2018年12月3日月曜日

BMJ誌:熱帯・亜熱帯地域の急性鑑別不能発熱の評価と管理

専門家でないとなじみがないが・・・


Assessment and initial management of acute undifferentiated fever in tropical and subtropical regions
BMJ 2018; 363
doi: https://doi.org/10.1136/bmj.k4766 (Published 29 November 2018)







Mnemonic MA-ESR lists the five main disease groups that cause acute undifferentiated febrile illnesses

  • Malaria—Including all malaria due to Plasmodium falciparum, P vivax, P ovale, P malariae, P knowlesi
  • Arboviral infections—Such as dengue, chikungunya, Japanese encephalitis, Zika, yellow fever
  • Enteric fever—Due to Salmonella enterica serovar Typhi and Paratyphi A, B, C
  • Spirochaete infections—Such as leptospirosis and tick-borne or louse-borne relapsing fever
  • Rickettsial infections—Including scrub typhus, murine typhus, spotted fevers






ESRが赤沈の略号だから、”まあ赤沈”だから覚えやすい?

アーボウィルス:デング熱、チクングニア熱、日本脳炎、ジカ熱、黄熱、スピロヘータ属:レプトスピラ症、ダニ・シラミ媒介再帰熱


noteへ実験的移行

禁煙はお早めに! 米国における人種・民族・性別による喫煙・禁煙での死亡率相違|Makisey|note 日常生活内の小さな身体活動の積み重ねが健康ベネフィットをもたらす:VILPA|Makisey|note