Relapsing fever differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
The following infectious diseases should be considered in someone with recurrent episodes of a febrile illness: | |||
Colorado tick fever,Infectious [[mononucleosis]], Ascending (intermittent) [[cholangitis]], [[Yellow fever]], [[Viral hemorrhagic fever|African hemorrhagic fever]]s, Lymphocytic choriomengitis, [[Dengue fever]], [[Leptospirosis]], Infections with [[echovirus 9]], [[Malaria]], Chronic [[meningococcemia]], Infections with [[Bartonella]] species, [[Brucellosis]], [[Rat bite fever]]. | |||
==Differentiating Relapsing fever from other Diseases== | ==Differentiating Relapsing fever from other Diseases== | ||
Revision as of 00:14, 10 August 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The following infectious diseases should be considered in someone with recurrent episodes of a febrile illness: Colorado tick fever,Infectious mononucleosis, Ascending (intermittent) cholangitis, Yellow fever, African hemorrhagic fevers, Lymphocytic choriomengitis, Dengue fever, Leptospirosis, Infections with echovirus 9, Malaria, Chronic meningococcemia, Infections with Bartonella species, Brucellosis, Rat bite fever.
Differentiating Relapsing fever from other Diseases
The following infectious diseases should be considered in someone with recurrent episodes of a febrile illness:[1]
- Colorado tick fever
- Infectious mononucleosis
- Ascending (intermittent) cholangitis
- Yellow fever
- African hemorrhagic fevers
- Lymphocytic choriomengitis
- Dengue fever
- Leptospirosis
- Infections with echovirus 9
- Malaria
- Chronic meningococcemia
- Infections with Bartonella species
- Brucellosis
- Rat bite fever.
| Disease | Organism | Vector | Symptoms | |
|---|---|---|---|---|
| Bacterial Infection | ||||
| Borreliosis (Lyme Disease) [2] | Borrelia burgdorferi sensu lato complex and B. mayonii | I. scapularis, I. pacificus, I. ricinus, and I. persulcatus | Erythema migrans, flu-like illness(fatigue, fever), Lyme arthritis, neuroborreliosis, and carditis. | |
| Relapsing Fever [3] | Tick-borne relapsing fever (TBRF): | Borrelia duttoni, Borrelia hermsii, and Borrelia parkerii | Ornithodoros species | Consistently documented high fevers, flu-like illness, headaches, muscular soreness or joint pain, altered mental status, painful urination, rash, and rigors. |
| Louse-borne relapsing fever (LBRF) : | Borrelia recurrentis | Pediculus humanus | ||
| Typhus (Rickettsia) | ||||
| Rocky Mountain Spotted Fever | Rickettsia rickettsii | Dermacentor variabilis, Dermacentor andersoni | Fever, altered mental status, myalgia, rash, and headaches. | |
| Helvetica Spotted Fever [4] | Rickettsia helvetica | Ixodes ricinus | Rash: spotted, red dots. Respiratory symptoms (dyspnea, cough), muscle pain, and headaches. | |
| Ehrlichiosis (Anaplasmosis) [5] | Ehrlichia chaffeensis, Ehrlichia ewingii | Amblyomma americanum, Ixodes scapularis | Fever, headache, chills, malaise, muscle pain, nausea, confusion, conjunctivitis, or rash (60% in children and 30% in adults). | |
| Tularemia [6] | Francisella tularensis | Dermacentor andersoni, Dermacentor variabilis | Ulceroglandular, glandular, oculoglandular, oroglandular, pneumonic, typhoidal. | |
| Viral Infection | ||||
| Tick-borne meningoencephalitis [7] | TBEV virus | Ixodes scapularis, I. ricinus, I. persulcatus | Early Phase: Non-specific symptoms including fever, malaise, anorexia, muscle pains, headaches, nausea, and vomiting. Second Phase: Meningitis symptoms, headache, stiff neck, encephalitis, drowsiness, sensory disturbances, and potential paralysis. | |
| Colorado Tick Fever [8] | CTF virus | Dermacentor andersoni | Common symptoms include fever, chills, headache, body aches, and lethargy. Other symptoms associated with the disease include sore throat, abdominal pain, vomiting, and a skin rash. A biphasic fever is a hallmark of Colorado Tick Fever and presents in nearly 50% of infected patients. | |
| Crimean-Congo Hemorrhagic Fever | CCHF virus | Hyalomma marginatum, Rhipicephalus bursa | Initially infected patients will likely feel a few of the following symptoms: headache, high fever, back and joint pain, stomach pain, vomiting, flushed face, red throat petechiae of the palate, and potentially changes in mood as well as sensory perception. | |
| Protozoan Infection | ||||
| Babesiosis [9] | Babesia microti, Babesia divergens, Babesia equi | Ixodes scapularis, I. pacificus | Non-specific flu-like symptoms. | |
References
- ↑ Barbour AG (1990). "Antigenic variation of a relapsing fever Borrelia species". Annu. Rev. Microbiol. 44: 155–71. doi:10.1146/annurev.mi.44.100190.001103. PMID 2252381.
- ↑ Lyme Disease Information for HealthCare Professionals. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/lyme/healthcare/index.html Accessed on December 30, 2015
- ↑ Relapsing Fever Information. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/relapsing-fever/ Accessed on December 30, 2015
- ↑ Rocky Mountain Spotted Fever Information. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/rmsf/ Accessed on December 30, 2015
- ↑ Disease index General Information (2015). http://www.cdc.gov/parasites/babesiosis/health_professionals/index.html Accessed on December 30, 2015
- ↑ Rocky Mountain Spotted Fever Information. Centers for Disease Control and Prevention (2015). \http://www.cdc.gov/tularemia/index.html Accessed on December 30, 2015
- ↑ General Disease Information (TBE). Centers for Disease Control and Prevention (2015). http://www.cdc.gov/vhf/tbe/ Accessed on December 30, 2015
- ↑ General Tick Deisease Information. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/coloradotickfever/index.html Accessed on December 30, 2015
- ↑ Babesiosis. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/parasites/babesiosis/disease.htmlAccessed December 8, 2015.