最近审阅: 26 十月 2020
最近更新: 19 十二月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 发热(体温≥37.5℃)
  • 呼吸频率增加
  • 收缩压低
  • 不适感
  • 恶心/呕吐
  • 头痛
  • 咽痛/咽炎
  • 结膜炎
  • 胸痛/咳嗽
  • 肌痛
  • 耳聋(感觉神经性)
  • 面部水肿
  • 出血

其他诊断因素

  • 腹痛
  • 腹泻
  • 意识模糊及格拉斯哥昏迷量表评分改变或癫痫发作
  • 积液

危险因素

  • 职业暴露
  • 在疾病流行地区生活/工作,或从这些地区归来
  • 接触感染者的体液
  • 屠宰和/或食用啮齿类动物的肉
  • 生物恐怖主义

诊断性检查

首要检查

  • 逆转录聚合酶链反应 (RT-PCR)
  • 血清学
  • 快速诊断侧流免疫层析检测
  • 疟疾快速诊断试验
  • 针对伤寒的血液培养
更多 首要检查

需考虑的检查

  • 肾功能
  • 血清电解质
  • 血乳酸/动脉血气 (ABG) 分析
  • 全血细胞计数 (FBC)
  • 凝血功能检查
  • 肝功能检查 (LFT)
  • 胸部 X 线检查
  • 尿液分析
  • 血液培养
  • 腰椎穿刺:
  • 腹部超声
更多 需考虑的检查

治疗流程

初步治疗
急性处理

撰稿人

Clinical Lecturer in Infectious Diseases/Virology

University College London

London

UK

利益声明

CH declares that she has no competing interests.

Consultant in Tropical and Travel Medicine

Hospitals for Tropical Diseases

Senior Lecturer

London School of Hygiene and Tropical Medicine

London

UK

利益声明

RB has provided expert testimony to the courts, on behalf of the Crown, regarding Q fever. RB has been a paid member of the Advisory Board for Takeda regarding Dengue vaccine. He has been a paid member of the Advisory Board for Valneva UK regarding Ixiaro, a vaccine for Japanese encephalitis.

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Assistant Professor of Medicine & Pediatrics

Tulane University School of Medicine

New Orleans

LA

利益声明

JSS is a paid reviewer and author of articles on UpToDate.

Consultant Physician

Hospital for Tropical Diseases

University College London Hospitals

London

UK

利益声明

MB is Clinical Lead of the Hospital for Tropical Diseases, a contributing partner to the PHE Imported fever service that co-ordinates testing of samples from UK patients for viral haemorrhagic fevers.

Professor of Medicine

Perelman School of Medicine at the University of Pennsylvania

Philadelphia

PA

利益声明

SG declares that he has no competing interests.

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