Template:Lower respiratory zoonotic infections: Difference between revisions
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*The diagnostic triad in HPS includes thrombocytopenia, left shifted granulocytes, and immunoblast >10% of total lympoid series | *The diagnostic triad in HPS includes thrombocytopenia, left shifted granulocytes, and immunoblast >10% of total lympoid series | ||
=Diagnosis= | |||
*Serologic test using ELISA assays are the gold standard used by the CDC | *Serologic test using ELISA assays are the gold standard used by the CDC | ||
*Most patients have antiviral IgM when symptoms are present, IgG may also be positive later on | *Most patients have antiviral IgM when symptoms are present, IgG may also be positive later on | ||
Revision as of 01:34, 10 April 2017
Lower Respiratory Zoonotic Infections
- Psittacosis
- Anthrax (Bacillus anthracis)
- Brucellosis (Brucella species)
- Q fever (C. burnetti)
- Pasteurellosis (Pasteurella multocida)
- Melioidosis (Burkholderia pseudomallei)
- Rocky Mountain Spotted Fever (R. rickettsii)
- Pulmonic Plague (Yersinia pestis)
- Influenza A
- Hantavirus
Labs and Imaging
- Earliest lab abnormalities includes a decline in platelet count
- May also see an elevation in LDH, LFTs, and lactate later
- In HPS, the chest x ray shows diffuse bilateral interstitial edema that may resemble ARDS
- Decrese in albumin along with increases in H/H marks is a markeer of capillary leak in HPS
- The diagnostic triad in HPS includes thrombocytopenia, left shifted granulocytes, and immunoblast >10% of total lympoid series
Diagnosis
- Serologic test using ELISA assays are the gold standard used by the CDC
- Most patients have antiviral IgM when symptoms are present, IgG may also be positive later on