1. Tick-borne relapsing fever
2. clinical picture and symptoms
3. First aid and treatment of tick-borne recurrent spirochetosis
4. Epidemic relapsing fever
5. Clinical manifestations and symptoms of epidemic relapsing fever
6. Treatment epidemic relapsing fever
Relapsing fever - is a common acute infectious disease characterized by alternating bouts of severe febrile at intervals of normal body temperature.The causative agent of relapsing fever is treponema (spirochete) Obermeyer.The disease is endemic (tick-borne relapsing fever) and epidemic (lousy relapsing fever) form.
Return spirochetosis (endemic BT) is a group of infectious diseases, agents which are different types of spirochetes belonging to the genus Borrelia.
causative agent of relapsing fever endemic form lives in Asia (Kyrgyzstan, Georgia, Uzbekistan, Tajikistan, Armenia, Azerbaijan, Abkhazia, South Ossetia, and so on.) And Europe, in Russia, in Central America, pa
Carrier of relapsing fever tick is the form.The main carriers of the disease - a family of mites Argasidae (Persian and township mites).The reservoir of Borrelia are various species of rodents.
human infection occurs when a tick bite.The infection most often occurs during the warm season, as associated with the activation of vital activity of relapsing fever vectors (ticks).
first attack of the disease begins abruptly: there is a weakness, mild pain in muscles and joints, fatigue, nausea and vomiting.Intermittent fever is replaced by headache and fever.The body temperature rises sharply to 38-40 degrees, the skin becomes dry, the pulse quickens.The pathological process is accompanied by disorders of the nervous system (delirium may occur).Before the appearance of fever, on the site of the tick bite is formed of dark cherry papule.After a short period of time there are abundant rash of various shapes.In addition, in patients with marked enlargement of the liver and spleen, sometimes jaundice.
During fever there may be symptoms of cardiac disease, as well as pneumonia or bronchitis.The attack lasts from 2 to 6 days at tick-borne recurrent fever, then the body temperature returned to normal, and the patient's state of health is improving rapidly.Approximately 2-8 days develops next attack of fever with the same symptoms.Tick-borne relapsing fever is accompanied by the 4-12 attacks of fever.As a rule, the latest attack on the clinical manifestations significantly lighter and shorter, but not always.
necessary to ensure patient bed rest.Further it is necessary to resort to the use of antipyretics (amidopirina 0.25 g or 0.5 g of acetylsalicylic acid), cardiovascular drugs (10% solution sulfokamfokain, intravenously or intramuscularly).Also, the patient is given plenty of drink to avoid dehydration.
treatment of tick-borne relapsing fever is carried out with large doses of penicillin and tetracycline drugs (tetracycline hydrochloride, tetracycline, oxytetracycline).Antibiotics are used after the normalization of temperature (to prevent recurrence).
All patients subject to immediate hospitalization in infectious disease clinic.Transportation is carried out by special transport.Return tick fever is rarely fatal ends.There are complications, such as heart attack and splenic abscess, inflammatory eye disease, myocarditis, pneumonia, dermatitis, various mental disorders, temporary paresis and paralysis.
lousy or relapsing fever - is a serious infectious disease that is accompanied by fever attacks and periods of normalization of body temperature.
causative agent of relapsing fever epidemic form is Obermeyer pallidum, which is found in the blood of patients at the time of the attack.Sick people - is the main source of infection.Carrier of relapsing fever this form - Hanging louse (sometimes pubic and head).Infection occurs when damage to the body lice and hit the hemolymph of the infected carrier relapsing fever on damaged skin (bites or scratches).Susceptibility to disease - one hundred percent.This infection is common in countries with very poor sanitary conditions of the population.
When relapsing fever pathogen enters the bloodstream, it instantly spreads throughout the body, multiply in organs rich retikuloendotelem.
The incubation period of the disease lasts from 5 to 8 days.Onset sudden, with severe chills and body temperature rise to 39-40 degrees.Patients have pains in muscles and joints, as well as a severe headache.In addition, patients suffer severe thirst, poor sleep and loss of appetite.In the language there is a white film ( "chalk" or "milk" language).Skin - dry.The pulse quickens, there is a feeling of pressure in the area of the spleen (in the left upper quadrant).The spleen is painful on palpation, as well as dense.With regard to the liver, it also increases in size.Patients may appear diarrhea and oliguria.
Epidemic relapsing fever occurs in the form of attacks.The first febrile attack lasts about 5-7 days.It ends with a sharp drop in body temperature.When apyrexia (between two attacks of fever), which lasts 7-14 days, patients feel much better.Then develops a second attack of fever, flowing with the same symptoms as the first.As a rule, the nitty relapsing fever is accompanied by bouts of 2-3, followed by a complete recovery.
most threatening complication of this infection is splenic infarction, which often leads to rupture with subsequent fatal bleeding.Next (quite serious) complications - a gall typhoid (the result of joining paratifobatsilleza - Salmonella infection).This pathology is characterized by hemorrhagic manifestations, pronounced jaundice and small abscesses in various organs.Mortality in this complication is 50%.In addition, there may be neuritis of the auditory nerve, ear infections, iridocyclitis, swelling of the eyelids, and so on.
Differential diagnosis is carried out with the tick-borne relapsing fever, malaria, lobar pneumonia, influenza and leptospirosis.
Good results in a timely treatment of relapsing fever provides Penicillin, chloramphenicol, tetracycline.In recent years, often infectious disease doctors have resorted to such drugs as Novarsenol, Miarsenol, Mafarsid, Mafarsen and the like.If the infection is attached to the gall typhoid, the cardiovascular agent is also included in the treatment process.
patients urgently hospitalized in the infectious department on a special transport.Patients provide ample drinking and bed rest.
This article is available exclusively in the educational purposes and is not research material or professional medical advice.
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