African trypanosomiasis physical examination

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

Overview

Physical examination findings of African trypanosomiasis depends upon the stage of the disease. Skin lesions are more prominent in stage 1 and neurological findings such as altered level of consciousness along with hemiparesis predominate in stage 2.[1]

Physical Examination

Examination findings African trypnaosomiasis physical examination
Appearance of the patient
  • Drowsy
  • Fatigue or tired
Vital Signs
  • Fever
  • Bradycardia
  • Weight loss
Skin
  • Chancre at bite site
  • Maculopapular rash
HEENT
  • Normal
Neck
  • Cervical lymphadenopathy is more common in the West African
  • Positive Winterbottom sign
Lymph node
  • Axillary and inguinal lymphadenopathy are more common in East African trypanosomiasis
Lungs
  • Normal bilateral vesicular breathe sounds
Heart
  • S1, S2 normal, no murmurs or gallops heard
Abdomen
CNS
Musculoskeletal
  • Joint and muscle aches
  • Positive kerandel sign
Extremities

References

  1. Odiit M, Kansiime F, Enyaru JC (1997). "Duration of symptoms and case fatality of sleeping sickness caused by Trypanosoma brucei rhodesiense in Tororo, Uganda". East Afr Med J. 74 (12): 792–5. PMID 9557424.