Sporotrichosis - chronic subcutaneous mycosiscaused by the fungus Sporothrix schenckii and flowing with skin lesions and subcutaneous tissue; characterized ulcerated nodes along the lymph vessels, there is less loss of muscle, bone, internal organs and nervous system.
The fungus isolated from soil, decaying organicwith plant residues and surfaces (e.g., roses spikes). The disease occurs when the fungus getting into the wounds with various injuries, the most common among agricultural workers and gardeners.
There are risk factors
- People associated with the care of plants
- Working with hay or use of garden tools
- Pets (known cases of infection with the injury to cats)
- immunodeficiency states
Lesions are located on pussies, feet,forearms and face. From the moment of getting to the development of the disease (incubation period), from 1 to 12 weeks pass. First appears - a small, mobile, painless pink subcutaneous nodule, gradually increasing in size, after some time an ulcer is opened and an ulcer forms. After a few days or weeks, subcutaneous nodules are found along the lymphatic vessels. Numerous abscesses may form throughout the body.
Can porazhatsya respiratory (cough appearssputum, there lymph nodes near the bronchi, arises pneumonia), bone and joint system (affected tissue and bone marrow - osteomyelitis, an inflammation of the joints - arthritis) or in rare cases, lesions of the meninges - chronic lymphocytic meningitis.
Study using a microscope sputum / bronchoalveolar wash, blood, purulent discharge, pieces of damaged tissues
The culture diagnosis with sowing material (sputum / bronchoalveolarflushing, blood, purulent discharge, pieces of affected tissues). Sowing, or culture method. This method in the laboratory diagnosis is considered the "most-most". Also called gold standard. Its meaning lies in the fact that at the special nutrient medium suitable for the growth of microorganisms, placed to take away the patient's material. After a day on the nutrient substrate bacteria colony grows. After 7-10 days, when the number of germs increases technician looks, what infection "rose." By type, color, shape and texture of the colonies is possible to accurately identify the pathogen.
microscopic examination pieces of affected tissues. Histological study - the study of tissues to detect changes characteristic of the pathogen.
X-ray analysis Computer and chest X-ray to determine the presence of lung disease, bone and joint (if relevant lesions).
bronchoscopy to obtain a bronchoalveolar wash formicroscopy and culture studies. Bronchoscopy - examination of the larynx, trachea and bronchi inside with a special optical device - bronchoscope (a flexible tube with a long flexible optical system), which is inserted through the nose (sometimes through the mouth), usually in a sitting position under local anesthesia.
Antifungals for systemic use inside. If treatment is not helps, the treatment of pulmonary processes by 6-12 months of therapy may require surgical treatment.
In case of bone damage, bone residues are removed in case of damage to bone tissue and bone marrow, and in case of joint damage - sections of the shells of infected joints.
- Protection against skin injuries during gardening work.
- Precautions when dealing with contaminated material (medical, laboratory workers).
- Timely replacement of wooden fixtures in the mines and so forth.