eBook - ePub
Clinical Cases in Tropical Medicine E-Book
Camilla Rothe
This is a test
Compartir libro
- 190 páginas
- English
- ePUB (apto para móviles)
- Disponible en iOS y Android
eBook - ePub
Clinical Cases in Tropical Medicine E-Book
Camilla Rothe
Detalles del libro
Vista previa del libro
Índice
Citas
Información del libro
Using an easily accessible, highly templated format, Clinical Cases in Tropical Medicine, 2nd Edition, provides more than 100 realistic scenarios for tropical infectious diseases. Full-color photographs and maps, a convenient question-and-answer presentation, and succinct summary boxes help you identify and understand the tropical diseases you're likely to encounter. This up-to-date 2nd Edition is an excellent resource and study tool for infectious diseases fellows, doctors preparing for exams in tropical medicine, primary care doctors with patients who are global travelers, and global health nurses and practitioners alike.
- Offers realistic scenarios for encountering patients in rural, resource-poor settings, presenting cases as "unknowns, " just as in a real clinic or emergency situation.
- Covers newly emerging diseases such as Zika virus, severe fever with thrombocytopenia syndrome (SFTS), and knowlesi malaria.
- Features topics in migrant medicine of particular importance to clinicians in non-tropical countries, including louse-borne-relapsing fever, spinal brucellosis, and hyperreactive malarial splenomegaly.
- Includes "classic" tropical diseases such as African trypanosomiasis, chagas, leprosy, and yaws.
- Reflects the use of novel diagnostics used in resource-poor settings, as well as developing drug resistance in relevant cases.
- Provides a useful index and map that organize cases geographically, for a targeted approach to study.
- Serves as a companion to Manson's Tropical Diseases, with a reading list at the end of each case referring to the corresponding chapter in the larger text.
Preguntas frecuentes
¿Cómo cancelo mi suscripción?
¿Cómo descargo los libros?
Por el momento, todos nuestros libros ePub adaptables a dispositivos móviles se pueden descargar a través de la aplicación. La mayor parte de nuestros PDF también se puede descargar y ya estamos trabajando para que el resto también sea descargable. Obtén más información aquí.
¿En qué se diferencian los planes de precios?
Ambos planes te permiten acceder por completo a la biblioteca y a todas las funciones de Perlego. Las únicas diferencias son el precio y el período de suscripción: con el plan anual ahorrarás en torno a un 30 % en comparación con 12 meses de un plan mensual.
¿Qué es Perlego?
Somos un servicio de suscripción de libros de texto en línea que te permite acceder a toda una biblioteca en línea por menos de lo que cuesta un libro al mes. Con más de un millón de libros sobre más de 1000 categorías, ¡tenemos todo lo que necesitas! Obtén más información aquí.
¿Perlego ofrece la función de texto a voz?
Busca el símbolo de lectura en voz alta en tu próximo libro para ver si puedes escucharlo. La herramienta de lectura en voz alta lee el texto en voz alta por ti, resaltando el texto a medida que se lee. Puedes pausarla, acelerarla y ralentizarla. Obtén más información aquí.
¿Es Clinical Cases in Tropical Medicine E-Book un PDF/ePUB en línea?
Sí, puedes acceder a Clinical Cases in Tropical Medicine E-Book de Camilla Rothe en formato PDF o ePUB, así como a otros libros populares de Médecine y Maladies infectieuses. Tenemos más de un millón de libros disponibles en nuestro catálogo para que explores.
Información
1: A 20-Year-Old Woman from Sudan With Fever, Haemorrhage and Shock
Daniel G. Bausch
Clinical Presentation
History
A 20-year-old housewife presents to a hospital in northern Uganda with a 2-day history of fever, severe asthenia, chest and abdominal pain, nausea, vomiting, diarrhoea and slight non-productive cough. The patient is a Sudanese refugee living in a camp in the region. She denies any contact with sick people.
Clinical Findings
The patient is prostrate and semiconscious on admission. Vital signs: temperature 39.6°C, (103.3°F) blood pressure 90/60 mmHg, pulse 90 bpm, and respiratory rate 24 cycles per minute. Physical examination revealed abdominal tenderness, especially in the right upper quadrant, hepatosplenomegaly and bleeding from the gums. The lungs were clear. No rash or lymphadenopathy was noted.
Questions
- 1. Is the patient’s history and clinical presentation consistent with a haemorrhagic fever (HF) syndrome?
- 2. What degree of nursing precautions need to be implemented?
Discussion
This patient was seen during an outbreak of Ebola virus disease in northern Uganda, so the diagnosis was strongly suspected. She was admitted to the isolation ward that had been established as part of the international outbreak response. No clinical laboratory data were available because, for biosafety reasons, such testing was suspended. Although it is a reasonable precaution, the suspension of routine testing often causes difficulty in ruling out the many other febrile syndromes in the differential diagnosis and increases mortality from other non-Ebola disease. Fortunately, many clinical laboratory tests can now be safely performed with point-of-care instruments, often brought into a specialized laboratory in the isolation ward, as long as the laboratory personnel are properly trained and equipped.
Answer to Question 1
Is the Patient’s History and Clinical Presentation Consistent with an HF Syndrome?
The clinical presentation is indeed one of classic viral HF. However, most times the diagnosis is not so easy. Although some patients, such as this one, do progress to the classic syndrome with haemorrhage, multiple organ dysfunction syndrome and shock, haemorrhage is not invariably seen (and may even be noted in only a minority of cases with some virus species), and severe and fatal disease may still occur in its absence. The clinical presentation of viral HF is often very non-specific. Furthermore, haemorrhage may be seen in numerous other syndromes, such as complicated malaria, typhoid fever, bacterial gastroenteritis and leptospirosis, which are the primary differential diagnoses, depending on the region.
Answer to Question 2
What Degree of Nursing Precautions Needs to be Implemented?
The spread of Ebola virus between humans is through direct contact with blood or bodily fluids. Secondary attack rates are generally 15% to 20% during outbreaks in Africa, and much lower if proper universal precautions are maintained. Specialized viral HF precautions and personal protective equipment are warranted when there is a confirmed case or high index of suspicion, such as in this case.
The Case Continued. . .
Intravenous fluids, broad-spectrum antibiotics and analgesics were begun on admission. Nevertheless, the patient’s condition rapidly worsened, with subconjunctival haemorrhage, copious bleeding from the mouth, nose and rectum (Figs. 1.1 and 1.2), dyspnoea and hypothermic shock (temperature 36.0°C, blood pressure = unreadable, pulse 150 bpm, respiratory rate 36 cycles per minute). She became comatose and died approximately 24 hours after admission. Laboratory testing at a specialized laboratory established as part of the outbreak response showed positive ELISA antigen and PCR tests for Ebola virus and a negative result for ELISA IgG antibody, confirming the diagnosis of Ebola virus disease.