Bourbon virus infection differential diagnosis: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
m (Bot: Removing from Primary care)
 
(12 intermediate revisions by 5 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Bourbon virus infection}}
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Bourbon_virus_infection]]


{{CMG}}; {{AE}}
{{CMG}}; {{AE}} {{ADG}}


==Overview==
==Overview==
Bourbon virus infection must be differentiated from other diseases that may cause [[arthralgia]], [[fever]], and skin manifestations with the history of exposure to ticks. The differential diagnosis of Bourbon virus disease includes [[Lyme disease]], [[ehrlichiosis]], [[anaplasmosis]], [[Rocky Mountain spotted fever]], [[leptospirosis]], and [[influenza]].


==Differentiating Bourbon Virus Infection from other diseases==
==Differentiating Bourbon Virus Infection from other diseases==
Bourbon virus infection must be differentiated from other diseases that may cause arthralgia, fever, history of tick exposure, and skin manifestations. The differential diagnosis of Bourbon virus disease includes Lyme disease, Southern tick-associated rash illness (STARI), ehrlichiosis, anaplasmosis, Rocky Mountain spotted fever, Heartland virus infection, leptospirosis, and influenza.
Bourbon virus infection must be differentiated from other diseases that may cause [[arthralgia]], [[fever]], history of tick exposure, and skin manifestations. The differential diagnosis of Bourbon virus disease includes [[Lyme disease]], [[ehrlichiosis]], [[anaplasmosis]], [[Rocky Mountain spotted fever]], [[leptospirosis]], and [[influenza]].


{| style="font-size: 85%;"
{| style="font-size: 85%;"
Line 16: Line 17:
|-
|-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ''Borreliosis (Lyme Disease)'' <ref name="Lyme CDC”">Lyme Disease Information for HealthCare Professionals. Centers for Disease Control and Prevention (2015).  http://www.cdc.gov/lyme/healthcare/index.html Accessed on December 30, 2015</ref>
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ''Borreliosis (Lyme Disease)'' <ref name="Lyme CDC”">Lyme Disease Information for HealthCare Professionals. Centers for Disease Control and Prevention (2015).  http://www.cdc.gov/lyme/healthcare/index.html Accessed on December 30, 2015</ref>
| style="background: #DCDCDC; padding: 5px;" |Flu-like illness, fatigue, fever, arthritis, neuroborreliosis, cranial nerve palsy, carditis and erythema migrans.
| style="background: #DCDCDC; padding: 5px;" |[[Flu-like illness]], [[fatigue]], [[fever]], [[arthritis]], [[neuroborreliosis]], [[cranial nerve palsy]], [[carditis]] and [[erythema migrans]].
|-
|-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ''Relapsing Fever'' <ref name="TBRF CDC”">Relapsing Fever Information. Centers for Disease Control and Prevention (2015).  http://www.cdc.gov/relapsing-fever/ Accessed on December 30, 2015</ref>
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ''Relapsing Fever'' <ref name="TBRF CDC”">Relapsing Fever Information. Centers for Disease Control and Prevention (2015).  http://www.cdc.gov/relapsing-fever/ Accessed on December 30, 2015</ref>
| style="background: #DCDCDC; padding: 5px;" |Consistently documented high fevers, flu-like illness, headaches, muscular soreness or joint pain, altered mental state, painful urination, rash, and rigors.
| style="background: #DCDCDC; padding: 5px;" |Consistently documented high[[fevers]], [[flu-like illness]], [[headaches]], muscular soreness or joint pain, [[altered mental state]], [[Dysuria|painful urination]], [[rash]], and [[rigors]].
|-
|-
| colspan="5d" style="font-size: 14px; background: #7d7d7d; text-align: center;" | {{fontcolor|#FFF|'''Typhus (Rickettsia)'''}}
| colspan="5d" style="font-size: 14px; background: #7d7d7d; text-align: center;" | {{fontcolor|#FFF|'''Typhus (Rickettsia)'''}}
|-
|-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ''Rocky Mountain Spotted Fever''
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ''Rocky Mountain Spotted Fever''
| style="background: #DCDCDC; padding: 5px;" | Fever, alterations in mental state, myalgia, rash, and headaches.
| style="background: #DCDCDC; padding: 5px;" | [[Fever]], alterations in mental state, [[myalgia]], [[rash]], and [[headaches]].
|-
|-
| style="background: #F5F5F5; padding: 5px; text-align: center;" |  ''Helvetica Spotted Fever'' <ref name="RMSF CDC”">Rocky Mountain Spotted Fever Information. Centers for Disease Control and Prevention (2015).  http://www.cdc.gov/rmsf/  Accessed on December 30, 2015</ref>
| style="background: #F5F5F5; padding: 5px; text-align: center;" |  ''Helvetica Spotted Fever'' <ref name="RMSF CDC”">Rocky Mountain Spotted Fever Information. Centers for Disease Control and Prevention (2015).  http://www.cdc.gov/rmsf/  Accessed on December 30, 2015</ref>
| style="background: #DCDCDC; padding: 5px;" | Rash: spotted, red dots. Respiratory symptoms (dyspnea, cough), muscle pain, and headaches.
| style="background: #DCDCDC; padding: 5px;" | [[Rash]]: spotted, red dots. Respiratory symptoms ([[dyspnea]], [[cough]]), muscle pain, and [[headaches]].
|-
|-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ''Ehrlichiosis Anaplasmosis'' <ref name="Ehrlichiosis CDC”">Disease index General  Information (2015). http://www.cdc.gov/parasites/babesiosis/health_professionals/index.html Accessed on December 30, 2015</ref>
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ''Ehrlichiosis Anaplasmosis'' <ref name="Ehrlichiosis CDC”">Disease index General  Information (2015). http://www.cdc.gov/parasites/babesiosis/health_professionals/index.html Accessed on December 30, 2015</ref>
| style="background: #DCDCDC; padding: 5px;" | Fever, headache, chills, malaise, muscle pain, nausea, confusion, conjunctivitis, or rash (60% in children and 30% in adults).  
| style="background: #DCDCDC; padding: 5px;" | [[Fever]], [[headache]], chills, [[malaise]], [[Myalgia|muscle pain]], nausea, [[confusion]], [[conjunctivitis]], or [[rash]](60% in children and 30% in adults).  
|-
|-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ''Tularemia'' <ref name="Tulameria CDC”">Rocky Mountain Spotted Fever Information. Centers for Disease Control and Prevention (2015).  \http://www.cdc.gov/tularemia/index.html  Accessed on December 30, 2015</ref>
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ''Tularemia'' <ref name="Tulameria CDC”">Rocky Mountain Spotted Fever Information. Centers for Disease Control and Prevention (2015).  \http://www.cdc.gov/tularemia/index.html  Accessed on December 30, 2015</ref>
Line 38: Line 39:
|-  
|-  
| style="background: #F5F5F5; padding: 5px; text-align: center;" | Tick-borne meningoencephalitis <ref name="TBE CDC”">General Disease Information (TBE). Centers for Disease Control and Prevention (2015).  http://www.cdc.gov/vhf/tbe/ Accessed on December 30, 2015</ref>
| style="background: #F5F5F5; padding: 5px; text-align: center;" | Tick-borne meningoencephalitis <ref name="TBE CDC”">General Disease Information (TBE). Centers for Disease Control and Prevention (2015).  http://www.cdc.gov/vhf/tbe/ Accessed on December 30, 2015</ref>
| style="background: #DCDCDC; padding: 5px;" | Early Phase: Non-specific symptoms including fever, malaise, anorexia, muscle pains, headaches, nausea, and vomiting. Second Phase: Meningitis symptoms, headache, stiff neck, encephalitis, drowsiness, sensory disturbances, and potential paralysis.  
| style="background: #DCDCDC; padding: 5px;" | Early Phase: Non-specific symptoms including [[fever]], [[malaise]], [[anorexia]], [[muscle pains]], [[headaches]], [[nausea]], and [[vomiting]]. Second Phase: [[Meningitis]] symptoms, [[headache]], stiff neck, [[encephalitis]], drowsiness, sensory disturbances, and potential [[paralysis]].  
|-
|-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | Colorado Tick Fever <ref name="GenTickDis CDC”">General Tick Deisease Information. Centers for Disease Control and Prevention (2015).  http://www.cdc.gov/coloradotickfever/index.html Accessed on December 30, 2015</ref>
| style="background: #F5F5F5; padding: 5px; text-align: center;" | Colorado Tick Fever <ref name="GenTickDis CDC”">General Tick Deisease Information. Centers for Disease Control and Prevention (2015).  http://www.cdc.gov/coloradotickfever/index.html Accessed on December 30, 2015</ref>
| style="background: #DCDCDC; padding: 5px;" |Common symptoms include fever, chills, headache, body aches, and lethargy. Other symptoms associated with the disease include sore throat, abdominal pain, vomiting, and a skin rash. A biphasic fever is a hallmark of Colorado Tick Fever and presents itself in nearly 50% of infected patients.  
| style="background: #DCDCDC; padding: 5px;" |Common symptoms include [[fever]], chills, [[headache]], [[body aches]], and [[lethargy]]. Other symptoms associated with the disease include [[sore throat]], [[abdominal pain]], [[vomiting]], and a skin rash. A biphasic fever is a hallmark of Colorado Tick Fever and presents itself in nearly 50% of infected patients.  
|-
|-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | Crimean-Congo Hemorrhagic Fever
| style="background: #F5F5F5; padding: 5px; text-align: center;" | Crimean-Congo Hemorrhagic Fever
| style="background: #DCDCDC; padding: 5px;" |Initially infected patients will likely feel a few of the following symptoms; headache, high fever, back and joint pain, stomach pain, vomiting, flushed face, red throat petechiae of the palate, and potentially changes in mood as well as sensory perception.  
| style="background: #DCDCDC; padding: 5px;" |Initially infected patients will likely feel a few of the following symptoms; [[headache]], high [[fever]], back and joint pain, stomach pain, [[vomiting]], flushed face, red throat [[petechiae]] of the palate, and potentially changes in mood as well as sensory perception.
|-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ''Heartland virus disease '' <ref name="urlCDC - Heartland virus (a phlebovirus) - Division of Vector-Borne Diseases (DVBD) - NCEZID">{{cite web |url=https://www.cdc.gov/ncezid/dvbd/heartland/index.html |title=CDC - Heartland virus (a phlebovirus) - Division of Vector-Borne Diseases (DVBD) - NCEZID |format= |work= |accessdate=}}</ref>
| style="background: #DCDCDC; padding: 5px;" |[[Fever]], [[fatigue]], [[anorexia]], [[nausea]], or [[diarrhea]]. Patients also have [[leukopenia]], [[thrombocytopenia]], and mildly to moderately elevated [[Liver enzymes|liver transaminases]].
|-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ''Bourbon virus disease ''<ref name="urlBourbon virus | Division of Vector-Borne Diseases (DVBD) | NCEZID | CDC">{{cite web |url=https://www.cdc.gov/ncezid/dvbd/bourbon/index.html |title=Bourbon virus &#124; Division of Vector-Borne Diseases (DVBD) &#124; NCEZID &#124; CDC |format= |work= |accessdate=}}</ref>
| style="background: #DCDCDC; padding: 5px;" | [[Fever]], [[fatigue]], [[anorexia]], [[nausea]], [[vomiting]], and [[maculopapular rash]]. Patients are also found to have [[thrombocytopenia]] and [[leukopenia]].  
|-
|-
| colspan="5d" style="font-size: 14px; background: #7d7d7d; text-align: center;" | {{fontcolor|#FFF|'''Protozoan Infection'''}}
| colspan="5d" style="font-size: 14px; background: #7d7d7d; text-align: center;" | {{fontcolor|#FFF|'''Protozoan Infection'''}}
Line 57: Line 64:
{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Pulmonology]]
[[Category:Dermatology]]
[[Category:Emergency medicine]]
[[Category:Infectious disease]]

Latest revision as of 20:40, 29 July 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Bourbon virus infection must be differentiated from other diseases that may cause arthralgia, fever, and skin manifestations with the history of exposure to ticks. The differential diagnosis of Bourbon virus disease includes Lyme disease, ehrlichiosis, anaplasmosis, Rocky Mountain spotted fever, leptospirosis, and influenza.

Differentiating Bourbon Virus Infection from other diseases

Bourbon virus infection must be differentiated from other diseases that may cause arthralgia, fever, history of tick exposure, and skin manifestations. The differential diagnosis of Bourbon virus disease includes Lyme disease, ehrlichiosis, anaplasmosis, Rocky Mountain spotted fever, leptospirosis, and influenza.

Disease Symptoms
Bacterial Infection
Borreliosis (Lyme Disease) [1] Flu-like illness, fatigue, fever, arthritis, neuroborreliosis, cranial nerve palsy, carditis and erythema migrans.
Relapsing Fever [2] Consistently documented highfevers, flu-like illness, headaches, muscular soreness or joint pain, altered mental state, painful urination, rash, and rigors.
Typhus (Rickettsia)
Rocky Mountain Spotted Fever Fever, alterations in mental state, myalgia, rash, and headaches.
Helvetica Spotted Fever [3] Rash: spotted, red dots. Respiratory symptoms (dyspnea, cough), muscle pain, and headaches.
Ehrlichiosis Anaplasmosis [4] Fever, headache, chills, malaise, muscle pain, nausea, confusion, conjunctivitis, or rash(60% in children and 30% in adults).
Tularemia [5] Ulceroglandular, Glandular, Oculoglandular, Oroglandular, Pneumonic, Typhoidal.
Viral Infection
Tick-borne meningoencephalitis [6] Early Phase: Non-specific symptoms including fever, malaise, anorexia, muscle pains, headaches, nausea, and vomiting. Second Phase: Meningitis symptoms, headache, stiff neck, encephalitis, drowsiness, sensory disturbances, and potential paralysis.
Colorado Tick Fever [7] Common symptoms include fever, chills, headache, body aches, and lethargy. Other symptoms associated with the disease include sore throat, abdominal pain, vomiting, and a skin rash. A biphasic fever is a hallmark of Colorado Tick Fever and presents itself in nearly 50% of infected patients.
Crimean-Congo Hemorrhagic Fever Initially infected patients will likely feel a few of the following symptoms; headache, high fever, back and joint pain, stomach pain, vomiting, flushed face, red throat petechiae of the palate, and potentially changes in mood as well as sensory perception.
Heartland virus disease [8] Fever, fatigue, anorexia, nausea, or diarrhea. Patients also have leukopenia, thrombocytopenia, and mildly to moderately elevated liver transaminases.
Bourbon virus disease [9] Fever, fatigue, anorexia, nausea, vomiting, and maculopapular rash. Patients are also found to have thrombocytopenia and leukopenia.
Protozoan Infection
Babesiosis [10] Non-specific flu like symptoms.

References

  1. ↑ Lyme Disease Information for HealthCare Professionals. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/lyme/healthcare/index.html Accessed on December 30, 2015
  2. ↑ Relapsing Fever Information. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/relapsing-fever/ Accessed on December 30, 2015
  3. ↑ Rocky Mountain Spotted Fever Information. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/rmsf/ Accessed on December 30, 2015
  4. ↑ Disease index General Information (2015). http://www.cdc.gov/parasites/babesiosis/health_professionals/index.html Accessed on December 30, 2015
  5. ↑ Rocky Mountain Spotted Fever Information. Centers for Disease Control and Prevention (2015). \http://www.cdc.gov/tularemia/index.html Accessed on December 30, 2015
  6. ↑ General Disease Information (TBE). Centers for Disease Control and Prevention (2015). http://www.cdc.gov/vhf/tbe/ Accessed on December 30, 2015
  7. ↑ General Tick Deisease Information. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/coloradotickfever/index.html Accessed on December 30, 2015
  8. ↑ "CDC - Heartland virus (a phlebovirus) - Division of Vector-Borne Diseases (DVBD) - NCEZID".
  9. ↑ "Bourbon virus | Division of Vector-Borne Diseases (DVBD) | NCEZID | CDC".
  10. ↑ Babesiosis. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/parasites/babesiosis/disease.htmlAccessed December 8, 2015.

Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Bourbon_virus_infection_differential_diagnosis&oldid=1635312"