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  4. how to diagnose and differentiate positive bacillus pneumonia in the elderly-positive bacillus pneumonia in the elderly can easily confuse diseases

how to diagnose and differentiate positive bacillus pneumonia in the elderly-positive bacillus pneumonia in the elderly can easily confuse diseases

how to diagnose and differentiate positive bacillus pneumonia in the elderly-positive bacillus pneumonia in the elderly can easily confuse diseases

1. Skin anthrax must be distinguished from skin damage caused by other reasons, such as cellulitis and carbuncle caused by Staphylococcus aureus, which generally have obvious swelling and pain without eschar; skin damage and skin anthrax caused by vaccinia Very similar, but often painful; sheep smallpox (sheep contact with infectious deep pustules) and milker nodules are both caused by parapox virus infection. The source of infection is sheep and cattle, and there is generally no edema. In addition, vaccination can also produce similar skin lesions. Patients with recent vaccination history usually occur in patients with T cell defects; tsutsugamushi disease caused by chigger bites also has eschars, which is not painful or itchy, and there are nearby lymph nodes. Large, but the skin lesions are generally located in hidden areas such as the groin, armpit, perineum, and external genitalia. Etiological examination of the blisters or ulcers can confirm the diagnosis.

2. The early stage of pulmonary anthrax is similar to the general upper respiratory tract infection. The occurrence of dyspnea should be distinguished from infectious atypical pneumonia, leptospirosis, and pneumonic plague. It is usually differentiated by epidemiological characteristics and pathogenic diagnosis.

3. Intestinal anthrax is clinically like dysentery, typhoid fever or Yersinia enteritis, sometimes like acute abdomen, but its toxemia symptoms are obvious, stool or vomit culture results can help distinguish.

4. Anthracnose meningitis must be distinguished from meningitis caused by cerebrovascular accidents and other pathogens, and the diagnosis can be confirmed by the thick bamboo-shaped bacillus anthracis on the cerebrospinal fluid smear.

5. Anthrax sepsis should be distinguished from sepsis caused by other bacteria. Etiological examination can help confirm the diagnosis.

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