Tick-borne encephalitis physical examination

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Tick-borne encephalitis Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ilan Dock, B.S.

Overview

Early onset signs include fever, lethargy, and overall weakness. As the infection progresses, further clinical manifestations will present themselves in the form of tachycardia, changes in blood pressure, sensitivity of the eye and skin, and the appearance of a rash. Signs may appear to be similar to other diseases within the umbrella of tick-borne fevers however a biphasic infection period (early onset symptoms, remission period, and second phase of symptoms) is a characteristic sign of tick-borne encephalitis.

Physical Examination

Vitals

Skin

  • Rash
  • Highly sensitive skin, painful

Neck

Eyes

  • Heightened sensitivity
  • Retro-orbital pain[2]

References

  1. Centers for Disease Control and Prevention. TBEV Signs and Symptoms. http://www.cdc.gov/vhf/tbe/symptoms/index.html Accessed February 20, 2016
  2. Tick-borne Encephalitis Virus: A General Overview. http://cdn.intechopen.com/pdfs-wm/20866.pdf. Accessed February 4, 2016.