Liseriosis: manifestations and treatment

Content

  • What is lemaryiosis
  • What are the manifestations of lesteriosis
  • Survey and treatment of lesteriosis



  • What is lemaryiosis

    Listeriosis - infectious disease characterized by preferential
    lesion of lymphoid tissue and nervous system, the development of specific formations in organs (mainly,
    in the liver).

    Liseriosis is characterized by a variety of clinical manifestations, can flow
    in two forms: acquired and congenital.

    The causative agent of listeriosis - Listeria - is represented by short chopsticks and kokkobacillia.
    Bacteria are movable, make characteristic tumblers.

    Listeria is resistant in the external environment, with moderate and low temperatures in
    Soil persists and even multiplied for months and years. On fodder grain
    Save up to three years, exist and multiply in meat and milk
    at 4-6 degrees Celsius. At boiling dying for 3-5 minutes; unstable
    to the action of disinfectants.

    Listeria is common widespread. The main natural tank is various animals and birds; From the body of the patient's animal, the causative agent stands out
    with urine, feces, nasal separated, milk, oily liquid.
    The main paths of infection with letteriosis - contact through the skin and mucous membranes (care for
    animals, cutting carcass), through food, through the air (when working with feeds), vertical
    (through the birth paths of the mother)

    The most affected by letteriosis contingents: newborn (39-50% of all cases) and faces
    elderly.



    What are the manifestations of lesteriosis

    Acquired Listeriosis. Duration of the incubation period - 2-4 weeks. Main clinical forms: anginal, eye-iron, typhoid, sheets
    nervous system. Angic (mononucleositiable) form of lumberiosis has the following manifestations: fever, decrease
    Appetitis, headache, general weakness, angina, increase lymphatic
    knots. The eye-iron form develops when penetration of licenses through
    conjunctiva eye («Surgery of Kupachikovikov») and characterized by fever, decreased appetite, head
    pain, total weakness, ethimous and redness of the eyelid, narrowing the eye slit, purulent
    separated in the corner of the eye, increase in size and become painful
    The lymph nodes.

    Liseriosis: manifestations and treatmentThe typhoid form of lisheriosis has such manifestations as: long fever, rash from spotted
    to bruise, angina and conjunctivitis are missing. Tiffoid Fore­Ma lottery usually develops in children
    with immunodeficiency, and so­the newborn and children of the first year of life. Liseriosis
    The nervous system can proceed in the form of meningitis, encephalitis, meningoencephalitis.
    Current. After the suffering disease, residual phenomena are possible
    In the form of mental disorders, retreat in psychomotor development, paralysis.
    The most frequent form of lumberiosis in adults.

    Congenital lemaryiosis. Fetal infection can occur as intrauterine, on any gestation period
    (but not earlier than the 5th week) and during childbirth. Therefore, the outcomes of infection
    May be different: spontaneous abortions, stillbirth, the birth of children
    with malformations - with the defeat of the fetus in the first half of pregnancy; or
    Birth of a child with congenital lemgery - with later infection.

    Congenital Listeriosis is one of the most difficult options for the development of infectious
    Diseases, with high risk of fatal outcome. Clinical manifestations of congenital lisheriosis are not specific.
    Possible: high fever; Disruption of appetite (rejection of feeding), swelling
    or vomiting, lethargy, inhibition, change of pulse, blue, «marble»
    Skin, rash nodes (tubercles) rash, spotted or bruising, defeat
    Liver (jaundice), meningitis and meningoencephalitis (excitation or depression
    Consciousness).



    Survey and treatment of lesteriosis

    Microscopy and excluding pathogen. Materials for research - Blood, Likvor,
    mucus from the oz, the material of increased lymph nodes; in newborns additionally - Mekonia, umbilical blood.

    • Bed regime, restriction of physical activity.
    • Insulation of the patient.
    • Antibiotics of the tetracycline row of 0.2-0.3 g after 6 hours for 7-10
      Days. Under meningitis - benzylpenicillin at 75,000-100,000 units / kg in / in every
      4 h, the drug is canceled 2 weeks after the normalization of body temperature, Togramycin 2 mg / kg to / every 8 hours, drugs are canceled 4 weeks after
      Normalization of body temperature. With eye-glazed lesteriosis - erythromycin
      30 mg / kg / day inside in 4 reception, the drug is canceled 1 week after normalization
      Temperatures of the body.
    • Alternatives: Kotrimoxazole 5 mg / kg Trimethopris in / in every
      6 h, Clarithromycin, Ciprofloxacin.

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