What are there forms of lickeriosis? What they are characterized? Answers to these questions you will find in the article.
Content
What are the essential forms of lumberiosis
Anhyro-septic shape. Meet most often. Basic clinical manifestation - angina. It can be a catarrhal or follicular, clinically not distinguishable from Strelkococco etiology angina. Usually in such cases the disease occurs favorably for 5-7 days and ends with complete recovery.
With ulcerative-filled lemary sink, the body temperature rises to 38.5-39 s, cough and runny nose are possible, throat pain is characterized. In patients noted bright hyperemia (increasing the blood flow of the tissue or organ) of the mucous membrane of the ointment, an increase and breakage of almonds, the formation of film rages or ulcers covered with films. Regional lymph nodes are increased, painful in palpation. For the ulcerative-film angina, the hemogram changes are characteristic - Leukocytosis (increasing the number of leukocytes in the blood), an increase in ESO and especially increasing the number of mononuclearov (up to 70% or more). The duration of the disease in cases of its favorable flow is 12-14 days.
At the same time, the ulcer-film and significantly less frequently follicular lesteriosis angina during the progression of the process can lead to the development of sepsis, which is predominantly in adults. High fever takes a remitting character, the face hyperemia, conjunctivitis, polymorphic rash on the skin, the white row on the almonds. Hepatolyenal syndrome develops (Combined increase in liver and spleen), In some cases, weakly pronounced meningeal symptoms appear. In the blood is stored pronounced monocytosis (Increase the number of monocytes in the blood). The outcome of lesteriosis sepsis with timely and full treatment is favorable.
Nervous form. Manifests in the form of lesteriosis meningitis, meningoencephalitis or brain abscess. The clinical characteristics of these states does not have significant differences from the corresponding forms of other bacterial disease. Monocytosis in peripheral blood is noted with the nervous form of the disease only in its early period, leukocytosis and granulocytosis are found in the future (An increase in the number of granulocytes). The spinal fluid usually remains transparent, the liquid pressure and protein content are increased, cytosis (The content of cell elements) It has mixed character, glucose and chloride indicators change slightly.
You can observe the lesions of the peripheral nervous system - the paresis and paralysis of individual muscle groups.
In immunodeficiency states, including HIV infection, the nervous form of lumberiosis is manifested as an opportunistic infection.
Eye-iron. Are rarely observed; Usually it is a consequence of contact with infected animals. Patients note the increase in body temperature, reducing visual acuity. The conjunctivitis with an exemplary conjunctiva and numerous follicles on it, the edema, the narrowing of the eye slit, an increase and a small soreness of the near-dry and cervical lymph nodes. The cornea remains unchanged. The disease flows for a long time, from 1 to 3 months.
Septic granulomatous form. Observe fruits and newborns. During pregnancy, letteriosis can flow in the structural and atypical forms or in the form of asymptomatic carriage and in such cases remains unrecognized. With the intrauterine infection of the fetus in the early periods of pregnancy, its death or heavy developmental abnormalities (hydrocephalus, microhyry, etc.).
Liseriosis newborn Distinguishes a difficult current. Manifested by high fever, respiratory disorders and blood circulation: dysnae, cyanosis, deafness of heart tones. Possible vomit, mucous stool, exanthema Roseoles-Papulose. In the development of purulent meningitis, the fatal outcome is most often observed. Clinically labeling of newborns recognize rarely due to its similarity with other intrauterine infections.
Breastfish Liseriosis begins as an ARVI with increasing body temperature, runny nose, cough, then a fine-food bronchopneumonium or purulent pleurisy develops. Part of the patients celebrate a maculo-papular examination, Enlargement of the liver, jaundice, meningeal symptoms, sometimes cramps, paralysis. Characteristic monocytosis in the hemogram is rare.
When recovery after this form of leaferiosis, 15-20% of children remain disorders from the peripheral nervous system and the Central CNS (central nervous system).
Chronic letteriosis. It is characterized by the poverty of clinical manifestations in exacerbation of the disease: there is a short-term fever with catarrhal phenomena (It is marked by light-free, tear, increases runny nose, cough, phenomena of bronchitis), Quite often, dyspeptic disorders (violation of the normal activity of the stomach) or sometimes the symptoms of chronic pyelonephritis.
