Diferencia entre revisiones de «Typhus»
(Text replacement - "==Diagnosis==" to "==Evaluation==") |
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''Not to be confused with [[typhoid fever]], a distinct disease caused by a different genera of bacteria'' | |||
==Background== | ==Background== | ||
*Any of several similar diseases caused by Rickettsia bacteria (e.g. Rickettsia prowazekii, ) | *Any of several similar diseases caused by Rickettsia bacteria (e.g. Rickettsia prowazekii, ) | ||
Revisión del 09:48 19 dic 2016
Not to be confused with typhoid fever, a distinct disease caused by a different genera of bacteria
Background
- Any of several similar diseases caused by Rickettsia bacteria (e.g. Rickettsia prowazekii, )
Clinical Features
- Fever, headache, myalgias[1]
- Transmitted by arthropods/ ticks
- Painless eschar at inoculation site imp clue
- Camping, hiking in grassy/ scrub area
- Regional lymphadenopathy, rash
Differential Diagnosis
Fever in traveler
- Normal causes of acute fever!
- Malaria
- Dengue
- Leptospirosis
- Typhoid fever
- Typhus
- Viral hemorrhagic fevers
- Chikungunya
- Yellow fever
- Rift valley fever
- Q fever
- Amebiasis
- Zika virus
Evaluation
- leukopenia, thrombocytopenia
- Usually clinically
Management
- Tetracycline
- Chloramphenicol may be an alternative, though associated with higher morbidity
- Confirm serologically, not useful in acute phase