🪳 Section 255.3 · Trench Fever (Bartonella quintana)

Nelson Textbook of Pediatrics 22nd Edition | Body louse-borne disease. Relapsing fever, bacteremia, bone pain (shin), headache. Chronic manifestations: bacillary angiomatosis, endocarditis (culture-negative). Treatment: doxycycline + gentamicin (or doxycycline alone). Prevention: improved hygiene, delousing.

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📋 30 Clinical Scenarios — Trench Fever (Nelson 255.3)

📇 High‑Yield Review Cards (Trench Fever)

🩺 Trench Fever Clinical Scenarios

Select a scenario for diagnosis and management.

📋 Stepwise Management of Trench Fever

    📊 Clinical Manifestations of B. quintana Infection

    SyndromePresentationTreatment

    ⚡ Reflex Prompts — Trench Fever Decisions

    📖 Summary: Trench Fever — Nelson 255.3