Colorado tick fever differential diagnosis: Difference between revisions
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Colorado tick fever Microchapters |
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Colorado tick fever differential diagnosis On the Web |
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Risk calculators and risk factors for Colorado tick fever differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ilan Dock, B.S.
Overview
Colorado tick fever (CTF) must be differentiated from other diseases that cause fever,chills, headaches, body ache, and rash. When trying to differentiate CTF from other infections, it is important to recognize that the clinical manifestations of CTF greatly resemble those of other tick-borne illnesses, especially those caused by the Rickettsiae family. Examples of misdiagnoses, with the umbrella of tick-borne diseases include typhus-spotted fevers and Ehrlichiosis.
Differential Diagnosis
Examples of tick-borne diseases that may be misdiagnosed for Colorado tick fever may be found in the table below:
| 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 high fevers, 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. |
| Protozoan Infection | |
| Babesiosis [8] | Non-specific flu like symptoms. |
References
- ↑ 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
- ↑ Relapsing Fever Information. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/relapsing-fever/ Accessed on December 30, 2015
- ↑ Rocky Mountain Spotted Fever Information. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/rmsf/ Accessed on December 30, 2015
- ↑ Disease index General Information (2015). http://www.cdc.gov/parasites/babesiosis/health_professionals/index.html Accessed on December 30, 2015
- ↑ Rocky Mountain Spotted Fever Information. Centers for Disease Control and Prevention (2015). \http://www.cdc.gov/tularemia/index.html Accessed on December 30, 2015
- ↑ General Disease Information (TBE). Centers for Disease Control and Prevention (2015). http://www.cdc.gov/vhf/tbe/ Accessed on December 30, 2015
- ↑ General Tick Deisease Information. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/coloradotickfever/index.html Accessed on December 30, 2015
- ↑ Babesiosis. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/parasites/babesiosis/disease.htmlAccessed December 8, 2015.