Typhus history and symptoms: Difference between revisions
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*History of travel to endemic areas | *History of travel to endemic areas | ||
*History of tick bite | *History of tick bite | ||
==Symptoms== | |||
Symptoms of murine or endemic typhus may include: | Symptoms of murine or endemic typhus may include: | ||
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|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 | |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 | ||
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== References == | == References == | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 20:47, 8 May 2017
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Typhus Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Typhus history and symptoms On the Web |
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American Roentgen Ray Society Images of Typhus history and symptoms |
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Risk calculators and risk factors for Typhus history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
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
Symptoms of murine or endemic typhus may include:
- Abdominal pain
- Backache
- Diarrhea
- 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
- Hacking, dry cough
- Headache
- Joint and muscle pain
- Nausea
- Vomiting
Symptoms of epidemic typhus may include:
- Chills
- Cough
- Delirium
- High fever (104 degrees Fahrenheit)
- Joint pain (arthralgia)
- Lights that appear very bright; light may hurt the eyes
- 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
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 |