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Flashcard 7680691932428

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Quelle est la description sémiologique des lésions rencontrées dans une présentation "sporotrichoïde" de la Tularémie ? (localisation, lésion élémentaire)
Answer

  • Nodules sous-cutanés
  • Sur le trajet des lymphatiques

"A "sporotrichoid" presentation, or subcutaneous nodules along the draining lymphatics, has also been described in some patients with tularemia [ 7]" - UpToDate

Appliqué à la Leishmaniose cutanée :

"La variété dite sporotrichoïde de la leishmaniose cutanée est définie par la présence de nodules dermo-hypodermiques étagés le long d’un trajet lymphatique à distance de la ou des lésions primitives d’inoculation." - Forme sporotrichoïde de leishmaniose cutanée en Tunisie : étude clinique et histologique

CNRTL :"Étymol. et Hist. 1904 (Nouv. Lar. ill.: sporotric ou sporotriche). Francisation du n. lat. sc. du champignon sporothricum puis sporotrichum (1809, H. F. Link d'apr. NED Suppl.2) mots formés à partir du gr. σ π ο ρ α ̀ « semence » (v. spore) et θ ρ ι ́ ξ « cheveu, poil » (v. Cottez, s.v. -thrix); cf. ant. la forme sporotrique (Ac. Compl. 1842, Besch. 1845, Lar. 19e, s.v. sporotriché)."
https://www.cnrtl.fr/definition/sporotrichose


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A "sporotrichoid" presentation, or subcutaneous nodules along the draining lymphatics, has also been described in some patients with tularemia [ 7]. However, frank lymphangitis is not usually seen; its presence should suggest the uncommon complication of bacterial superinfection of the skin ulcer.

Original toplevel document

UpToDate
ing skin of the node can be erythematous, as observed in 19 percent of cases in a series of 215 Swedish patients with infection due to the less virulent F. tularensis subspecies holarctica [3]. <span>A "sporotrichoid" presentation, or subcutaneous nodules along the draining lymphatics, has also been described in some patients with tularemia [7]. However, frank lymphangitis is not usually seen; its presence should suggest the uncommon complication of bacterial superinfection of the skin ulcer. Suppuration of affected lymph nodes is a relatively common complication and may occur despite antibiotic therapy. In a review of tularemia cases in Missouri, 15 of 81 patients (19 perce






Flashcard 7680694553868

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Que doit faire suspecter la présence d'une lymphangite franche au cours d'une tularémie ulcéro-glandulaire ?
Answer

  • Surinfection bactérienne de l'ulcère

"However, frank lymphangitis is not usually seen; its presence should suggest the uncommon complication of bacterial superinfection of the skin ulcer" - UpToDate


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A "sporotrichoid" presentation, or subcutaneous nodules along the draining lymphatics, has also been described in some patients with tularemia [ 7]. However, frank lymphangitis is not usually seen; its presence should suggest the uncommon complication of bacterial superinfection of the skin ulcer.

Original toplevel document

UpToDate
ing skin of the node can be erythematous, as observed in 19 percent of cases in a series of 215 Swedish patients with infection due to the less virulent F. tularensis subspecies holarctica [3]. <span>A "sporotrichoid" presentation, or subcutaneous nodules along the draining lymphatics, has also been described in some patients with tularemia [7]. However, frank lymphangitis is not usually seen; its presence should suggest the uncommon complication of bacterial superinfection of the skin ulcer. Suppuration of affected lymph nodes is a relatively common complication and may occur despite antibiotic therapy. In a review of tularemia cases in Missouri, 15 of 81 patients (19 perce






Flashcard 7680696913164

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Quand, par rapport à l'ulcération au point d'inoculation, peut survenir l'adénopathie de la Tularémie ulcéro-glandulaire ?
Answer

  • N'importe quand : avant, en même temps, après

"Affected patients also have tender regional lymphadenopathy, which can occur before, at the same time, or shortly after the appearance of the skin lesion" - UpToDate


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Affected patients also have tender regional lymphadenopathy, which can occur before, at the same time, or shortly after the appearance of the skin lesion. Adenopathy involving cervical or occipital nodes is more common in children than adults, and the associated ulcers may be hidden in the scalp. The overlying skin of the node can be ery

Original toplevel document

UpToDate
re common following animal exposures; ulcers on the head or neck, trunk, perineum, and legs are more common following tick exposures. Occasionally, more than one skin lesion may be present [2]. <span>Affected patients also have tender regional lymphadenopathy, which can occur before, at the same time, or shortly after the appearance of the skin lesion. Adenopathy involving cervical or occipital nodes is more common in children than adults, and the associated ulcers may be hidden in the scalp. The overlying skin of the node can be erythematous, as observed in 19 percent of cases in a series of 215 Swedish patients with infection due to the less virulent F. tularensis subspecies holarctica [3]. A "sporotrichoid" presentation, or subcutaneous nodules along the draining lymphatics, has also been described in some patients with tularemia [7]. However, frank lymphangitis is not us






Flashcard 7680699272460

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Dans quelle proportion des cas environ la peau recouvrant l'adénopathie satellite de la Tularémie ulcéro-glandulaire est-elle érythémateuse ?
Answer

  • Environ 1 cas sur 5
    • (19 %)

"The overlying skin of the node can be erythematous, as observed in 19 percent of cases in a series of 215 Swedish patients with infection due to the less virulent F. tularensis subspecies holarctica [3]." - UpToDate


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r shortly after the appearance of the skin lesion. Adenopathy involving cervical or occipital nodes is more common in children than adults, and the associated ulcers may be hidden in the scalp. <span>The overlying skin of the node can be erythematous, as observed in 19 percent of cases in a series of 215 Swedish patients with infection due to the less virulent F. tularensis subspecies holarctica [3]. <span>

Original toplevel document

UpToDate
re common following animal exposures; ulcers on the head or neck, trunk, perineum, and legs are more common following tick exposures. Occasionally, more than one skin lesion may be present [2]. <span>Affected patients also have tender regional lymphadenopathy, which can occur before, at the same time, or shortly after the appearance of the skin lesion. Adenopathy involving cervical or occipital nodes is more common in children than adults, and the associated ulcers may be hidden in the scalp. The overlying skin of the node can be erythematous, as observed in 19 percent of cases in a series of 215 Swedish patients with infection due to the less virulent F. tularensis subspecies holarctica [3]. A "sporotrichoid" presentation, or subcutaneous nodules along the draining lymphatics, has also been described in some patients with tularemia [7]. However, frank lymphangitis is not us






Flashcard 7680701631756

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Dans la Tularémie ulcéro-glandulaire, où prédominent généralement les ulcères faisant suite à une contamination par contact avec un animal ?
Answer

  • Membre supérieur (main, bras, ...)

"Ulcers on the hands and arms are more common following animal exposures [...]" - UpToDate


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icularly ticks). They typically present with fever and a single erythematous papulo-ulcerative lesion with a central eschar at the site of inoculation (eg, the site of a tick bite) (picture 1). <span>Ulcers on the hands and arms are more common following animal exposures; ulcers on the head or neck, trunk, perineum, and legs are more common following tick exposures. Occasionally, more than one skin lesion may be present [2]. <span>

Original toplevel document

UpToDate
2017, ulceroglandular disease was the most common presentation; all were infected with F. tularensis subspecies holarctica [6]. (See "Tularemia: Microbiology, epidemiology, and pathogenesis".) <span>Patients with ulceroglandular disease usually report recent animal contact or exposure to potential insect vectors (particularly ticks). They typically present with fever and a single erythematous papulo-ulcerative lesion with a central eschar at the site of inoculation (eg, the site of a tick bite) (picture 1). Ulcers on the hands and arms are more common following animal exposures; ulcers on the head or neck, trunk, perineum, and legs are more common following tick exposures. Occasionally, more than one skin lesion may be present [2]. Affected patients also have tender regional lymphadenopathy, which can occur before, at the same time, or shortly after the appearance of the skin lesion. Adenopathy involving cervical






Flashcard 7680703991052

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Dans la Tularémie ulcéro-glandulaire, où prédominent généralement les ulcères faisant suite à une contamination par contact avec une tique ?
Answer

  • Tête
  • Cou
  • Tronc
  • Périnée
  • Jambes

"[...] ulcers on the head or neck, trunk, perineum, and legs are more common following tick exposures" - UpToDate


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ous papulo-ulcerative lesion with a central eschar at the site of inoculation (eg, the site of a tick bite) (picture 1). Ulcers on the hands and arms are more common following animal exposures; <span>ulcers on the head or neck, trunk, perineum, and legs are more common following tick exposures. Occasionally, more than one skin lesion may be present [2]. <span>

Original toplevel document

UpToDate
2017, ulceroglandular disease was the most common presentation; all were infected with F. tularensis subspecies holarctica [6]. (See "Tularemia: Microbiology, epidemiology, and pathogenesis".) <span>Patients with ulceroglandular disease usually report recent animal contact or exposure to potential insect vectors (particularly ticks). They typically present with fever and a single erythematous papulo-ulcerative lesion with a central eschar at the site of inoculation (eg, the site of a tick bite) (picture 1). Ulcers on the hands and arms are more common following animal exposures; ulcers on the head or neck, trunk, perineum, and legs are more common following tick exposures. Occasionally, more than one skin lesion may be present [2]. Affected patients also have tender regional lymphadenopathy, which can occur before, at the same time, or shortly after the appearance of the skin lesion. Adenopathy involving cervical






Flashcard 7680707923212

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Quelle est la fréquence de la bradycardie relative au cours d'une infection à F. holarctica ?
Answer

  • Environ 5 %

"Pulse-temperature dissociation (eg, relative bradycardia in the setting of a fever) was reported in only 5 percent of patients in a series from Sweden, where F. tularensis subspecies holarctica predominates,[...]" - UpToDate


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Some features may depend on the infecting subtype. Pulse-temperature dissociation (eg, relative bradycardia in the setting of a fever) was reported in only 5 percent of patients in a series from Sweden, where F. tularensis subspecies holarctica predominates, but was reported in 42 percent of patients in a series from the United States, where F. tularensis subspecies tularensis predominates [2,3].

Original toplevel document

UpToDate
mia ●Pharyngeal (oropharyngeal) tularemia ●Pneumonic tularemia ●Typhoidal tularemia These syndromes are discussed separately in detail below, although overlapping manifestations may be present. <span>Some features may depend on the infecting subtype. Pulse-temperature dissociation (eg, relative bradycardia in the setting of a fever) was reported in only 5 percent of patients in a series from Sweden, where F. tularensis subspecies holarctica predominates, but was reported in 42 percent of patients in a series from the United States, where F. tularensis subspecies tularensis predominates [2,3]. Clinical syndromes Ulceroglandular disease — Ulceroglandular disease, characterized by a skin lesion and associated adenopathy, is the most common and most easily recognizable form of t






Flashcard 7680710282508

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Dans quelle proportion des cas d'infection à F. tularensis subsp tularensis peut-on observer une bradycardie relative ?
Answer

  • Environ 40 % des cas


Pulse-temperature dissociation (eg, relative bradycardia in the setting of a fever) [...] was reported in 42 percent of patients in a series from the United States, where F. tularensis subspecies tularensis predominates [2,3].


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Some features may depend on the infecting subtype. Pulse-temperature dissociation (eg, relative bradycardia in the setting of a fever) was reported in only 5 percent of patients in a series from Sweden, where F. tularensis subspecies holarctica predominates, but was reported in 42 percent of patients in a series from the United States, where F. tularensis subspecies tularensis predominates [2,3].

Original toplevel document

UpToDate
mia ●Pharyngeal (oropharyngeal) tularemia ●Pneumonic tularemia ●Typhoidal tularemia These syndromes are discussed separately in detail below, although overlapping manifestations may be present. <span>Some features may depend on the infecting subtype. Pulse-temperature dissociation (eg, relative bradycardia in the setting of a fever) was reported in only 5 percent of patients in a series from Sweden, where F. tularensis subspecies holarctica predominates, but was reported in 42 percent of patients in a series from the United States, where F. tularensis subspecies tularensis predominates [2,3]. Clinical syndromes Ulceroglandular disease — Ulceroglandular disease, characterized by a skin lesion and associated adenopathy, is the most common and most easily recognizable form of t






Flashcard 7680712641804

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Quelles sont les 6 formes cliniques principales de la Tularémie ?
Answer

  • Ulcéro-glandulaire
  • Glandulaire
  • Oculo-glandulaire
  • Pharyngée
  • Pneumonique
  • "Typhoïdale"

"When patients do come to medical attention, they usually have specific clinical manifestations associated with one of the six major clinical forms of tularemia, depending on the portal of entry [2]:

● Ulceroglandular tularemia

● Glandular tularemia

● Oculoglandular tularemia

● Pharyngeal (oropharyngeal) tularemia

● Pneumonic tularemia

● Typhoidal tularemia"

UpToDate


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When patients do come to medical attention, they usually have specific clinical manifestations associated with one of the six major clinical forms of tularemia, depending on the portal of entry [2]: ● Ulceroglandular tularemia ● Glandular tularemia ● Oculoglandular tularemia ● Pharyngeal (oropharyngeal) tularemia ● Pneumonic tularemia ● Typhoidal tularemia These syndromes are discussed separately in detail below, although overlapping manifestations may be present.

Original toplevel document

UpToDate
ic symptoms include headache, fatigue, soreness in the chest or muscles, abdominal pain, emesis, or diarrhea. In some patients, these systemic symptoms may have waned by the time of evaluation. <span>When patients do come to medical attention, they usually have specific clinical manifestations associated with one of the six major clinical forms of tularemia, depending on the portal of entry [2]: ●Ulceroglandular tularemia ●Glandular tularemia ●Oculoglandular tularemia ●Pharyngeal (oropharyngeal) tularemia ●Pneumonic tularemia ●Typhoidal tularemia These syndromes are discussed separately in detail below, although overlapping manifestations may be present. Some features may depend on the infecting subtype. Pulse-temperature dissociation (eg, relative bradycardia in the setting of a fever) was reported in only 5 percent of patients in a se






Flashcard 7680715001100

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Quelle est la période d'incubation classique de la Tularémie ? (avec extrêmes)
Answer

  • 3 à 5 jours
    • (1 à 21 jours, donc immédiat jusqu'à 3 semaines après le contact)

"Tularemia usually has an abrupt or rapid onset [...] which occur approximately three to five days (range 1 to 21 days) following exposure" - UpToDate


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Tularemia usually has an abrupt or rapid onset of nonspecific systemic symptoms, including fever, chills, anorexia, and malaise, which occur approximately three to five days (range 1 to 21 days) following exposure. Classically, the fever may abate after a few days but then quickly return. Other nonspecific symptoms include headache, fatigue, soreness in the chest or muscles, abdominal pain, emesi

Original toplevel document

UpToDate
epidemiology of infection due to F. tularensis are discussed separately. (See "Tularemia: Microbiology, epidemiology, and pathogenesis".) CLINICAL MANIFESTATIONS Initial nonspecific symptoms — <span>Tularemia usually has an abrupt or rapid onset of nonspecific systemic symptoms, including fever, chills, anorexia, and malaise, which occur approximately three to five days (range 1 to 21 days) following exposure. Classically, the fever may abate after a few days but then quickly return. Other nonspecific symptoms include headache, fatigue, soreness in the chest or muscles, abdominal pain, emesis, or diarrhea. In some patients, these systemic symptoms may have waned by the time of evaluation. When patients do come to medical attention, they usually have specific clinical manifestations associated with one of the six major clinical forms of tularemia, depending on the portal






Flashcard 7680717360396

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Quels sont les premiers symptômes / signes de la Tularémie ?
Answer

Installation brutale de signes généraux :

  • Fièvre
  • Frissons
  • Anorexie
  • Asthénie / "Malaise", mal-être, inconfort.

"Tularemia usually has an abrupt or rapid onset of nonspecific systemic symptoms, including fever, chills, anorexia, and malaise" - UpToDate


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Tularemia usually has an abrupt or rapid onset of nonspecific systemic symptoms, including fever, chills, anorexia, and malaise, which occur approximately three to five days (range 1 to 21 days) following exposure. Classically, the fever may abate after a few days but then quickly return. Other nonspecific sympt

Original toplevel document

UpToDate
epidemiology of infection due to F. tularensis are discussed separately. (See "Tularemia: Microbiology, epidemiology, and pathogenesis".) CLINICAL MANIFESTATIONS Initial nonspecific symptoms — <span>Tularemia usually has an abrupt or rapid onset of nonspecific systemic symptoms, including fever, chills, anorexia, and malaise, which occur approximately three to five days (range 1 to 21 days) following exposure. Classically, the fever may abate after a few days but then quickly return. Other nonspecific symptoms include headache, fatigue, soreness in the chest or muscles, abdominal pain, emesis, or diarrhea. In some patients, these systemic symptoms may have waned by the time of evaluation. When patients do come to medical attention, they usually have specific clinical manifestations associated with one of the six major clinical forms of tularemia, depending on the portal






Flashcard 7680719981836

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Comment évolue la fièvre à la phase aiguë d'une infection par F. tularensis ?
Answer

Cède en quelques jours puis récidive

"Classically, the fever may abate after a few days but then quickly return." - UpToDate


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an abrupt or rapid onset of nonspecific systemic symptoms, including fever, chills, anorexia, and malaise, which occur approximately three to five days (range 1 to 21 days) following exposure. <span>Classically, the fever may abate after a few days but then quickly return. Other nonspecific symptoms include headache, fatigue, soreness in the chest or muscles, abdominal pain, emesis, or diarrhea. In some patients, these systemic symptoms may have waned by

Original toplevel document

UpToDate
epidemiology of infection due to F. tularensis are discussed separately. (See "Tularemia: Microbiology, epidemiology, and pathogenesis".) CLINICAL MANIFESTATIONS Initial nonspecific symptoms — <span>Tularemia usually has an abrupt or rapid onset of nonspecific systemic symptoms, including fever, chills, anorexia, and malaise, which occur approximately three to five days (range 1 to 21 days) following exposure. Classically, the fever may abate after a few days but then quickly return. Other nonspecific symptoms include headache, fatigue, soreness in the chest or muscles, abdominal pain, emesis, or diarrhea. In some patients, these systemic symptoms may have waned by the time of evaluation. When patients do come to medical attention, they usually have specific clinical manifestations associated with one of the six major clinical forms of tularemia, depending on the portal






Flashcard 7680723127564

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Quels sont les "systèmes d'organes" notamment concernés par les signes non spécifiques à la phase aiguë de la Tularémie ?
Answer

  • Digestif
  • Neurologique
  • Musculaire

"Other nonspecific symptoms include headache, fatigue, soreness in the chest or muscles, abdominal pain, emesis, or diarrhea." - UpToDate


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, chills, anorexia, and malaise, which occur approximately three to five days (range 1 to 21 days) following exposure. Classically, the fever may abate after a few days but then quickly return. <span>Other nonspecific symptoms include headache, fatigue, soreness in the chest or muscles, abdominal pain, emesis, or diarrhea. In some patients, these systemic symptoms may have waned by the time of evaluation. <span>

Original toplevel document

UpToDate
epidemiology of infection due to F. tularensis are discussed separately. (See "Tularemia: Microbiology, epidemiology, and pathogenesis".) CLINICAL MANIFESTATIONS Initial nonspecific symptoms — <span>Tularemia usually has an abrupt or rapid onset of nonspecific systemic symptoms, including fever, chills, anorexia, and malaise, which occur approximately three to five days (range 1 to 21 days) following exposure. Classically, the fever may abate after a few days but then quickly return. Other nonspecific symptoms include headache, fatigue, soreness in the chest or muscles, abdominal pain, emesis, or diarrhea. In some patients, these systemic symptoms may have waned by the time of evaluation. When patients do come to medical attention, they usually have specific clinical manifestations associated with one of the six major clinical forms of tularemia, depending on the portal






Flashcard 7680726797580

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
A quel stade de la vie survient généralement la forme pneumonique de la Tularémie ?
Answer

Âge adulte

"Pneumonic disease is more common in adults but can affect any age group and has occurred with increasing frequency" - UpToDate


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Pneumonic tularemia refers to a clinical presentation dominated by pulmonary involvement. Pneumonic disease is more common in adults but can affect any age group and has occurred with increasing frequency. Among 190 cases in Missouri between 2000 and 2007, pneumonic disease accounted for 39 percent of adult cases and 24 percent of tularemia cases overall [4]

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geal or tonsillar ulcers. Preparotid and retropharyngeal lymph nodes also may be enlarged and tender. In addition, a pharyngeal membrane mimicking diphtheria can occur [15]. Pneumonic disease — <span>Pneumonic tularemia refers to a clinical presentation dominated by pulmonary involvement. Pneumonic disease is more common in adults but can affect any age group and has occurred with increasing frequency. Among 190 cases in Missouri between 2000 and 2007, pneumonic disease accounted for 39 percent of adult cases and 24 percent of tularemia cases overall [4]. Pneumonic and ulceroglandular tularemia were equally common in Colorado, Nebraska, South Dakota, and Wyoming during 2015, a year when there was a significant increase in the number of






Flashcard 7680729156876

Tags
#Clinical #Cliniques #Diagnosis #Diagnostic #Maladies-infectieuses-et-tropicales #Manifestations #Tularemia #Tularemie
Question
Parmi les cas de Tularémie chez l'adulte dans une cohorte aux USA dans les années 2000, quelle proportion était représentée par une forme pneumonique de la maladie ?
Answer

  • Environ 40 %
    • (39 % des cas adultes)

"Among 190 cases in Missouri between 2000 and 2007, pneumonic disease accounted for 39 percent of adult cases and 24 percent of tularemia cases overall [4]" - UpToDate


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laremia refers to a clinical presentation dominated by pulmonary involvement. Pneumonic disease is more common in adults but can affect any age group and has occurred with increasing frequency. <span>Among 190 cases in Missouri between 2000 and 2007, pneumonic disease accounted for 39 percent of adult cases and 24 percent of tularemia cases overall [4] <span>

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UpToDate
geal or tonsillar ulcers. Preparotid and retropharyngeal lymph nodes also may be enlarged and tender. In addition, a pharyngeal membrane mimicking diphtheria can occur [15]. Pneumonic disease — <span>Pneumonic tularemia refers to a clinical presentation dominated by pulmonary involvement. Pneumonic disease is more common in adults but can affect any age group and has occurred with increasing frequency. Among 190 cases in Missouri between 2000 and 2007, pneumonic disease accounted for 39 percent of adult cases and 24 percent of tularemia cases overall [4]. Pneumonic and ulceroglandular tularemia were equally common in Colorado, Nebraska, South Dakota, and Wyoming during 2015, a year when there was a significant increase in the number of