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Pathogen - Entamoeba histolytica. It happens in the form of cysts (in the feces of convalescents, remission from chronicles, carriers) and vegetative forms - 1) f. magna - in patients, phagocyte eritre, mobile, 2) f. minuta - in convalescents, chronicles, carriers, sedentary, 3) tissue f., - in acute amoebiasis, invasive sv-va, mobile, 4) precocious f., - in convalescents and carriers, inactive.
The transmission path is fec-or.
Pathogenesis. Amoebae isolate proteolytic enzymes - invasion - cytolysis - deep ulcers, the bottom fester, at the bottom - amoeba - hematogenous dissemination - abscesses in the lungs, brain, etc.
Classification - intestinal amebiasis, extraintestinal amebiasis, cutaneous amoebiasis.
1) intestinal amoebiasis. Ink per - 1-2 weeks to 3 months. Intoxication is small. The chair is plentiful, with a clear slime, a sharp odor, first feces 4-6 r / day, then a glassy mucus 10-20 r / day, blood - crimson jelly. Pain in the abdomen, with defecation. Without treatment after 4-6 weeks - chronic, exhaustion. Complications - perikolit, perforation, gangrene, bleeding, acute special appendicitis, strictures, amebae, prolapse of rectum, etc.
2) extraintestinal amebiasis.
Liver - acute amebic hepatitis (liver, pain in the right hypochondrium, jaundice rarely), liver abscess (liver, pain, t?, Intoxication); Osl-I - purulent peritonitis, mediastinitis, etc. Lungs - pleuropneumonia or lung abscess (with ulcerative laryngitis and tracheitis). The brain is an abscess.
3) Amoebiasis of the skin - erosion, ulcers of the perianal region, perineum. Ulcers are deep, painless, unpleasant smell, blackened edges.
Rectoromanoscopy, ultrasound (with extraintestinal). Bact test-feces-detection f. magna, tissue form.
1) Direct amoebicides - chiniofon (for 0.5 3 r / day), diiodohin (0.25 3 r / day) for 10 days.
2) Tissue amebotsidy - emetina hydrochloride, dihydroethetin - in / m, in the course of 10 days to 60/90 mg / day. Ambilgar (7-10 days). Hingamin (3 weeks).
3) Universal amoebicides. Trichopol (5-8 days to 0.5 3 r / day), tinidazole, furamide.
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Amoebiasis 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. Choice of antimicrobial agents Tissue amoebicides from the group of nitroimidazoles are the drugs of choice for the treatment of invasive amoebiasis:
Pathogen - Entamoeba histolytica. It happens in the form of cysts (in the feces of convalescents, remission from chronicles, carriers) and vegetative forms - 1) f. magna - in patients, phagocyte eritre, mobile, 2) f. minuta - in convalescents, chronicles, carriers, sedentary, 3) tissue f., - in acute amoebiasis, invasive sv-va, mobile, 4) precocious f., - in convalescents and carriers, inactive. Way
Amebiaz is found in most countries of the world. The highest prevalence of amoebiasis is found in countries with a low socioeconomic and sanitary level. The causative agent parasitizes in the lumen of the human gastrointestinal tract, usually without causing any symptomatology. Some infected amoeba enter the intestinal wall or spread to other organs, especially the liver.
- EXTREME AMEBIASIS
The most common form is amebiasis of the liver. It can develop against a background of acute or chronic intestinal amoebiasis. In 30% of patients there is no indication of intestinal manifestations in the anamnesis. The disease occurs in acute, over-mature and chronic forms. The most common liver abscess, rye amoebic hepatitis, which histologically also manifests itself as a kind of microabscess. DIAGNOSIS OF AMEBIAZA:
James J. Plorde (James J. Plorde) Definition. Amoebiasis is an infectious disease of the large intestine caused by dysentery amoeba (Entamoeba histolytica). Flowing in the majority of individuals in the form of asymptomatic carriage, amebiasis sometimes causes various diseases - from chronic, mild forms of diarrhea to severe cases of dysentery. Extraintestinal complications of infection are most often
- When amoebiasis is not excluded
Amybiasis is an atypical cause of bloody diarrhea in young children, which usually accounts for less than 3% of episodes of the disease. In everyday practice, young children with bloody diarrhea should not be treated for amebiasis. Such treatment is possible only on the basis of the results of microscopic examination of fresh stool samples obtained in a reliable laboratory, and
- AMEBIAZ (AMEBE DIZENTERIYA)
Amoebiasis 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. The professor of the medical and surgical academy FAAlsh was the first to observe the dysentery amoeba in 1875. He also proved the pathogenicity of amoeba
It is an infection of the rectum, accompanied by frequent diarrhea. See the articles INTELLIGENCE (PROBLEMS) and
- SELECTION OF ANTIPROTECOUS CHEMICALS
Protozoal infections, or protozoosis, are caused by parasites belonging to the type of unicellular protozoa. Among protozoal infections, malaria, amoebiasis and other intestinal protozooses, as well as leishmaniasis and trypanosomiasis, have the greatest medico-social significance. In recent years, the number of reported cases of toxoplasmosis and cryptosporidiosis has increased significantly,
- diff. Diagnosis and treatment
Differential diagnosis of dysentery with other acute diarrheal diseases (salmonellosis, escherichiosis, intestinal yersiniosis, poisoning with staphylococcal enterotoxin, cholera, amoebiasis). Dysfunction of dysentery, cholera and salmonellosis.
- Crib. Infectious Diseases, 2010
Abdominal typhus. Paratyphoid A and V. Cholera. Amebiaz. Yersiniosis. Ascariasis. Trichinellez.Sypnoe typhus, b-nd Brill-Zinssera. Echinococcosis. Enterobiosis. Ku-fever. Lime-borreliosis. Leptospirosis. Tularemia. Anthrax. Meningococcal infection. Chuma.Stolbnyak.Beshenstvo.Ornitoz. Legionellosis.Rozha.Grip.Pishchevye
- Antimicrobial medications
With the exception of the following cases, in routine practice, antimicrobial therapy should not be performed in children diagnosed with diarrhea. Such treatment is ineffective and can be dangerous. 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
- Order Amoebida. Sem. Endamoebidae
Representatives of Endolimax nana, Entamoeba coli, Entamoeba histolytica, Entamoeba gingivalis, Iodamoeba butschlii. Entamoeba histolytica (Figure 12) is found everywhere, especially in areas with warm and hot climates. Parasitizes in the large intestine of a person, causing amoebic dysentery, or amoebiasis. By mortality, amebiasis ranks 3 rd among all parasitic diseases of man. In each given
- BONE-TONE TUMORS OF THE INTESTINE
- tumorous 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 metastases. Classification A. Epithelial: I group. Polyps (single, group): a) glandular and glandular-villous; b) hyperplastic; c), cystic granulating; d)
- inflammatory diseases of the myocardium. There are etiological and clinical-morphological classifications of pericarditis. Etiological classification 1. Pericarditis caused by exposure to the organism of an infectious agent: nonspecific bacterial pericarditis: coccal and other microbial, caused by "gas infection", with injuries and injuries; tuberculous pericarditis;
- SYPHILIS. PRIMARY PERIOD OF SYPHILIS
Currently, there is a large group of sexually transmitted infections (STIs). Classification of STIs (WHO, 1982) Bacterial nature 1. Syphilis and other treponematoses (pinta, yaws, hippopotamus) 2. Gonorrhea 3. Soft chancre 4. Venereal lymphogranulomatosis 5. Donovanosis 6. Urogenital chlamydia and Reiter's disease 7. Urogenital mycoplasmosis .h.
- ANNEX 7: ANTIMICROBIAL MEANS USED FOR TREATMENT OF DIARRHEA OF SPECIFIC ETIOLOGY
Etiological agent Antibiotic (s) of choice a Alternative treatment Cholera bc Doxycycline Adults: 300 mg single-dose or tetracycline Children: 12.5 mg / kg4 times daily x 3 days Adults: 500 mg4 times daily x 3 days Erythromycin Children: 12.5 mg / kg4 times a day x 3 days Adults: 250 mg4 times daily x 3 days Dysentery caused by Shigella Ци Ciprofloxacin Children: 15 mg / kg 2 times a day x 3 days Adults: 500 mg2 times