Typhus history and symptoms: Difference between revisions

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{{Typhus}}
{{Typhus}}
{{CMG}} ; {{AE}}{{ADG}}
==Overview==


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== 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 of murine or endemic typhus may include:
Symptoms of murine or endemic typhus may include:
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* Severe muscle pain ([[myalgia]])
* Severe muscle pain ([[myalgia]])
* [[Stupor]]
* [[Stupor]]
 
===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
|}
== References ==
== References ==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 20:46, 8 May 2017

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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 of murine or endemic typhus may include:

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

References

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