Microsporidiosis physical examination: Difference between revisions
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==Physical examination== | ==Physical examination== | ||
==General look== | ===General look=== | ||
Patient looks ill with signs of wasting and [[malnourishment]] especially if chronic diarrhea is associated.<ref name="pmid7811871">{{cite journal |vauthors=Sandfort J, Hannemann A, Gelderblom H, Stark K, Owen RL, Ruf B |title=Enterocytozoon bieneusi infection in an immunocompetent patient who had acute diarrhea and who was not infected with the human immunodeficiency virus |journal=Clin. Infect. Dis. |volume=19 |issue=3 |pages=514–6 |year=1994 |pmid=7811871 |doi= |url=}}</ref><ref name="pmid7834600">{{cite journal |vauthors=Weber R, Bryan RT, Schwartz DA, Owen RL |title=Human microsporidial infections |journal=Clin. Microbiol. Rev. |volume=7 |issue=4 |pages=426–61 |year=1994 |pmid=7834600 |pmc=358336 |doi= |url=}}</ref> | Patient looks ill with signs of wasting and [[malnourishment]] especially if chronic diarrhea is associated.<ref name="pmid7811871">{{cite journal |vauthors=Sandfort J, Hannemann A, Gelderblom H, Stark K, Owen RL, Ruf B |title=Enterocytozoon bieneusi infection in an immunocompetent patient who had acute diarrhea and who was not infected with the human immunodeficiency virus |journal=Clin. Infect. Dis. |volume=19 |issue=3 |pages=514–6 |year=1994 |pmid=7811871 |doi= |url=}}</ref><ref name="pmid7834600">{{cite journal |vauthors=Weber R, Bryan RT, Schwartz DA, Owen RL |title=Human microsporidial infections |journal=Clin. Microbiol. Rev. |volume=7 |issue=4 |pages=426–61 |year=1994 |pmid=7834600 |pmc=358336 |doi= |url=}}</ref> | ||
==Vital signs== | ===Vital signs=== | ||
===Temperature=== | ====Temperature==== | ||
*[[Fever]] is rare. | *[[Fever]] is rare. | ||
===Heart rate=== | ====Heart rate==== | ||
*Heart rate is usually maintained within normal limits | *Heart rate is usually maintained within normal limits | ||
===Respiratory rate=== | ====Respiratory rate==== | ||
*Respiratory rate is maintained within normal limits | *Respiratory rate is maintained within normal limits | ||
===Blood prssure=== | ====Blood prssure==== | ||
*Blood pressure is usually maintained within normal limits | *Blood pressure is usually maintained within normal limits | ||
Revision as of 22:04, 2 July 2017
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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.[1]
Physical examination
General look
Patient looks ill with signs of wasting and malnourishment especially if chronic diarrhea is associated.[1][2]
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.
References
- ↑ 1.0 1.1 Sandfort J, Hannemann A, Gelderblom H, Stark K, Owen RL, Ruf B (1994). "Enterocytozoon bieneusi infection in an immunocompetent patient who had acute diarrhea and who was not infected with the human immunodeficiency virus". Clin. Infect. Dis. 19 (3): 514–6. PMID 7811871.
- ↑ Weber R, Bryan RT, Schwartz DA, Owen RL (1994). "Human microsporidial infections". Clin. Microbiol. Rev. 7 (4): 426–61. PMC 358336. PMID 7834600.