Open Syndrome Smallpox

{
   "authors": [
     "Dirección de Desarrollo de Servicios de Salud"
   ],
   "category": "suspected",
   "definition_type": "case_definition",
   "exclusion_criteria": [
     {
       "logical_operator": "OR",
       "name": "Cause of ruling out acute exanthema",
       "type": "criterion",
       "values": [
         {
           "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",
           "type": "diagnosis"
         }
       ]
     }
   ],
   "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 (\u003e38,5°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.",
   "inclusion_criteria": [
     {
       "logical_operator": "AND",
       "type": "criterion",
       "values": [
         {
           "attribute": "onset_date",
           "name": "Acute unexplained rash",
           "operator": "\u003c",
           "type": "symptom",
           "value": "2022-03-15"
         },
         {
           "logical_operator": "AT_LEAST",
           "logical_operator_arguments": [
             1
           ],
           "name": "One or more of the following symptoms",
           "type": "criterion",
           "values": [
             {
               "name": "Headache",
               "type": "symptom"
             },
             {
               "description": "Sudden onset fever (\u003e38.5°C)",
               "name": "Sudden onset fever",
               "type": "symptom"
             },
             {
               "name": "Muscle pain",
               "type": "symptom"
             },
             {
               "name": "Back pain",
               "type": "symptom"
             },
             {
               "name": "Fatigue",
               "type": "symptom"
             },
             {
               "name": "Lymphadenopathy",
               "type": "symptom"
             }
           ]
         }
       ]
     }
   ],
   "keywords": [
     "Smallpox",
     "North America"
   ],
   "language": "English",
   "location": "Costa Rica",
   "open_syndrome_version": "1.0.0",
   "organization": "Caja Costarricense de Seguro Social",
   "published_at": "2025-02-08T17:44:54Z",
   "published_by": [
     "Open Syndrome Initiative"
   ],
   "published_in": "https://opensyndrome.org",
   "references": [
     {
       "citation": "",
       "url": "https://www.cendeisss.sa.cr/wp/wp-content/uploads/2024/04/Protocolo-Viruela-Simica.CCSS_.pdf"
     }
   ],
   "scope": "broad",
   "status": "draft",
   "target_public_health_threats": [
     "Smallpox"
   ],
   "title": "Open Syndrome Smallpox",
   "version": "1.0.0"
 }