| { | |
| "title": "Open Syndrome Smallpox", | |
| "language": "English", | |
| "version": "1.0.0", | |
| "location": "Costa Rica", | |
| "scope": "broad", | |
| "category": "suspected", | |
| "organization": "Caja Costarricense de Seguro Social", | |
| "authors": [ | |
| "Dirección de Desarrollo de Servicios de Salud" | |
| ], | |
| "open_syndrome_version": "1.0.0", | |
| "published_in": "https://opensyndrome.org", | |
| "published_at": "2025-02-08T17:44:54Z", | |
| "published_by": [ | |
| "Open Syndrome Initiative" | |
| ], | |
| "inclusion_criteria": [ | |
| { | |
| "type": "criterion", | |
| "logical_operator": "AND", | |
| "values": [ | |
| { | |
| "type": "symptom", | |
| "name": "Acute unexplained rash", | |
| "attribute": "onset_date", | |
| "operator": "<", | |
| "value": "2022-03-15" | |
| }, | |
| { | |
| "type": "criterion", | |
| "name": "One or more of the following symptoms", | |
| "logical_operator": "AT_LEAST", | |
| "logical_operator_arguments": [ | |
| 1 | |
| ], | |
| "values": [ | |
| { | |
| "type": "symptom", | |
| "name": "Headache" | |
| }, | |
| { | |
| "type": "symptom", | |
| "name": "Sudden onset fever", | |
| "description": "Sudden onset fever (>38.5°C)" | |
| }, | |
| { | |
| "type": "symptom", | |
| "name": "Muscle pain" | |
| }, | |
| { | |
| "type": "symptom", | |
| "name": "Back pain" | |
| }, | |
| { | |
| "type": "symptom", | |
| "name": "Fatigue" | |
| }, | |
| { | |
| "type": "symptom", | |
| "name": "Lymphadenopathy" | |
| } | |
| ] | |
| } | |
| ] | |
| } | |
| ], | |
| "exclusion_criteria": [ | |
| { | |
| "name": "Cause of ruling out acute exanthema", | |
| "type": "criterion", | |
| "logical_operator": "OR", | |
| "values": [ | |
| { | |
| "type": "diagnosis", | |
| "name": "Chickenpox" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "Shingles" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "Measles" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "Rubella" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "Zika virus" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "Dengue fever" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "Chikungunya virus" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "Common cold herpes" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "Bacterial skin infections" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "Disseminated gonococcal infection" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "Primary or secondary syphilis" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "Chancroid" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "Lymphogranuloma venereum" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "Granuloma inguinale" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "molluscum contagiosum" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "allergic reaction (for example, to plants)" | |
| }, | |
| { | |
| "type": "diagnosis", | |
| "name": "vesicular or papular rash" | |
| } | |
| ] | |
| } | |
| ], | |
| "references": [ | |
| { | |
| "citation": "", | |
| "url": "https://www.cendeisss.sa.cr/wp/wp-content/uploads/2024/04/Protocolo-Viruela-Simica.CCSS_.pdf" | |
| } | |
| ], | |
| "status": "draft", | |
| "human_readable_definition": "Persona de cualquier edad que se presenta con un exantema agudo inexplicable y que\npresentó uno o más de los siguientes signos o síntomas, con fecha de inicio posterior al 15\nde marzo de 2022:\n- Cefalea\n- Inicio súbito fiebre (>38,5°C)\n- Mialgia\n- Dolor de espalda\n- Astenia\n- Linfadenopatía\nY\npara los cuales se ha descartado, las siguientes y otras causas de exantema agudo que se\nmencionan a continuación: varicela, herpes zóster, sarampión, rubéola, zika, dengue,\nchikungunya, herpes simple, infecciones bacterianas de la piel, infección gonocócica\ndiseminada, sífilis primaria o secundaria, chancroide, linfogranuloma venéreo, granuloma\ninguinal, molusco contagioso, reacción alérgica (por ejemplo, a las plantas); y cualquier otra\ncausa común, localmente relevante de erupción vesicular o papular.\nNo es necesario tener resultados negativos de todas las enfermedades exantemáticas para\ndeterminar un caso como sospechoso.", | |
| "target_public_health_threats": [ | |
| "Smallpox" | |
| ], | |
| "keywords": [ | |
| "Smallpox", | |
| "North America" | |
| ], | |
| "definition_type": "case_definition" | |
| } | |