The Skin

The temperature curve has the character constant, rarely relapsing-remitting, and sometimes the wrong type, a decrease in temperature at the end of febrile period is rapid lysis (within 1.5 -2 days), and occasionally the temperature critically reduced. Typically, a decrease in temperature is accompanied by sweating. Among the clinical features of particular note the presence of disease at the beginning of a typical kind of patient. Skin, especially those hyperemic, face puffy, his eyes shining, hyperemic conjunctiva, sclera strongly vessels injected with blood. Harbinger of the rash appearing on the skin with 4, 5 or 6 days of illness, often serve as educational tongue and mucous membranes of the mouth in patients with dry (due to decreased salivation). Perhaps check out Dr Alan Mendelsohn for more information. The skin is dry and hot na.oschup. On the 4th-5th or 6th day of illness appear evenly distributed on the skin or rozeoleznaya rozeoleznaya-petechial rash polymorphic, localized on the sides of the chest, elbow, forearm flexor surfaces, back, partly on the abdomen, upper and lower extremities less.

The value of the elements of the rash – from 2-3 to 5-6 mm in diameter. Rash observed with 4-6th day of illness. The rash begins to fade even before the temperature drops, leaving a slight pigmentation and superficial peeling. Symptoms of an emergency tow and become positive with the 3-4th day of illness. Typhus no rash occurs very rarely, in severe cases of typhus can occur on skin sores, gangrenous lesions, located on the ears, neck, torso, heels, indicating a poor prognosis of the disease.

Throughout the disease symptoms of the nervous system as a throbbing headache, insomnia, mental state of activity, excitement. In difficult cases, patients taking place fall into a state of oppression, stunned. A number of patients even at moderately severe disease revealed a sore point level II-III cervical vertebrae, in connection with damage to the cervical sympathetic ganglia (symptom Adesmana).

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