Licensed books on medicine
<< Ahead || Next >> |
Complications of hard chancre
Various external influences (trauma, non-compliance of the patient with hygienic rules, irrational treatment, the addition of secondary pyogenic and opportunistic infections), as well as factors that reduce the overall reactivity of the body (elderly and early childhood, chronic common diseases of the body: diabetes, berculosis, anemia, etc .; chronic intoxication, especially alcoholism and drug addiction), can complicate the flow of chancre. The above external influences lead to the transformation of erosive hard chancre into ulcerative and to the occurrence of inflammatory phenomena around it (pronounced redness, skin puffiness, pain, etc.). In some cases, the initial appearance of an ulcer hard chancre is in itself a complication.
The complication of hard chancre by secondary infection can be observed spontaneously or after traumatization. In men, with localization of hard chancre, balanitis (inflammation of the head) or balanoposthitis (inflammation of the head and the inner sheet of the foreskin) occurs on the penis. When balanopostitis occurs in the affected areas, erosion often occurs (erosive balanopostitis). Balanitis and balanoposthitis are characterized by the appearance of acute inflammatory phenomena around the chancre, the discharge becomes serous purulent.
As a result of inflammation of the foreskin, phimosis can occur (narrowing of the ring of the foreskin). The penis increases due to edema of the foreskin, takes the form of a flask, becomes painful, hyperemic.
Due to edema and infiltration, exposure of the head becomes impossible; pus is excreted from the narrow opening of the preputial sac. Sometimes, through a swollen foreskin, it is possible to palpate a limited focus of inflammation, which, however, may be trivial and does not prove the presence of syphilis. In case of forcible removal of the head for the narrowed ring of the foreskin, it can be infringed, the foreskin dramatically swells, paraphimosis occurs. If the head of the penis is not timely adjusted, the process ends with necrosis of the ring of the foreskin or the head of the penis.
Rare complications of hard chancre include gangrenization and fagedenism. Gangrene occurs on its own or more often as a result of joining a fuzzyrillus infection. In this case, necrosis occurs, rapidly spreading deep into and over the entire surface of the syphiloma. A scab of dirty gray or black color appears on it, tightly welded to the underlying tissues and completely painless. After the scab is rejected, an ulcer is covered with bright red granulations, quickly healing with scar formation. Gangrene, as a rule, does not go beyond the limits of primary syphiloma and does not destroy healthy tissues.
Phagedenism is much less common than gangrenization and is characterized by the spread of necrosis not only deep into the primary syphiloma, but also beyond its borders, with the involvement of surrounding healthy tissues in the process. Phagedenism begins as gangrenization, but tissue necrosis does not stop with the scab rejection, but is constantly renewed, destroying all new areas of surrounding tissues. Necrosis can lead to the destruction of the foreskin, glans penis, perforation and destruction of the urethra wall, and its narrowing; severe bleeding may occur.
The so-called red phagedenism is rarely observed [Fournier A., 1899], which is characterized by the presence of an extensive juicy bright red ulcer with a smooth or uneven surface, dense base, swollen hyperemia of the hyperemia along the periphery that separates a fairly large amount of bloody liquid.
A scab is not formed. Red phagedenism can lead to severe damage to the affected tissues. The etiological diagnosis of phagedenic chancre presents certain difficulties, since the presence of abundant secondary flora (staphylococci, streptococci, fuzospirillosa infection, etc.) limits the possibilities of microscopic detection of pale treponemas. Complications of hard chancre, especially gang, and phagedenism, as a rule, are accompanied by general phenomena (chills, fever, headache, insomnia, etc.) caused by intoxication and septicopyemia. In case of complicated hard chancre, the regional lymph nodes become painful, and the skin above them may become inflamed.
Mixed chancre occurs when you are simultaneously infected with syphilis and chancroid. According to S. T. Pavlova (1960), initially, a few days after infection, the patient formed a typical soft chancre. After 3-4 weeks, the ulcer of the soft chancre begins to level off somewhat, and its base is consolidated. By this time, if the patient has a characteristic for a soft chancre lymphadenitis, the regional lymph nodes of the lymphadenitis welded to each other and the surrounding tissues become denser and the inflammatory process becomes dull with no tendency to resolve; in the absence of bubo, syphilis scleradenitis appears. The diagnosis of mixed chancre before the introduction of soft chancre sulfa drugs into therapy was very difficult, since finding pale treponem in a mixed ulcer is difficult. Appointment of sulfonamide drugs to the patient leads to the resolution of soft chancre, and the clinical picture of the primary syphiloma, which is not affected by the treatment, becomes distinct, and the treponema is easily detected in the discharge. Early administration to a patient with a mixed chancre of sulfanilamide preparations leads to the complete healing of a soft chancre ulcer even before the end of the incubation period of syphilis, and after some time a typical primary syphiloma occurs in its place.
Flow. In patients with syphilis who do not receive specific treatment, solid chancre independently heals on average in 3–6 weeks, with benzylpenicillin prescribed in 10–14 days. The infiltrate at the base of a hard chancre lasts longer and undergoes reverse development after several weeks or not. By the time a patient develops secondary fresh syphilis, hard chancre, especially ulcerative, as a rule, always remains. The ulcer hard chancre heals with the formation of a scar round or about a long form with clear boundaries and a smooth surface, with a narrow hyperchromic rim around the periphery. Erosion heals completely, leaving behind only a temporary pigmentation.
| << Ahead || Next >> |
| = Go to tutorial content = |
Complications of hard chancre
- Complications of hard chancre
Balanitis, balanoposthitis, phimosis, paraphimosis, gangrenization, fagedenism. Balanitis and balonapostitis - a bacterial infection joins. Appears puffiness, bright erythema, epithelial maceration. Separated on the surface of the chancre becomes seroz. - purulent .. Phimosis is a narrowing of the cavity of the foreskin, which does not allow to open the head of the penis. Due to edema of the foreskin, the penis appears
Formed after the end of the incubus. period and is located on the site of the introduction of pale treponema in the skin or mucus. obol. Localization: head floor. penis, anus, large and small labia, posterior commissure, region cervix. Chancre is a single erosion of a rounded shape, saucer-shaped with clear boundaries. The color of eroded meat is red. Discharge erosive serous, scanty. Characteristic
- Primary syphiloma (hard chancre)
Clinical manifestations of primary syphilis are characterized by the presence of solid chancre (primary syphiloma) and damage to the lymph nodes and blood vessels. At the end of the incubation period, the first symptom and the main manifestation of the primary period of syphilis - primary syphiloma (synonyms: chancre, primary sclerosis, primary erosion,
- Atypical solid chancre
Shankr-panaritium is a club-shaped swelling of the terminal phalanx with sharp pain. There is a lack of acute inflammatory erythema, the presence of dense infiltration and regional lymphadenitis. More often sick honey. staff. Inductive edema - located in the region. large labia, scrotum or foreskin, i.e. in places with a large number of lymphatic vessels. There is swelling of these
- Chancre lips
An erosive hard lip can have typical clinical signs (erosion with correct round edges, red, shiny, as if lacquered or covered with a dipteroid bloom bottom, at the base of which a leaf-shaped or lamellar seal is determined). Relatively often erosion has a small size (dwarf hard chancre). Significant diagnostic difficulties
- Chancre language
. The chancre of the tongue is solitary, appears mostly on the dorsal surface of the tongue and has several forms: 1) erosive; 2) ulcerative; such an ulcer that affects the mucous membrane, deepened in the form of a cup or spoon; 3) slit-like, appears when the chancre is localized along the cracks of the tongue, when it has the appearance of elongated or prolonged erosion; seal the bottom of these
Allan R. Ronald, Francis A. Plummer (Allan R. Ronald, Francis A. Plummer). Definition. Chancroid (venereal ulcer) is an acute sexually transmitted infection characterized by painful ulceration of the genital organs, often associated with inflammatory adenopathy of the inguinal lymph nodes. The latter may progress to the development of suppuration. The diagnosis is set to
- Chancroid (Third venereal disease)
The chancroid is caused by streptobacillus, which was discovered by Ferrar (1885), Peterson (1887), studied by Ducrey (1889), Unna (1892). The causative agent has the form of sticks, which are arranged parallel to the chains. The main route of infection is sexual, rarely extra-sex (through objects). The incubation period for men is from 2 to 3 days to 2 to 3 weeks, for women from 2 to 3 weeks to 3 to 5 months. Have
- Solid and liquid waste
Municipal solid waste. The methods of disinfection of solid household waste according to the technological principle are divided into biothermal, mechanical, combined, thermal and chemical. Biothermal methods. The basis of all biothermal methods are the biological processes of decomposition of organic substances contained in the waste due to the activity of microorganisms. Oxidation
- Investigation of municipal solid waste
Samples of solid household waste are taken in two ways: a) large objects, including paper, rags, and bones that have no signs of fecal contamination, are taken from unbroken solid household waste, and 200–250 g are taken from the remaining mass of waste; b) from crushed solid household waste intended for chemical research, samples are also taken in the amount of 200-250
- Hard "No"
I often meet on the Internet statements in the spirit: "To lose weight dramatically, you need to give up just three products!". It is usually proposed to remove from the diet bread, sugar and, for example, butter. These ads look very tempting: it would seem, eat as much as you want all the other products and lose weight. But believe me, it does not happen. A person loses weight from what he gets from food less energy than he
- SOLID DISHES
Each of these recipes is designed for 2 meals. If you cook for yourself and a partner who does not conduct a detox program, he may add other dishes to them as he wishes. If you are cooking only for yourself, you can leave half the serving the next day or use half the amount of ingredients. If possible, use organic, hormone-free chicken and
- Dura puncture.
Detected by the receipt of the liquor through the needle Tuohy or installed catheter. Possible options for action in this situation: 1. Reinstall the catheter in another intervertebral space. If successful, a test dose of a local anesthetic is administered. If, after several attempts at catheterization, puncture of the dura mater occurs again, it is necessary to abandon the procedure.
- Preservation of drugs in solid media
Shore method1. The first two phases according to the Melnikov-Razvedenkov method (or its variants). Then the preparation is kept for at least two weeks in the third liquid of Shora of the following composition 2. Table salt 100 g "Boiled water 1000 ml Filter by dissolution and add: Alcohol 150 ml Glycerin 1000" put
- Well, how many times they told the world
Fable! What a Russian ear will not stir at the sound of this word! Ivan Andreevich Krylov, in the assembly of monkeys, bears and donkeys! It would seem that he had exhausted this gold mine so much that no one wrote serious fables after him. Well, except, perhaps, Sergei Mikhalkov, but who knows those fables? But Krylov know everything. But let's, nevertheless, in order. As expected, the inventor or
- Determination of the overall quality indicators of durum wheat grain
Ishmukhambetov SS, Zagumenov S.A. Scientific adviser: Ph.D., associate professor Shakirova SS FGOU VPO "Ural State Academy of Veterinary Medicine", Troitsk The purpose of our research was to determine the overall quality of grain of durum wheat cultivated in the territory of SEC "Neplyuevskoe" Kartalinsky district of Chelyabinsk region. To solve the set
- Hereditary diseases of hard dental tissue
A rather large group of dental diseases is associated with damage to enamel. The etiological factor of hereditary diseases of enamel are pathological mutant genes that are transmitted to the patient through the germ cells of the parents. Imperfect amelogenesis, enamel dysplasia, a group of hereditary defects characterized by metabolic disorders at one of two stages of enamel formation:
- Sanitary and epidemiological requirements for sewage and solid waste disposal at food enterprises
Sanitary and technical measures for the collection, disposal, disposal and recycling of waste are called sanitation. Waste is divided into liquid and solid. Liquid waste - wastewater (domestic, industrial, stormwater, agricultural, etc.). Solid waste - construction waste, street estimates, catering waste, industrial and commercial enterprises, slags from boiler houses, etc.
There are two groups of complications: early (develop in the first hours, days of life) and late (from the end of the first week of life and later). Both groups of complications are classified by damage to organs and systems. Figure 2 shows the early and late complications of the systems: Figure No.