What is a Siberian ulcer? What are the symptoms of Siberian ulcers? How treatment and prevention of Siberian ulcers? Answers to these questions you will find in the article.
Content
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Siberian ulcer - acute infectious disease from
Group of zoonoses, characterized by fever, lesion
lymphatic apparatus, intoxication, proceeds in the form of skin, rarely
intestinal, pulmonary and septic. The causative agent is aerobic
Bacterry - fixed, large size wand with chopped
ends. Outside the body of man and animals forms disputes that
Different with great resistance to physicochemical influences.
Source of bacteria of Siberian ulcers - patients or fallen animals.
Man infection is more often carried out by contact path (when cutting
Taste animals, processing skins and t.NS.) and when eating
products contaminated by disputes, as well as through water, soil, fur
Products and T.D.
Symptoms and the course of Siberian ulcers
The disease amazes most often the skin, less often - internal organs. Incubation period from 2 to 14 days.
With skin form (carbunculus) most
exposed to defeat open areas of the body. The disease is hard
When the carbunculov is located in the head, neck, mucous membranes
Mouth and nose. There are single and multiple carbuncules. First (on
Place of input gate of microbe) Spot of reddish color appears,
Itchy, similar to insect bite. During the day, the skin is noticeable
compacted, itching is strengthened, moving often in burning, in place
The speck develops vesicle - bubble,
filled with serous contents, then blood. Patients with combing
break off the bubble and an ulcer with a black bottom. From now on
There is a rise in temperature, headache, appetite disorder.
The edges of the ulcers from the moment of autopsy begin to shove, forming inflammatory
Roller, there is a swelling that begins to quickly spread. Bottom
ulcers more so much, and on the edges are formed «Daughter» Vesiculi S
Transparent content. Such an increase in ulcers lasts 5-6 days. By the end
The first day of the ulcer reaches size 8-15 mm and from now on
called Siberian Carbuncul. Uniqueness of Siberian
Carbuncoula consists in the absence of pain in the area of necrosis and in
Characteristic tricolor color: black color in the center (stamp), around -
narrow yellowish-purulent border, then - wide crimson tree. maybe
Defeat of the lymphatic system (lymphadenitis).
With prosperous
the course of the disease after 5-6 days the temperature decreases, improving the general
Well-being, swelling, lymphangit and lymphadenitis fade, Strap
Whitles, the wound heals with the formation of a scar. With unfavorable
A secondary sepsis with re-climbing temperature develops the flow,
a significant deterioration in the general condition, the gain of headaches,
increasing tachycardia, appearance on the skin of secondary pustula. Can be
bloody vomiting and diarrhea. Not excluded fatal outcome.
With intestinal form
(an alimentary sybic sepsis) toxicosis develops from the first
hours of the disease. There is a sharp weakness, abdominal pain, his
bloating, vomiting, bloody diarrhea. The patient's condition is progressive
worsen. On the skin, secondary pustular and hemorrhagic
rash. Soon there is anxiety, shortness of breath, cyanosis. Available
Meningoencephalitis. Patients die from growing heart
Insufficiency in 3-4 days from the beginning of the disease.
Lung form
Siberian ulcers are characterized by a rapid beginning: chills, sharp rise
Temperatures, pain and feeling of constraint in the chest, cough with foam
Harrot, rapid increasing phenomena of general intoxication,
Insufficiency of respiratory and cardiovascular systems. Death comes 2-3 days as a result of edema of the lungs and collapse.
Septic form leaks very violently and ends with a fatal outcome.
Treatment of Siberian ulcers
Patients
Siberian ulcer is hospitalized into infectious branches, with severe
Forms of Disease - in the Chamber or Department of Resuscitation.
It is forbidden
allow traumatting of a sybanized carbuncule, so taking
material for research, dressings should be carried out with the maximum
caution. For patients with generalized forms required
Permanent monitoring for early detection of signs
infectious toxic shock.
Specific treatment
lies in the appointment of anti-protein globulin and
Antibiotics. The dose of specific Siberian Globulin depends on
gravity of the disease and ranges from 20 ml with a light form up to 80 ml -
heavy, up to 450 ml of drug can be used on the course. Most
An effective antibiotic is penicillin (under skin form 2-4 million units / day, generalized form 16-20 million units / day). Tetracycline rows, aminoglycosides, leftomycetin, cephalosporins II-III genes can be used.
Pathogenetic therapy is aimed at restoring hemodynamics,
escort and ground state, correction of hemostasis in accordance with
Principles of treatment of patients in a state of infectious toxic shock.
Prevention of Siberian ulcers
Concludes
In reducing and eliminating morbidity among domestic animals. IN
Case of death of animals from Siberian ulcers burned or buried in
graves in strictly reserved places. On the bottom of the grave and on top of the corpse a
pour a layer of negated lime 10-15 cm.
Foods obtained from patients with the Siberian Animals are destroyed, and raw materials disinfect.
By
Epidemiological testimony is carried out by people vaccination. For emergency
Prevention Orally use Ciprofloxacin, doxycycline. With them
intolerance - phenoxy methylpenicillin, ampicillin or rifampicin.
