Iqraabout 2 years ago
Trench Fever
Trench fever is a louse-borne disease caused by the gram-negative bacterium Bartonella quintana and observed originally in military populations during World Wars I and II. Symptoms are an acute, recurring febrile illness, occasionally with a rash. Diagnosis is by blood culture.
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Pediculosis - Pediculus Capitis, Pediculus Corporis And Phthirus pubis.
Live on host blood.
Responsible for louse borne relapsing fever, louse borne typhus and viral encephalitis.
P. Capitis - Commonest and transmitted by close contact, mostly in children and women.
Early Manifestation is scalp pruritis and in advanced stage is pruritis and boils in scalp or glands in the neck.
Nits ( Eggs ) are always detectable even if lice are not seen.
Posterior Cervical Lymphadenopathy is a common presentation.
Treatment - Gamma Benzene Hexachloride ( 1 % ) , Malathion ( 0.5 % ) , Permethrin ( 2 % ) are very effective.
Use of kerosene to kill Nits.
Use of shampoo to clean scalp.
Anti-Histamines to relieve pruritis.
Topical Anti-Bacterial Agents for bacterial infection and cervical lymphadenopathy.
Anything Important To Add ? Louse borne relapsing feverLouse borne typhusCause of Relapsing feverRenal tubular sites of potassium reabsorption and secretionPotassium secretion and sodium reab sorptionPotassium excretionCompensatory mechanisms to increase calciumA 55-year-old female with rheumatoid arthritis presents with limited jaw opening and severe pain in the temporomandibular joint
are She requires the extraction of a lower molar.
Question: What preoperative evaluation is most critical in this patient?What is this ?