Bourbon virus infection physical examination: Difference between revisions
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{{Bourbon virus infection}} | {{Bourbon virus infection}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{ARK}} | ||
==Overview== | ==Overview== | ||
The physical examination findings of bourbon virus infection may include several tick bite marks and maculopapular rash on the trunk. The patient may appear fatigued, [[Hypertension|hypertensive]] and [[Dyspnea|dyspnoeic]]. | |||
==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
* | *Fatigued appearnace | ||
* | *Altered level of consciousness | ||
*[[Respiratory distress]] | |||
===Vital Signs=== | ===Vital Signs=== | ||
* Hyperthermia | * [[Hyperthermia]] | ||
* Tachycardia | * [[Tachycardia]] | ||
* Hypertension | * [[Hypertension]] | ||
===Skin=== | ===Skin=== | ||
*Diffuse maculopapular rash is observed on the chest, abdomen, and back. <ref name="pmid25899080">{{cite journal |vauthors=Kosoy OI, Lambert AJ, Hawkinson DJ, Pastula DM, Goldsmith CS, Hunt DC, Staples JE |title=Novel thogotovirus associated with febrile illness and death, United States, 2014 |journal=Emerging Infect. Dis. |volume=21 |issue=5 |pages=760–4 |year=2015 |pmid=25899080 |pmc=4412252 |doi=10.3201/eid2105.150150 |url=}}</ref> | *Diffuse [[maculopapular rash]] is observed on the chest, abdomen, and back. <ref name="pmid25899080">{{cite journal |vauthors=Kosoy OI, Lambert AJ, Hawkinson DJ, Pastula DM, Goldsmith CS, Hunt DC, Staples JE |title=Novel thogotovirus associated with febrile illness and death, United States, 2014 |journal=Emerging Infect. Dis. |volume=21 |issue=5 |pages=760–4 |year=2015 |pmid=25899080 |pmc=4412252 |doi=10.3201/eid2105.150150 |url=}}</ref> | ||
===HEENT=== | ===HEENT=== | ||
*Petechiae are observed on the soft palate. <ref name="pmid25899080">{{cite journal |vauthors=Kosoy OI, Lambert AJ, Hawkinson DJ, Pastula DM, Goldsmith CS, Hunt DC, Staples JE |title=Novel thogotovirus associated with febrile illness and death, United States, 2014 |journal=Emerging Infect. Dis. |volume=21 |issue=5 |pages=760–4 |year=2015 |pmid=25899080 |pmc=4412252 |doi=10.3201/eid2105.150150 |url=}}</ref> | *[[Petechiae]] are observed on the soft palate. <ref name="pmid25899080">{{cite journal |vauthors=Kosoy OI, Lambert AJ, Hawkinson DJ, Pastula DM, Goldsmith CS, Hunt DC, Staples JE |title=Novel thogotovirus associated with febrile illness and death, United States, 2014 |journal=Emerging Infect. Dis. |volume=21 |issue=5 |pages=760–4 |year=2015 |pmid=25899080 |pmc=4412252 |doi=10.3201/eid2105.150150 |url=}}</ref> | ||
===Lungs=== | ===Lungs=== | ||
*Bibasilar crackles in the lung fields. <ref name="pmid25899080">{{cite journal |vauthors=Kosoy OI, Lambert AJ, Hawkinson DJ, Pastula DM, Goldsmith CS, Hunt DC, Staples JE |title=Novel thogotovirus associated with febrile illness and death, United States, 2014 |journal=Emerging Infect. Dis. |volume=21 |issue=5 |pages=760–4 |year=2015 |pmid=25899080 |pmc=4412252 |doi=10.3201/eid2105.150150 |url=}}</ref> | *Bibasilar [[crackles]] in the lung fields. <ref name="pmid25899080">{{cite journal |vauthors=Kosoy OI, Lambert AJ, Hawkinson DJ, Pastula DM, Goldsmith CS, Hunt DC, Staples JE |title=Novel thogotovirus associated with febrile illness and death, United States, 2014 |journal=Emerging Infect. Dis. |volume=21 |issue=5 |pages=760–4 |year=2015 |pmid=25899080 |pmc=4412252 |doi=10.3201/eid2105.150150 |url=}}</ref> | ||
===Heart=== | ===Heart=== | ||
* | *Normal S1 S2 are heard | ||
===Abdomen=== | ===Abdomen=== | ||
*Contrast CT scan shows multiple prominent abdominal lymph nodes. <ref name="pmid25899080">{{cite journal |vauthors=Kosoy OI, Lambert AJ, Hawkinson DJ, Pastula DM, Goldsmith CS, Hunt DC, Staples JE |title=Novel thogotovirus associated with febrile illness and death, United States, 2014 |journal=Emerging Infect. Dis. |volume=21 |issue=5 |pages=760–4 |year=2015 |pmid=25899080 |pmc=4412252 |doi=10.3201/eid2105.150150 |url=}}</ref> | *Contrast CT scan shows multiple prominent abdominal lymph nodes. <ref name="pmid25899080">{{cite journal |vauthors=Kosoy OI, Lambert AJ, Hawkinson DJ, Pastula DM, Goldsmith CS, Hunt DC, Staples JE |title=Novel thogotovirus associated with febrile illness and death, United States, 2014 |journal=Emerging Infect. Dis. |volume=21 |issue=5 |pages=760–4 |year=2015 |pmid=25899080 |pmc=4412252 |doi=10.3201/eid2105.150150 |url=}}</ref> | ||
*Diffuse maculopapular rash is observed. | *Diffuse [[maculopapular rash]] on the trunk is observed. | ||
===Back=== | ===Back=== | ||
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===Genitourinary=== | ===Genitourinary=== | ||
*There have been no genitourinary findings reported. | |||
===Extremities=== | ===Extremities=== | ||
| Line 50: | Line 46: | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
*There have been no neuromuscular findings reported but few rare conditions associated with bourbon virus infection are: <ref name="pmid25899080">{{cite journal |vauthors=Kosoy OI, Lambert AJ, Hawkinson DJ, Pastula DM, Goldsmith CS, Hunt DC, Staples JE |title=Novel thogotovirus associated with febrile illness and death, United States, 2014 |journal=Emerging Infect. Dis. |volume=21 |issue=5 |pages=760–4 |year=2015 |pmid=25899080 |pmc=4412252 |doi=10.3201/eid2105.150150 |url=}}</ref> | |||
**[[Neuromyelitis optica]] | |||
**[[Meningitis]] | |||
==References== | ==References== | ||
| Line 56: | Line 55: | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Pulmonology]] | |||
[[Category:Dermatology]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Infectious disease]] | |||
Latest revision as of 20:40, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Reddy Kothagadi M.B.B.S[2]
Overview
The physical examination findings of bourbon virus infection may include several tick bite marks and maculopapular rash on the trunk. The patient may appear fatigued, hypertensive and dyspnoeic.
Physical Examination
Appearance of the Patient
- Fatigued appearnace
- Altered level of consciousness
- Respiratory distress
Vital Signs
Skin
- Diffuse maculopapular rash is observed on the chest, abdomen, and back. [1]
HEENT
Lungs
Heart
- Normal S1 S2 are heard
Abdomen
- Contrast CT scan shows multiple prominent abdominal lymph nodes. [1]
- Diffuse maculopapular rash on the trunk is observed.
Back
- Diffuse maculopapular rash is observed.
Genitourinary
- There have been no genitourinary findings reported.
Extremities
- Left axillary lymphadenopathy which is usually nontender. [1]
- Petechiae are observed on lower extremities. [1]
Neuromuscular
- There have been no neuromuscular findings reported but few rare conditions associated with bourbon virus infection are: [1]