Bourbon virus infection physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Reddy Kothagadi M.B.B.S[2]
Overview
Physical Examination
Appearance of the Patient
- The patient appears very weak and in a low energy state.
- There may also be reduced consciousness.
Vital Signs
Skin
- Diffuse maculopapular rash is observed on the chest, abdomen, and back. [1]
HEENT
Lungs
- Bibasilar crackles in the lung fields. [1]
- Contrast CT scan reveals trace pleural effusions and bibasilar atelectasis.
- Progressive Dyspnoea.
Heart
- Ventricular tachycardia with persistent hypotension.
- ECG may show global hypokinesis. [1]
Abdomen
- Contrast CT scan shows multiple prominent abdominal lymph nodes. [1]
- Diffuse maculopapular rash on the trunk is observed.
Back
- Diffuse maculopapular rash is observed.
Genitourinary
- There have been no genitourinary findings reported.
Extremities
- Left axillary lymphadenopathy which is usually nontender. [1]
- Petechiae are observed on lower extremities. [1]
Neuromuscular
- There have been no neuromuscular findings reported but few rare conditions associated with bourbon virus infection are: [1]
References
- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 Kosoy OI, Lambert AJ, Hawkinson DJ, Pastula DM, Goldsmith CS, Hunt DC, Staples JE (2015). "Novel thogotovirus associated with febrile illness and death, United States, 2014". Emerging Infect. Dis. 21 (5): 760–4. doi:10.3201/eid2105.150150. PMC 4412252. PMID 25899080.