Insomnia

Isolated cases occur in the former Soviet Union. Along with the single (sporadic) disease in different countries have repeatedly described the outbreaks. Distinguish household, manufacturing and laboratory cases and outbreaks of disease. Clinic. The incubation period ranges from 6 to 14 days. In some cases it is, can lengthen up to 25 days.

Patient complaints often indicate significant general weakness, chilling, sweating, fever, weakness, often intense headache, insomnia, poor appetite, pain when swallowing, vomiting, intermittent abdominal pain, constipation, and sometimes loose stools without impurities. Typically, the cough is often dry, sometimes with phlegm, which has a different character. Sometimes there are pains in the chest. The disease often begins acutely, sometimes it has a gradual onset. Fever is accompanied by an increase in temperature to as high as 2-3 days, characterized by constant or remittent temperature curve. The children all disease can occur: with low-grade or normal temperature.

Duration of febrile period of 2-3 weeks, followed by possible long subfebrile. Lowering the temperature is politically, and sometimes – with the crisis. Often, low-grade fever may last up to 2-3 months. Chills and sweating are often clearly marked. Headache is usually pretty strong, constant, often seen Insomnia, and sometimes delirium, loss of consciousness, recurrent pain in the muscles, joints, muscular weakness. At the height of the disease at week 2 may develop meningo-encephalitis. Face and the visible mucous membranes are often hyperemic. Often there is herpes in the mucous membranes of lips. Sometimes a 5-6-7-day sickness on skin of the trunk and extremities noted a rash (like roseolous, quickly disappearing). Lymph nodes increasing in rare cases. Appetite is usually reduced, tongue coated, thick, red-bordered prints I teeth on the edges, moist. At the beginning of the disease may be a slight hyperemia throat. Often there are locks. On palpation of the abdomen noted pain along the large intestine and spare the umbilicus.

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