Typhus history and symptoms: Difference between revisions

	Typhus Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Typhus from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Chest X Ray
Other Diagnostic Studies
Treatment
Medical Therapy
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Typhus history and symptoms On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Typhus history and symptoms All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Typhus history and symptoms
CDC on Typhus history and symptoms
Typhus history and symptoms in the news
Blogs on Typhus history and symptoms
Directions to Hospitals Treating Typhus
Risk calculators and risk factors for Typhus history and symptoms

← Older edit

VisualWikitext

Latest revision as of 00:32, 30 July 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Signs and symptoms of typhus fever usually appear abruptly, 8–16 days following exposure to infected lice. Illness can vary from mild to severe, and even life-threatening. Symptoms of acute infection are generally non-specific and include fever and chills, headache, rapid breathing, myalgia, rash, cough, nausea, vomiting and altered mental status.^[1]^[2]^[3]

History

The significant information that needs to focused in the history of the patient includes

History of travel to endemic areas
History of tick bite

Symptoms

Type of Typhus fever	Symptoms
Scrub typhus	Fever and chills Headache Myalgia Eschar Altered mental status, ranging from confusion to coma or delirium Lymphadenopathy Rash
Murine typhus	Myalgia Anorexia Nausea Vomiting Abdominal pain Cough Altered mental status
Epidemic typhus	Fever and chills Headache Rapid breathing Myalgia Rash Cough Nausea Vomiting Altered mental status

Rash

Typhus fever	Rash
Scrub typhus	About 25–50% of scrub typhus patients develop a rash. The rash is usually macular or maculopapular. Typically, it will begin on the abdomen of an infected individual and then spread to the extremities. Petechiae are uncommon
Murine Typhus	The rash typically occurs at the end of the first week of the illness and lasts 1–4 days. It generally starts as a maculopapular eruption on the trunk and spreads peripherally, sparing the palms of the hands and soles of the feet. Rash may vary among individuals, or may be absent altogether and should not be relied upon for diagnosis.
Epidemic Typhus	The rash usually begins a couple of days after the onset of symptoms. It typically begins as a maculopapular eruption on the trunk of the body and spreads to the extremities, usually sparing the palms of hands and soles of feet. When the disease is severe, petechiae may develop. The rash may be variable among individuals and stage of infection, or may be absent altogether and should not be relied upon for diagnosis

References

Template:WH

Template:WS

[urlEpidemic_Typhus-1] "Epidemic Typhus".

[urlMurine_Typhus-2] "Murine Typhus".

[urlScrub_Typhus-3] "Scrub Typhus".

[1]

[2]

[3]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Typhus}}
+{{CMG}} ; {{AE}}{{ADG}}
+==Overview==
+Signs and symptoms of typhus fever usually appear abruptly, 8–16 days following exposure to infected lice. Illness can vary from mild to severe, and even life-threatening. Symptoms of acute infection are generally non-specific and include [[Fever|feve]]<nowiki/>r and chills, [[headache]], [[rapid breathing]], [[myalgia]], [[rash]], [[cough]], [[Nausea and vomiting|nausea]], vomiting and [[altered mental status]].<ref name="urlEpidemic Typhus">{{cite web |url=https://www.cdc.gov/typhus/epidemic/index.html |title=Epidemic Typhus |format= |work= |accessdate=}}</ref><ref name="urlMurine Typhus">{{cite web |url=https://www.cdc.gov/typhus/murine/index.html |title=Murine Typhus |format= |work= |accessdate=}}</ref><ref name="urlScrub Typhus">{{cite web |url=https://www.cdc.gov/typhus/scrub/index.html |title=Scrub Typhus |format= |work= |accessdate=}}</ref>
-Please help WikiDoc by adding more content here.  It's easy!  Click  [[Help:How to Edit a Page|here]] to learn about editing.
+== History==
+The significant information that needs to focused in the history of the patient includes
-{{CMG}}
+*History of travel to endemic areas
+*History of tick bite
-== History and Symptoms ==
+==Symptoms==
+{| class="wikitable"
-Symptoms of murine or endemic typhus may include:
+!Type of Typhus fever
+!Symptoms
+|-
+|Scrub typhus
+|
+* [[Fever]] and chills
+* [[Headache]]
+* [[Myalgia]]
+* [[Eschar]]
+* [[Altered mental status]], ranging from [[confusion]] to [[coma]] or [[delirium]]
+* [[Lymphadenopathy]]
+* [[Rash]]
+|-
+|Murine typhus
+|
+* [[Myalgia]]
+* [[Anorexia]]
+* [[Nausea and vomiting|Nausea]]
+* Vomiting
 * [[Abdominal pain]]
-* Backache
+* Cough
-* [[Diarrhea]]
+* Altered mental status
-* Dull red [[rash]] that begins on the middle of the body and spreads
+|-
-* Extremely high [[fever]] (105 - 106 degrees Fahrenheit), which may last up to 2 weeks
+|Epidemic typhus
-* Hacking, dry [[cough]]
+|
+* [[Fever|Fever and chills]]
 * [[Headache]]
-* Joint and muscle pain
+* [[Rapid breathing]]
-* [[Nausea]]
+* [[Myalgia]]
-* [[Vomiting]]
+* [[Rash]]
+* [[Cough]]
+* [[Nausea and vomiting|Nausea]]
+* Vomiting
+* [[Altered mental status]]
+|}
-Symptoms of epidemic typhus may include:
+===Rash===
+{| class="wikitable"
+!Typhus fever
+!Rash
+|-
+|Scrub typhus
+|About 25–50% of scrub typhus patients develop a rash. The rash is usually [[macular]] or [[maculopapular]]. Typically, it will begin on the [[abdomen]] of an infected individual and then spread to the extremities. [[Petechiae]] are uncommon
+|-
+|Murine Typhus
+|The rash typically occurs at the end of the first week of the illness and lasts 1–4 days. It generally starts as a [[maculopapular]] eruption on the trunk and spreads peripherally, sparing the palms of the hands and soles of the feet. Rash may vary among individuals, or may be absent altogether and should not be relied upon for diagnosis.
+|-
+|Epidemic Typhus
+|The rash usually begins a couple of days after the onset of symptoms. It typically begins as a [[maculopapular]] eruption on the trunk of the body and spreads to the extremities, usually sparing the palms of hands and soles of feet. When the disease is severe, [[petechiae]] may develop. The [[rash]] may be variable among individuals and stage of infection, or may be absent altogether and should not be relied upon for diagnosis
+|}
-* [[Chills]]
+== References ==
-* Cough
+{{Reflist|2}}
-* [[Delirium]]
-* High fever (104 degrees Fahrenheit)
-* Joint pain ([[arthralgia]])
-* Lights that appear very bright; light may hurt the eyes
-* Low [[blood pressure]]
-* Rash that begins on the chest and spreads to the rest of the body (except the palms of the hands and soles of the feet)
-* Severe headache
-* Severe muscle pain ([[myalgia]])
-* [[Stupor]]
-The early rash is a light rose color and fades when you press on it. Later, the rash becomes dull and red and does not fade. People with severe typhus may also develop small areas of bleeding into the skin ([[petechiae]]).
+{{WH}}
-== References ==
+{{WS}}
-{{Reflist|2}}
 [[Category:Needs content]]
@@ Line 47: / Line 75: @@
 [[Category:Biological weapons]]
 [[Category:Rickettsiales]]
+[[Category:Needs overview]]
+[[Category:Emergency mdicine]]
+[[Category:Disease]]
+[[Category:Up-To-Date]]
 [[Category:Infectious disease]]
-[[Category:Needs overview]]
+[[Category:Gastroenterology]]
+[[Category:Pulmonology]]
-{{WH}}
-{{WS}}