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.^[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.

Template:WikiDoc Sources

[pmid7811871-1] 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.

[pmid7834600-2] Weber R, Bryan RT, Schwartz DA, Owen RL (1994). "Human microsporidial infections". Clin. Microbiol. Rev. 7 (4): 426–61. PMC 358336. PMID 7834600.

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