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===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>


===Neck===
===Neck===
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===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>
*Contrast CT scan reveals trace pleural effusions and bibasilar atelectasis.
*Contrast CT scan reveals trace [[Pleural effusion|pleural effusions]] and bibasilar atelectasis.
*Progressive Dyspnoea.
*Progressive [[Dyspnoea]].


===Heart===
===Heart===
*Ventricular tachycardia with persistent hypotension.
*[[Ventricular tachycardia]] with persistent [[hypotension]].
*ECG may show global hypokinesis. <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>
*ECG may show global hypokinesis. <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>


===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]] is observed.


===Back===
===Back===

Revision as of 19:00, 13 July 2017

Bourbon virus infection Microchapters

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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

Physical Examination

Appearance of the Patient

  • The patient may appear very weak and in a low energy state.
  • There may also be reduced consciousness.

Vital Signs

Skin

HEENT

Neck

  • Cephalalgia (Headache, pain in the region of the head or neck)

Lungs

Heart

Abdomen

  • Contrast CT scan shows multiple prominent abdominal lymph nodes. [1]
  • Diffuse maculopapular rash is observed.

Back

  • Diffuse maculopapular rash is observed.

Genitourinary

Extremities

  • Left axillary lymphadenopathy which is usually nontender. [1]
  • Petechiae are observed on lower extremities. [1]

Neuromuscular

References

  1. ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 Kosoy OI, Lambert AJ, Hawkinson DJ, Pastula DM, Goldsmith CS, Hunt DC, Staples JE (2015). "Novel thogotovirus associated with febrile illness and death, United States, 2014". Emerging Infect. Dis. 21 (5): 760–4. doi:10.3201/eid2105.150150. PMC 4412252. PMID 25899080.

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