African trypanosomiasis differential diagnosis: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{African trypanosomiasis}} | {{African trypanosomiasis}} | ||
==Overview== | |||
==Differentiating African trypnosomiasis form other diseases== | |||
{| class="wikitable" | |||
!Differential diagnosis of Brucellosis | |||
! colspan="5" |Symptoms | |||
! colspan="3" |Signs | |||
!Diagnosis | |||
!Additional Findings | |||
|- | |||
| | |||
|Fever | |||
|Rash | |||
|Diarrhea | |||
|Abdominal pain | |||
|Weight loss | |||
|Painful lymphadenopathy | |||
|Hepatosplenomegaly | |||
|Arthritis | |||
|Lab Findings | |||
| | |||
|- | |||
|[[Brucellosis]] | |||
| + | |||
| + | |||
| - | |||
| + | |||
| + | |||
| + | |||
| + | |||
| + | |||
|[[Lymphocytosis|Relative lymphocytosis]] | |||
| | |||
[[Night sweats]], often with characteristic smell, likened to wet hay | |||
|- | |||
|[[Typhoid fever]] | |||
| + | |||
| + | |||
| - | |||
| + | |||
| - | |||
| - | |||
| + | |||
| + | |||
|Decreased [[hemoglobin]] | |||
|Incremental increase in temperature initially and than sustained [[fever]] as high as 40°C (104°F) | |||
|- | |||
|[[Malaria]] | |||
| + | |||
| - | |||
| + | |||
| + | |||
| - | |||
| - | |||
| + | |||
| + | |||
|Microcytosis, | |||
elevated [[LDH]] | |||
|"Tertian" fever: paroxysms occur every second day | |||
|- | |||
|[[Tuberculosis]] | |||
| + | |||
| + | |||
| - | |||
| + | |||
| + | |||
| + | |||
| - | |||
| + | |||
|Mild normocytic [[anemia]], [[hyponatremia]], and | |||
[[hypercalcemia]] | |||
|[[Night sweats]], constant [[fatigue]] | |||
|- | |||
|[[Lymphoma]] | |||
| + | |||
| - | |||
| - | |||
| + | |||
| + | |||
| - | |||
| + | |||
| - | |||
|Increase [[ESR]], increased [[LDH]] | |||
|[[Night sweats]], constant fatigue | |||
|- | |||
|[[Mumps]] | |||
| + | |||
| - | |||
| - | |||
| - | |||
| - | |||
| + | |||
| - | |||
| - | |||
|[[Lymphocytosis|Relative lymphocytosis]], serum [[amylase]] elevated | |||
|[[Parotid gland|Parotid]] swelling/tenderness | |||
|- | |||
|[[Rheumatoid arthritis]] | |||
| - | |||
| + | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| + | |||
|[[ESR]] and [[CRP]] elevated, positive [[rheumatoid factor]] | |||
|Morning [[stiffness]] | |||
|- | |||
|[[SLE]] | |||
| - | |||
| + | |||
| - | |||
| + | |||
| + | |||
| - | |||
| - | |||
| + | |||
|[[ESR]] and [[CRP]] elevated, positive [[ANA]] | |||
|[[Fatigue]] | |||
|- | |||
|[[Human Immunodeficiency Virus|HIV]] | |||
| - | |||
| - | |||
| - | |||
| + | |||
| + | |||
| + | |||
| - | |||
| + | |||
| | |||
|Constant fatigue | |||
|} | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 21:30, 22 June 2017
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Overview
Differentiating African trypnosomiasis form other diseases
Differential diagnosis of Brucellosis | Symptoms | Signs | Diagnosis | Additional Findings | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Fever | Rash | Diarrhea | Abdominal pain | Weight loss | Painful lymphadenopathy | Hepatosplenomegaly | Arthritis | Lab Findings | ||
Brucellosis | + | + | - | + | + | + | + | + | Relative lymphocytosis |
Night sweats, often with characteristic smell, likened to wet hay |
Typhoid fever | + | + | - | + | - | - | + | + | Decreased hemoglobin | Incremental increase in temperature initially and than sustained fever as high as 40°C (104°F) |
Malaria | + | - | + | + | - | - | + | + | Microcytosis,
elevated LDH |
"Tertian" fever: paroxysms occur every second day |
Tuberculosis | + | + | - | + | + | + | - | + | Mild normocytic anemia, hyponatremia, and | Night sweats, constant fatigue |
Lymphoma | + | - | - | + | + | - | + | - | Increase ESR, increased LDH | Night sweats, constant fatigue |
Mumps | + | - | - | - | - | + | - | - | Relative lymphocytosis, serum amylase elevated | Parotid swelling/tenderness |
Rheumatoid arthritis | - | + | - | - | - | - | - | + | ESR and CRP elevated, positive rheumatoid factor | Morning stiffness |
SLE | - | + | - | + | + | - | - | + | ESR and CRP elevated, positive ANA | Fatigue |
HIV | - | - | - | + | + | + | - | + | Constant fatigue |