Listeriosis physical examination: Difference between revisions
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==CNS Infection== | ==CNS Infection== | ||
===Meningoencephalitis=== | ===Meningoencephalitis=== | ||
===Appearance of the Patient=== | |||
A patient with [[listeriosis]] will likely appear ill, complaining of [[fever]], "body pain" and [[chills]]. Depending on the previous health status of the patient, the initial presentation may change, since this is an important factor in the evolution of the disease. | |||
===Vitals=== | |||
====Temperature==== | |||
*A [[fever]] is often present | |||
====Pulse==== | |||
=====Rate===== | |||
*[[Tachycardia]] may be present | |||
=====Strength===== | |||
*The pulse may be weak | |||
====Blood Pressure==== | |||
*[[Hypotension]] may be present | |||
====Respiratory Rate==== | |||
*[[Tachypnea]] may be present | |||
===Skin=== | |||
* [[Pallor]] may be present | |||
===Neurologic=== | |||
* [[Mental status]] may be altered | |||
* [[Seizures]] may be present | |||
* [[Focal neurologic signs]] may be present | |||
===Cerebritis/ Encephalitis=== | ===Cerebritis/ Encephalitis=== | ||
===Rhombencephalitis=== | ===Rhombencephalitis=== | ||
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Therefore, most patients will experience altered consciousness, [[seizures]] and/or movement disorders, and will truly have [[meningoencephalitis]]. | |||
[[Central Nervous System]] [[infection]] is commonly manifested by [[meningoencephalitis]], while [[cerebritis]] is a less common manifestation. "In a study from the Massachusetts General Hospita, with [[CNS]] [[listeriosis]] outside [[neonatal]] period and [[pregnancy]], the most common predisposing factor for developing ''listerial'' [[meningitis]] was [[malignancy]], the second most common factor being [[transplantation]], followed by [[alcoholism]] and [[liver disease]], [[immunosuppression]] and [[steroid]] treatment, [[diabetes mellitus]] and [[HIV]]".<ref>{{Cite book | last1 = Mandell | first1 = Gerald L. | last2 = Bennett | first2 = John E. (John Eugene) | last3 = Dolin | first3 = Raphael. |title = Mandell, Douglas, and Bennett's principles and practice of infectious disease | date = 2010 | publisher = Churchill Livingstone/Elsevier | location = Philadelphia, PA | isbn = 0-443-06839-9 | pages = }}</ref> | [[Central Nervous System]] [[infection]] is commonly manifested by [[meningoencephalitis]], while [[cerebritis]] is a less common manifestation. "In a study from the Massachusetts General Hospita, with [[CNS]] [[listeriosis]] outside [[neonatal]] period and [[pregnancy]], the most common predisposing factor for developing ''listerial'' [[meningitis]] was [[malignancy]], the second most common factor being [[transplantation]], followed by [[alcoholism]] and [[liver disease]], [[immunosuppression]] and [[steroid]] treatment, [[diabetes mellitus]] and [[HIV]]".<ref>{{Cite book | last1 = Mandell | first1 = Gerald L. | last2 = Bennett | first2 = John E. (John Eugene) | last3 = Dolin | first3 = Raphael. |title = Mandell, Douglas, and Bennett's principles and practice of infectious disease | date = 2010 | publisher = Churchill Livingstone/Elsevier | location = Philadelphia, PA | isbn = 0-443-06839-9 | pages = }}</ref> | ||
Revision as of 17:22, 23 July 2014
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Listeriosis Microchapters |
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Listeriosis physical examination On the Web |
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Risk calculators and risk factors for Listeriosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
Febrile Gastroenteritis
Appearance of the Patient
A patient with listeriosis will likely appear ill, complaining of fever, "body pain" and chills. Depending on the previous health status of the patient, the initial presentation may change, since this is an important factor in the evolution of the disease.
Vitals
Temperature
- A fever is often present
Pulse
Rate
- Tachycardia may be present
Strength
- The pulse may be weak
Blood Pressure
- Hypotension may be present
Respiratory Rate
- Tachypnea may be present
Skin
- Pallor may be present
Throat
- Mucous membranes may be dehydrated
Abdomen
- Abdominal distention may be present
- Abdominal tenderness may be present
Infection in Pregnancy
Pregnant women with listeriosis often present with flu-like symptoms. Unborn infants sustain the most severe complications, such as fetal death, stillbirth or meningitis.[1]
Sepsis of Unknown Origin
Vitals
Temperature
- A fever is often present
- Hypothermia may be present
Pulse
Rate
- Tachycardia is often present
Strength
- Peripheral pulses may be weak
Blood Pressure
- Hypotension may be present
Respiratory Rate
- Tachypnea may be present
Skin
Throat
- Mucous membranes may be dehydrated
Neck
- Lymph nodes may be present
Abdomen
- Abdominal tenderness may be present
Extremities
- Cyanosis may be present
Neurologic
- Mental status may be altered
CNS Infection
Meningoencephalitis
Appearance of the Patient
A patient with listeriosis will likely appear ill, complaining of fever, "body pain" and chills. Depending on the previous health status of the patient, the initial presentation may change, since this is an important factor in the evolution of the disease.
Vitals
Temperature
- A fever is often present
Pulse
Rate
- Tachycardia may be present
Strength
- The pulse may be weak
Blood Pressure
- Hypotension may be present
Respiratory Rate
- Tachypnea may be present
Skin
- Pallor may be present
Neurologic
- Mental status may be altered
- Seizures may be present
- Focal neurologic signs may be present