Smallpox history and symptoms: Difference between revisions
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* [[Rash]] as small red spots in the [[mouth]], [[tongue]] and [[oropharynx]] | * [[Rash]] as small red spots in the [[mouth]], [[tongue]] and [[oropharynx]] | ||
* [[Rash]] turns into sores releasing the [[virus]] | * [[Rash]] turns into sores releasing the [[virus]] | ||
* [[Rash]] appears on the [[skin]], starting on the face, moving towards arms and hands, eventually spreading to the rest of the body within 24 hours | * [[Rash]] appears on the [[skin]], starting on the face, moving towards arms and hands, eventually spreading to the rest of the body within 24-48 hours | ||
* At this time, [[fever]] usually falls and the person feels better | * At this time, [[fever]] usually falls and the person feels better | ||
* At the 3rd day of [[rash]], it turns into raised bumps | * At the 3rd day of [[rash]], it turns into raised bumps |
Revision as of 22:17, 10 July 2014
Smallpox Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
History
In 90% of the cases, patients presented with ordinary smallpox. Commonly there is a family member, or close contact, with the disease. Ordinary smallpox progresses according to the following periods:
Incubation period
- Usually 12 - 14 days
- Asymptomatic
- Noncontagious
Prodrome period
Commonly patients fell very ill during this period.
- Usually 2 - 4 days
- Sometime contagious
- Abrupt onset of fever
- Malaise
- Muscle pain and headache
- Abdominal pain
- Vomiting
Early rash
- About 4 days
- Most contagious stage
- Rash as small red spots in the mouth, tongue and oropharynx
- Rash turns into sores releasing the virus
- Rash appears on the skin, starting on the face, moving towards arms and hands, eventually spreading to the rest of the body within 24-48 hours
- At this time, fever usually falls and the person feels better
- At the 3rd day of rash, it turns into raised bumps
- At the 4th day of rash, bumps are filled with fluid, with a central depression
- Fever will then raise again, until scabs are formed
Pustular rash
- About 5 days
- Contagious
- Bumps turn into pustules
Pustules and scabs
- About 5 days
- Contagious
- Pustules first forma crust and than a scab
Resolving scabs
- About 6 days
- Contagious, until all scabs have fallen
- Scabs start to fall leaving scars not the skin
- Most scabs will have fallen 3 weeks after start of rash
Resolved scabs
- All scabs have fallen
- Person is no longer contagious
Common Symptoms
- Initially in the mouth, that evolves into sores
- Followed by skin rash