Template:Lower respiratory zoonotic infections: Difference between revisions
(→Workup) |
|||
| Line 11: | Line 11: | ||
*[[Hantavirus]] | *[[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 | |||
Revision as of 01:31, 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