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Rodent-associated Bacterial infections: Leptospirosis, Rat-bite fever, Tularemia, Plague 

#rodent
#infections
#leptospirosis
#tularemia
#ratbitefever
#plague
#rats
#infectiousdisease
#fever
#differential
#diagnosis
#management
#treatment
#table
Bacterial infections: Leptospirosis ... , Rat-bite fever ... #infections #leptospirosis ... infectiousdisease #fever
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... Babesiosis, Malaria, Leptospirosis ... , Yellow fever, ... , Drug fever
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... Babesiosis, Malaria, Leptospirosis ... , Yellow fever, ... , Drug fever
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Schistosomiasis, leptospirosis ... the workplace - Leptospirosis ... HIV infection, leptospirosis ... , Lassa virus, leptospirosis ... , leptospirosis,
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
• Typhoid Fever ... • Malaria • Leptospirosis ... • Yellow Fever ... • Drug Fever ... Typhoid Fever (S
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Continuous Fever ... (Step ladder: fever ... • Leptospirosis ... • Malaria • Leptospirosis
Infections Rats can Transmit to Humans
Other infections not highlighted include Lassa fever, Plague, Salmonella, Tularemia etc

Rat
include Lassa fever ... : - Rat-Bite Fever ... Choriomeningitis Virus - Leptospirosis
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
Biphasic Illness of Leptospirosis ... -14 days): • Fever ... Questions @WuidQ #Leptospirosis
ID Approach to Fever and Rash - Diagnostic Algorithm
Central Maculopapular (most common):
Measles, Parvovirus 819 / EBV,
ID Approach to Fever ... WNV, Mycoplasma, Leptospirosis ... Desquamative: Scarlet fever ... Viral hemorrhagic fevers ... Questions @WuidQ #Fever
Fever in the Returning Traveler - History
Exposure History:
 • Street foods / Local water: entenc fever,
Fever in the Returning ... water: entenc fever ... schistosomiasis, leptospirosis ... Fever Duration: ... Fever Pattern: