, confirmed malaria treatment; fever with sore throat, vomiting and severe weakness; any unusual bleeding from gums, nose, eyes or in urine or stool; fever after contact with rats or with a sick person from an outbreak area. These can be signs of an emergency — if severe, go to the nearest emergency room or call 112 or 199.

Talk to the right specialist

Lassa Fever is usually handled by general practice. See an online general practice doctor in minutes on GoDoctor.

Related conditions

Lab tests that may help