INFECTIONS AND INFESTATIONS
Actinomycosis of long duration
Clin Inf Dis 27:889, 1998
Acute bacterial endocarditis
Adenovirus infection
African histoplasmosis
African tick bite fever (
Rickettsia africae) – hemorrhagic pustule,
purpuric papules; transmitted by
Amblyomma ticks) – high fever,
arthralgia, myalgia, fatigue, rash in 2–3 days, with eschar,
maculopapules, vesicles, and pustules
JAAD 48:S18–19, 2003
African trypanosomiasis
AD 131:1178–1182, 1995
Arbovirus fever
Dengue fever
West Nile fever
O’nyong–Nyong fever – arbovirus; morbilliform eruption, fever,
arthritis; sub-Saharan Africa
Tyring p.399, 2002
Sindbis – arbovirus; fever, rash, arthritis; Europe, Asia, Africa,
Australia
Tyring p.399, 2002
Ross river fever
Oropouche fever
Phlebotomus fever
Mayaro fever Mayaro – arbovirus; Brazil and Trinidad
Tyring
p.399, 2002
Togavirus – morbilliform, maculopapular-petechial (Sindbis
BJD 135:320–323, 1996; BJD 80:67–74, 1968; chickungunya
Trans R Soc Trop Med Hyg 49:28–32, 1955; and
O’Nyong–Nyong fever
Trans R Soc Med Hyg 55:361–373,
1961; bunyavirus fevers) with joint pains
Barmah Forest virus – similar to Ross River virus
Med J Aust
152:463–466, 1990
Bee and wasp stings – serum sickness as late onset
manifestation
NEJM 133:523–527, 1994; J Allergy Clin Immunol
84:331–337, 1989
Bejel (endemic syphilis)
Brown recluse spider bite – purpuric morbilliform eruption in
children at 24–48 hours
JAAD 44:561–573, 2001
Calymmatobacterium granulomatis (Donovanosis) – joint pain
and swelling
J Clin Inf Dis 25:24–32, 1997
Candida – disseminated Candidiasis JAAD 26:295–297, 1992
Capnocytophaga canimorsus Eur J Epidemiol 12:521–533,
1996
Cat scratch disease –
Bartonella henselae; red papule,
becomes vesicle, crusts, ulcerates, heals with scar
Am J Dis
Child 139:1124–1133, 1985; JAMA 154:1247–1251, 1954
Chikungunya fever
Tyring p.425,513, 2002; Clin Inf Dis
20:225–231, 1995
Fever, chills, severe pain in large joints
Maculopapular eruption of the trunk, extensor surfaces
East Africa, India
Coccidioidomycosis
Dengue fever (flavivirus) – morbilliform or scarlatiniform eruption
on day 3–4, then becomes petechial; classic dengue fever with
joint and bone pain (breakbone fever) with severe backache
JAAD 49:979–1000, 2003; JAAD 46:430–433, 2002; Bull Soc
Pathol Exot 86:7–11, 1993
Dematiaceous fungal infections in organ transplant recipients –
all lesions on extremities – bursitis, synovitis
Alternaria
Bipolaris hawaiiensis
Exophiala jeanselmei, E. spinifera, E. pisciphera, E. castellani
Exserohilum rostratum
Fonsacaea pedrosoi
Phialophora parasitica
Dirofilaria – parasitic rheumatism Cutis 72:269–272, 2003;
subcutaneous dirofilariasis
JAAD 35:260–262, 1996
Dracunculus – migration of this nematode into joints Dermatol
Clinic 7:323–330, 1989
Echovirus
Erysipeloid
Glanders –
Pseudomonas mallei – cellulitis which ulcerates with
purulent foul-smelling discharge, regional lymphatics become
abscesses; nasal and palatal necrosis and destruction;
metastatic papules, pustules, bullae over joints and face, then
ulcerate; deep abscesses with sinus tracts occur; polyarthritis,
meningitis, pneumonia
Rook p.1146–1147, 1998, Sixth Edition
Gonococcemia
Am Fam Phys 34:77–79, 1986
Acral purpuric vesicles, pustules
Gray necrotic centers
Hemorrhagic bullae
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