Babesiosis physical examination: Difference between revisions
No edit summary |
m Changes made per Mahshid's request |
||
| (8 intermediate revisions by one other user not shown) | |||
| Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{Babesiosis}} | {{Babesiosis}} | ||
==Overview== | |||
A wide range of physical findings may be associated with patients suffering from babesiosis. Asymptomatic patients will generally appear healthy without any external signs of infection. However physical examination findings are variable depending on the severity of the infection as well as the patient’s medical history. For patients exhibiting symptoms apparent during physical examination, the most common physical findings may range from a moderate fever and minor display of flu-like symptoms to Hepatomegaly, Petechiae,Ecchymoses and Acute respiratory distress syndrome (ARDS). <ref>Hatcher JC, Greenberg PD, Antique J, Jimenez-lucho VE. Severe babesiosis in Long Island: review of 34 cases and their complications. Clin Infect Dis. 2001;32(8):1117-25.</ref> | |||
==Physical Examination== | |||
'''Asymptomatic:'''<ref name="Babesiosis CDC”">Babesiosis. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/parasites/babesiosis/disease.htmlAccessed December 8, 2015.</ref> | |||
*Patients are generally well appearing | *Patients are generally well appearing | ||
| Line 10: | Line 14: | ||
*May appear weak or fatigued in advanced cases | *May appear weak or fatigued in advanced cases | ||
'''Minor to moderate display of signs:'''<ref name="Babesiosis CDC”">Babesiosis. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/parasites/babesiosis/disease.htmlAccessed December 8, 2015.</ref> | |||
*Patient will display an average to moderately concerning fever | *Patient will display an average to moderately concerning fever | ||
*Patient will appear fatigued and lethargic. In some cases this symptom may present itself as emotionally unstable states/ depression. | *Patient will appear fatigued and lethargic. In some cases this symptom may present itself as emotionally unstable states/ depression. | ||
*Neck stiffness | *Neck stiffness | ||
| Line 28: | Line 31: | ||
*Weight loss | *Weight loss | ||
*Rash | |||
''(Physical signs gradually progress and have presented themselves to be non-specific.)'' | |||
'''Physical examination of an individual with severe progression of babesiosis may result in the additional findings:'''<ref name="Babesiosis CDC”">Babesiosis. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/parasites/babesiosis/disease.htmlAccessed December 8, 2015.</ref> | |||
*Hepatomegaly | *Hepatomegaly | ||
| Line 40: | Line 46: | ||
*Rash (similar to erythema chronicum migrans) | *Rash (similar to erythema chronicum migrans) | ||
*Pharyngeal erythema | *Pharyngeal erythema | ||
*Shock | *Shock | ||
| Line 46: | Line 52: | ||
*Acute respiratory distress syndrome (ARDS) | *Acute respiratory distress syndrome (ARDS) | ||
''(Immunocompromised patients or patients who have previously undergone splenectomy, experience difficulty clearing parasitic infections and thus result in higher counts of parasitemia. Within these populations Babesiosis is at a higher risk of producing fatal results.)'' | |||
==References== | ==References== | ||
| Line 54: | Line 60: | ||
[[Category:Parasitic diseases]] | [[Category:Parasitic diseases]] | ||
[[Category:Apicomplexa]] | [[Category:Apicomplexa]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
Latest revision as of 17:05, 18 September 2017
|
Babesiosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Babesiosis physical examination On the Web |
|
American Roentgen Ray Society Images of Babesiosis physical examination |
|
Risk calculators and risk factors for Babesiosis physical examination |
Overview
A wide range of physical findings may be associated with patients suffering from babesiosis. Asymptomatic patients will generally appear healthy without any external signs of infection. However physical examination findings are variable depending on the severity of the infection as well as the patient’s medical history. For patients exhibiting symptoms apparent during physical examination, the most common physical findings may range from a moderate fever and minor display of flu-like symptoms to Hepatomegaly, Petechiae,Ecchymoses and Acute respiratory distress syndrome (ARDS). [1]
Physical Examination
Asymptomatic:[2]
- Patients are generally well appearing
- May appear weak or fatigued in advanced cases
Minor to moderate display of signs:[2]
- Patient will display an average to moderately concerning fever
- Patient will appear fatigued and lethargic. In some cases this symptom may present itself as emotionally unstable states/ depression.
- Neck stiffness
- Shortness of breath
- Nausea
- Vomiting
- Weight loss
- Rash
(Physical signs gradually progress and have presented themselves to be non-specific.)
Physical examination of an individual with severe progression of babesiosis may result in the additional findings:[2]
- Hepatomegaly
- Petechiae
- Ecchymoses
- Rash (similar to erythema chronicum migrans)
- Pharyngeal erythema
- Shock
- Acute respiratory distress syndrome (ARDS)
(Immunocompromised patients or patients who have previously undergone splenectomy, experience difficulty clearing parasitic infections and thus result in higher counts of parasitemia. Within these populations Babesiosis is at a higher risk of producing fatal results.)
References
- ↑ Hatcher JC, Greenberg PD, Antique J, Jimenez-lucho VE. Severe babesiosis in Long Island: review of 34 cases and their complications. Clin Infect Dis. 2001;32(8):1117-25.
- ↑ 2.0 2.1 2.2 Babesiosis. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/parasites/babesiosis/disease.htmlAccessed December 8, 2015.