Presentation
A rationalisation of the 1350 boxes used throughout the book gives a simpler and clearer presentation of the various categories. [books.google.com]
We also lack information regarding similar symptoms that may have been present in contacts of this patient. [doi.org]
Patients presented most commonly with fever (100%), nausea and vomiting (55%), and rash (55%). Respiratory (55%) and neurologic (45%) manifestations were also identified frequently. [ncbi.nlm.nih.gov]
O Illnesses are restricted by geography to places where both the natural animal host and its insect vector are present, and the vector has contact with humans. O These diseases affect all ages, including children. [books.mcai.org.uk]
Entire Body System
- Fever
Typhus fevers are a group of diseases caused by bacteria that are spread to humans by fleas, lice, and chiggers. Typhus fevers include scrub typhus, murine typhus, and epidemic typhus. [web.archive.org]
(inanition) (of unknown origin) (persistent) (with chills) (with rigor) R50.9 ICD-10-CM Diagnosis Code R50.9 Fever, unspecified 2016 2017 2018 2019 Billable/Specific Code Applicable To Fever NOS Fever of unknown origin [FUO] Fever with chills Fever with [icd10data.com]
Mexican typhus Louse-borne typhus Shop typhus Flea-borne typhus Hospital fever Flea-borne rickettsiosis Famine fever European typhus Jail fever Classical typhus (fever) Murine typhus Urban typhus Rat flea typhus Exanthematic Typhus fever Typhus fever [wikidata.org]
In Australia, the Spotted Fevers are the main diseases transmitted by ticks to humans. [medent.usyd.edu.au]
- Chills
Symptoms include headache, fever, chills, joint pain, nausea, vomiting, and cough. Scrub typhus[?] is caused by Orientia tsutsugamushi and transmitted by chiggers, which are found in areas of heavy scrub vegetation. [encyclopedia.kids.net.au]
* It is a rickettsial disease with variable onset, but is often characterised by the sudden appearance of headaches, chills, prostration, high fever, coughing and severe muscular pain. [web.archive.org]
Symptoms include chills, headache and fever, lasting about 12 days. Rash and other manifestations are similar to epidemic typhus. [thirdworldtraveler.com]
A75.1 Recrudescent typhus [Brill's disease] 2016 2017 2018 2019 Billable/Specific Code Applicable To Brill-Zinsser disease flea-borne A75.2 Disease, diseased - see also Syndrome Maxcy's A75.2 Fever (inanition) (of unknown origin) (persistent) (with chills [icd10data.com]
Characteristics include a sudden onset with headache and chills and fever lasting about two to three weeks. A cutaneous rash commonly appears on the extremities and trunk about the fourth day of illness. [fpnotebook.com]
- Rigor
R50.9 ICD-10-CM Diagnosis Code R50.9 Fever, unspecified 2016 2017 2018 2019 Billable/Specific Code Applicable To Fever NOS Fever of unknown origin [FUO] Fever with chills Fever with rigors Hyperpyrexia NOS Persistent fever Pyrexia NOS Mexican A75.2 [icd10data.com]
Respiratoric
- Sighing
In recent months British doctors have anxiously watched flu graphs, but last week the British Medical Journal heaved a sigh of relief, announced that "this year's epidemic certainly does not rank among the major visitations of recent years." [web.archive.org]
Gastrointestinal
- Nausea
Patients presented most commonly with fever (100%), nausea and vomiting (55%), and rash (55%). Respiratory (55%) and neurologic (45%) manifestations were also identified frequently. [ncbi.nlm.nih.gov]
Symptoms include headache, fever, chills, joint pain, nausea, vomiting, and cough. Scrub typhus[?] is caused by Orientia tsutsugamushi and transmitted by chiggers, which are found in areas of heavy scrub vegetation. [encyclopedia.kids.net.au]
Signs and symptoms may include: Fever and chills Headache Rapid breathing Body and muscle aches Rash Cough Nausea Vomiting Confusion Brill-Zinsser disease Some people can remain infected, without symptoms, for years after they first get sick. [cdc.gov]
Within 2 weeks, symptoms of the infection set in and can include fever and chills, body aches, muscle pain, loss of appetite, nausea, vomiting, rash, and cough. [contagionlive.com]
- Vomiting
Patients presented most commonly with fever (100%), nausea and vomiting (55%), and rash (55%). Respiratory (55%) and neurologic (45%) manifestations were also identified frequently. [ncbi.nlm.nih.gov]
Symptoms include headache, fever, chills, joint pain, nausea, vomiting, and cough. Scrub typhus[?] is caused by Orientia tsutsugamushi and transmitted by chiggers, which are found in areas of heavy scrub vegetation. [encyclopedia.kids.net.au]
Signs and symptoms may include: Fever and chills Headache Rapid breathing Body and muscle aches Rash Cough Nausea Vomiting Confusion Brill-Zinsser disease Some people can remain infected, without symptoms, for years after they first get sick. [cdc.gov]
Within 2 weeks, symptoms of the infection set in and can include fever and chills, body aches, muscle pain, loss of appetite, nausea, vomiting, rash, and cough. [contagionlive.com]
- Diarrhea
Children likely had rashes and diarrhea. This study pointed out murine typhus declined sharply in the U.S. once DDT spraying began in 1945 but stated “now it appears to be on the rise, especially in southern Texas and California.” [breitbart.com]
- Abdominal Pain
In addition, unspecific clinical manifestations (relative frequency given in brackets) might be associated with epidemic typhus such as abdominal pain (60%), nausea (32%), arthralgia (50%), cough (38%) and less frequently conjunctivitis. [ecdc.europa.eu]
Liver, Gall & Pancreas
- Hepatomegaly
Hepatomegaly may be present, but jaundice is infrequent. Localized pneumonitis may occur. Untreated patients may develop pneumonia, tissue necrosis, and circulatory failure, with such sequelae as brain and heart damage. [the-travel-doctor.com]
Typhical myocarditis determines the pulse acceleration independently of the fever curve and the emergence of signs of heart failure (mild hepatomegaly stasis and edemas on the shanks). [ncbi.nlm.nih.gov]
Musculoskeletal
- Arthralgia
Symptoms had started 8 days prior to hospitalization with fever, asthenia, arthralgia, and headache. Four days after the onset of symptoms she had developed a generalized maculopapular skin rash. [doi.org]
Lyme Disease causes a range of non-specific symptoms including fever, fatigue, headaches, myalgia, arthralgia, muscle and joint pain and sore and swollen lymph glands.These symptoms can occur within days, weeks or months of being bitten. [web.archive.org]
In addition, unspecific clinical manifestations (relative frequency given in brackets) might be associated with epidemic typhus such as abdominal pain (60%), nausea (32%), arthralgia (50%), cough (38%) and less frequently conjunctivitis. [ecdc.europa.eu]
Neurologic
- Headache
Definition of murine typhus : a mild disease that is marked especially by fever, headache, and rash, is caused by a rickettsia ( Rickettsia typhi synonym R. mooseri ), is widespread in nature in rodents, and is transmitted to humans by a flea Examples [merriam-webster.com]
Symptoms include fever, headache, muscle pain, cough, and gastrointestinal symptoms. Definitive diagnosis can be obtained by serological testing. Treatment is often with tetracycline or related antibiotics. [encyclopedia.kids.net.au]
The most common symptoms are fever, headaches, and sometimes rash. Clinical Guidelines Diagnosis and management of Typhus fevers Murine Typhus Bacterial disease spread by fleas Scrub Typhus Spread by chiggers in Southeast Asia [web.archive.org]
The disease is characterized by high fever, intractable headache, and rash. Temperature reaches 104° F in several days and remains high. Headache is generalized and intense. On the 4th to 6th day, the rash develops and spreads. [thirdworldtraveler.com]
Workup
Microbiology
- Rickettsia Typhi
National Library of Medicine (0.00 / 0 votes) Rate this definition: Typhus, Endemic Flea-Borne An infectious disease clinically similar to epidemic louse-borne typhus (TYPHUS, EPIDEMIC LOUSE-BORNE), but caused by RICKETTSIA TYPHI, which is transmitted [definitions.net]
typhi or rickettsia felis. [icd10data.com]
Definition of murine typhus : a mild disease that is marked especially by fever, headache, and rash, is caused by a rickettsia ( Rickettsia typhi synonym R. mooseri ), is widespread in nature in rodents, and is transmitted to humans by a flea Examples [merriam-webster.com]
AbstractFlea-borne (murine) typhus is a global rickettsiosis caused by Rickettsia typhi. Although flea-borne typhus is no longer nationally notifiable, cases are reported for surveillance purposes in a few U.S. states. [ncbi.nlm.nih.gov]
Treatment
This disease can be handled successfully with rapid diagnosis, proper antibiotic treatment, and rodent and chigger control. [doi.org]
This avoids the problem of repeated treatments in areas difficult to access regularly. [web.archive.org]
Prognosis ,Prophylaxis and treatment Starting antibiotics early has significantly reduced mortality from about 20 to 7%. Early treatment prevents most complications. No effective vaccines are available. [the-travel-doctor.com]
The disease can be severe with a mortality of up to 60% without antibiotic treatment. But this can be reduced to below 5% with antibiotic and supportive treatment [1]. [ecdc.europa.eu]
Prognosis
Prognosis ,Prophylaxis and treatment Starting antibiotics early has significantly reduced mortality from about 20 to 7%. Early treatment prevents most complications. No effective vaccines are available. [the-travel-doctor.com]
Suppurative parotiditis claims an unfavorable prognosis and require surgical treatment as early as possible [ 24, 31 ]. [ncbi.nlm.nih.gov]
Etiology
Flea-borne typhus should be considered in febrile patients with animal or flea exposure and respiratory or neurologic symptoms of unknown etiology. [ncbi.nlm.nih.gov]
Publication Date Title Wilson et al. 1984 Treatment of streptomycin-susceptible and streptomycin-resistant enterococcal endocarditis Arias et al. 2010 Management of multidrug-resistant enterococcal infections Wallace et al. 1991 Red man syndrome: incidence, etiology [google.sr]
Epidemiology
This book is organized into nine chapters that describe the signs and symptoms, clinical forms and manifestations, incubation period, stages of invasion, mode of transmission, epidemiology, and treatment of different tropical and infectious diseases such [books.google.com]
Epidemiology of rickettsial diseases. Eur. J. Epidemiol. 7 : 237 -245. View Abstract [doi.org]
The importance for human epidemiology is expected to be limited. Late relapse of epidemic typhus (Brill–Zinsser disease) might be the source of a re-emerging outbreak. [ecdc.europa.eu]
Epidemiology of murine typhus. Annu Rev Entomol 1990;35:553-69. Karpathy SE, Hayes EK, Williams AM, et al. Detection of Rickettsia felis and Rickettsia typhi in areas of California endemic for murine typhus. Clin Microbiol Infect. In press 2009. [imic.or.jp]
While the authors make their opinion in this classic whodunit known, they don’t proclaim to have solved the problem for good, mentioning that “further research is needed to unravel this long-standing epidemiological mystery.” [entomologytoday.org]
Pathophysiology
Pathophysiology : The incubation period from the mite bite is 6-18 days following inoculation. Humans acquire the disease when an infected mite or chigger, bites them while feeding and inoculates R tsutsugamushi pathogens. [the-travel-doctor.com]
Prevention
More than 1.5 million concentration camp prisoners died of typhus, a preventable disease. [books.google.com]
To prevent the spread of disease on the continent, cities through which immigrants passed in large numbers, such as Quebec City, made arrangements to have passengers undergo a medical exam. [mccord-museum.qc.ca]
Early treatment prevents most complications. No effective vaccines are available. [the-travel-doctor.com]