Bourbon virus infection physical examination

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

The physical examination findings of bourbon virus infection may include several tick bite marks and maculopapular rash on the trunk. The patient may appear fatigued, hypertensive and dyspnoeic.

Physical Examination

Appearance of the Patient

Fatigued appearnace
Altered level of consciousness
Respiratory distress

Vital Signs

Skin

Diffuse maculopapular rash is observed on the chest, abdomen, and back. ^[1]

HEENT

Petechiae are observed on the soft palate. ^[1]

Lungs

Bibasilar crackles in the lung fields. ^[1]

Heart

Normal S1 S2 are heard

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]
- Neuromyelitis optica
- Meningitis

References

↑ ^1.0 ^1.1 ^1.2 ^1.3 ^1.4 ^1.5 ^1.6 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.

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[pmid25899080-1] 1.0 ^1.1 ^1.2 ^1.3 ^1.4 ^1.5 ^1.6 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.

[1]