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Variola
Variola
(Smallpox, Cacar)
Clinical manifestations :
The incubation period : 10-12 (7-17 days),
fever (39-41oC) and severe headache,
backache, and malaise occurred during the
204 day prodrome. This followed by the
eruption, which began on the face and upper
extremities. Most lesions evolved through
similar stages, i.e. macules, papules,
vesicles, and pustules, over 8-15 day period.
The pustules umbilicated, dried, and began
to desquamate between day 6 to 10 of rash,
followed by crusting or scab stage.
Complications :
1. Skin infections
2. Bacteremia
3. Pneumonia
4. Panophthalmitis scarring blindness
Diagnosis : on clinical ground
Differential diagnosis :
1. Smallpox
2. Drug reactions
3. Insect bites
4. Secondary syphilis
5. Measles