Licensed books on medicine
<< Ahead || Next >> |
The causative agent is Entamoeba histolytica. It happens in the form of cysts (in the feces of convalescents, remission in the chronicles, carriers) and vegetative forms - 1) f. magna - in patients phagocytes erythra, mobile, 2) f. minuta - in convalescents, chronicles, carriers, sedentary, 3) tissue f., - in acute amebiasis, invasive Holy Island, mobile, 4) predzistnaya f., - in convalescents and carriers, inactive.
The transmission path is fec-op.
Pathogenesis. Amoebas secrete proteolytic enzymes - invasion - cytolysis - deep ulcers, the bottom festers, at the bottom - amoeba - hematogenous dissemination - abscesses in the lungs, brain, etc.
Classification - intestinal amebiasis, extraintestinal amebiasis, cutaneous amebiasis.
The clinical picture.
1) intestinal amebiasis. Inc. lane - 1-2 weeks to 3 months. Intoxication is small. The chair is abundant, with clear mucus, a pungent odor, first fecal 4-6 p / day, then vitreous mucus 10-20 p / day, blood - raspberry jelly. Abdominal pain, ^ during stool. Without treatment in 4-6 weeks - chronicity, exhaustion. Complications - pericolitis, perforation, gangrene, bleeding, acute special appendicitis, strictures, amoebomas, prolapse of the rectum, etc.
2) extraintestinal amebiasis.
Liver - acute amebic hepatitis (^ liver, pain in right hypochondrium, jaundice rarely), liver abscess (^ liver, pain, t? ^, Intoxic); donkey-i - purulent peritonitis, mediastinitis, etc. Lungs - pleuropneumonia or lung abscess (with ulcerative laryngitis and tracheitis). The brain is an abscess.
3) Amebiasis of the skin - erosion, ulcers of the perianal region, perineum. Ulcers are deep, slightly painful, unpleasant odor, blackened edges.
Rectoromanoscopy, ultrasound (with extraintestinal). Bact Splash Detection f. magna, tissue form.
1) Direct amebocides - hiniofon (0.5 3 p / day), diiodoquine (0.25 3 p / day) for 10 days.
2) Tissue amebocides - emetine hydrochloride, dihydroemetin - in / m, for 10 days at 60/90 mg / day. Ambilgar (7-10 days). Hingamin (3 weeks).
3) Universal amebocides. Trichopol (5-8 days at 0.5 3 p / day), tinidazole, furamide.
| << Ahead || Next >> |
| = Go to tutorial content = |
Amebiasis is an infection caused by Entamoeba histolytica, characterized by ulcerative lesions of the colon, a tendency to chronic recurrent course, and the possibility of developing extraintestinal complications in the form of abscesses of the liver and other organs. Selection of antimicrobial drugs The drugs of choice for the treatment of invasive amebiasis are tissue amebicides from the nitroimidazole group:
The causative agent is Entamoeba histolytica. It happens in the form of cysts (in the feces of convalescents, remission in the chronicles, carriers) and vegetative forms - 1) f. magna - in patients phagocytes erythra, mobile, 2) f. minuta - in convalescents, chronicles, carriers, sedentary, 3) tissue f., - in acute amebiasis, invasive Holy Island, mobile, 4) predzistnaya f., - in convalescents and carriers, inactive. Way
Amebiasis is found in most countries of the world. The greatest prevalence of amebiasis occurs in countries with low socio-economic and sanitary levels. The pathogen is parasitic in the lumen of the human gastrointestinal tract, as a rule, without causing any symptoms. In some infected amoebas, it penetrates the intestinal wall or spreads to other organs, especially the liver.
- EXTERNAL AMEBIAZ
The most common form is liver amebiasis. It can develop against the background of acute or chronic intestinal amebiasis. In 30% of patients there is no indication of intestinal manifestations in history. The disease occurs in acute, over-acute and chronic forms. The most common is liver abscess, more commonly amebic hepatitis, which is also histologically manifested by peculiar microabscesses. DIAGNOSTIC AMEBIAZA:
James J. Plorde Definition. Amebiasis is an infection of the colon caused by a dysentery amoeba (Entamoeba histolytica). Flowing in the majority of persons in the form of asymptomatic carriage, amoebiasis sometimes causes various diseases - from chronic, mild forms of diarrhea to severe cases of dysentery. Extraintestinal complications of infection most often include
- When amoebiasis is not excluded
Amebiasis is an atypical cause of bloody diarrhea in young children, which usually accounts for less than 3% of disease episodes. In the daily practice of young children with bloody diarrhea should not be treated for amebiasis. Such treatment is possible only on the basis of the results of a microscopic examination of fresh stool samples obtained in a reliable laboratory, and
- AMEBIAZ (AMEBIC DYSENTERIA)
Amebiasis is a protozoal disease caused by Entamoeba histolitica, characterized by a chronic recurrent course with ulcerative lesions of the colon and the possibility of developing extraintestinal complications in the form of abscesses. Characteristics of the pathogen. For the first time a dysenteric amoeba was observed by the professor of the medical and surgical academy F.A. Lesh in 1875. He also proved the pathogenicity of amoeba
This is a rectal infection with frequent diarrhea. See articles of INTESTINES (PROBLEMS) and
- CHOICE OF ANTI-PROTOTIC CHEMICAL DRUGS
Protozoal infections, or protozoa, are caused by parasites belonging to the type of unicellular protozoa. Among protozoal infections, malaria, amebiasis and other intestinal protozoa, as well as leishmaniasis and trypanosomiasis are of the greatest medical and social importance. In recent years, the number of reported cases of toxoplasmosis and cryptosporidiosis has increased significantly, mainly as
- differential diagnosis and treatment
Differential diagnosis of dysentery with other acute diarrheal diseases (salmonellosis, escherichiosis, intestinal yersiniosis, poisoning with staphylococcal enterotoxin, cholera, amebiasis). Difdiagnosis of dysentery, cholera and salmonellosis.
- Crib. Infectious diseases, 2010
Typhoid fever. Paratypus A and V. Holera. Amebiasis. Iersiniosis. Ascariasis. Trichinosis. Typhus, brill-Brill-Zinsser. Echinococcosis. Enterobiasis. Ku-fever. Lyme borrelioz. Leptospirosis. Tularemia. Siberian ulcer. Meningococcal infection. Chuma. Column. Rabies. Ornithosis. Legionellosis. Rozh. Gripp. Food
- Antimicrobial agents
With the exception of the following cases, in routine practice, antimicrobial therapy should not be given to children diagnosed with diarrhea. Such treatment is ineffective and can be dangerous. The nosological forms to be treated with antimicrobial agents are listed below (the drugs of choice for their treatment are presented in Appendix 7): • Cases of bloody diarrhea (dysentery). All these
- Detachment Amoebida. Sem. Endamoebidae
Representatives of Endolimax nana, Entamoeba coli, Entamoeba histolytica, Entamoeba gingivalis, Iodamoeba butschlii. Entamoeba histolytica (Fig. 12) is ubiquitous, especially in areas with a warm and hot climate. Parasitic in the human colon, causing amoebic dysentery, or amebiasis. Mortality amebiasis ranks 3rd among all parasitic diseases of man. In every given
- BEAUTIFUL INTESTINAL TUMORS
- tumor-like formations emanating from the mucous, or intestinal, or serous layers of the intestine with expansive growth, which remain in the form of the main node, squeeze, but do not destroy the tissue and do not give metastasis. Classification A. Epithelial: Group I. Polyps (single, group): a) glandular and glandular-villous; b) hyperplastic; c) cystic granulating; d)
- Inflammatory diseases of the myocardium. There are etiological and clinico-morphological classification of pericarditis. Etiological classification 1. Pericarditis caused by exposure to the organism of an infectious pathogen: nonspecific bacterial pericarditis: coccal and other microbial, caused by "gas infection", with injuries and injuries; tuberculous pericarditis;
- SYPHILIS. PRIMARY PERIOD OF SIPHILIS
Currently, there is a large group of sexually transmitted infections (STIs). Classification of STIs (WHO, 1982) Bacterial nature 1. Syphilis and other treponematosis (pint, yaws, bejel) 2. Gonorrhea 3. Chancroid 4. Venereal lymphogranulomatosis 5. Donovanosis 6. Urogenital chlamydiosis and Reiter’s disease 7. Urogenital mycoplasmosis (in t . h.
- ANNEX 7: ANTI-MICROBAL MEANS USED FOR THE TREATMENT OF DIARRHEA SPECIFIC ETIOLOGY
Etiological agent Antibiotic (s) of choice a Alternative treatment of Cholera bc Doxycycline Adults: 300 mg once or Tetracycline Children: 12.5 mg / kg4 times a day x 3 days Adults: 500 mg4 times a day x 3 days Erythromycin Children: 12.5 mg / kg4 times a day x 3 daysAdults: 250 mg4 times a day x 3 days Shigella-induced dysentery Ц Ciprofloxacin Children: 15 mg / kg2 times a day x 3 days Adults: 500 mg2 times