Microsporidiosis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]

Overview

Patients with microsporidiosis usually appear ill. Physical examination of patients with microsporidiosis is usually remarkable for weight loss, wasting and abdominal tenderness.

General look

Patient looks ill with signs of wasting and malnourishment especially if chronic diarrhea is associated.

Vital signs

Temperature

• Fever is rare.

Heart rate

• Heart rate is usually maintained within normal limits

Respiratory rate

• Respiratory rate is maintained within normal limits

Blood prssure

• Blood pressure is usually maintained within normal limits

HEENT

• If ocular microsporidiasis is present, it may manifest as superficial punctate or stromal keratitis:
• Slit lamp examination might reveal:

• Conjunctival htperemia
• Corneal clouding

Chest

• Chest examination findings are usually within normal limits

Cardiovascular

• Cardiovacular examination findings are usually within normal limits

Abdomen

• Decreased abdominal girth and weight loss due to chronic diarrhea
• Right upper quadrant tenderness if cholecystitis ensues.

Exterimities

Muscle tenderness if myositis is present.