What is Tularemia

Content

  • Tularemia
  • What are the symptoms of Tularemia
  • Treatment and Prevention of Tularemia



  • Tularemia

    Tulara'yia - zoonotic infection having a natural foci.
    Characterized by intoxication, fever, lesion of lymphatic
    nodes. Disease pathogen - small bacterium. When heated to 60C
    dies after 5-10 minutes. Tulyrerey's tanks - hare,
    Rabbits, Water Rats, Polels. In natural foci periodically
    Epizootia arise.

    The infection is transmitted to a person or directly upon contact with
    animals (hunting), or through infected food and water, less often
    aspiration (when processing grain and fodder products,
    Wholeness of bread), bloodsowing insects (blind, tick, mosquito, etc.).


    What are the symptoms of Tularemia

    Incubation
    period from a few hours to 3-7 days. Distinguish bubonic, pulmonary and
    generalized (common in the body) forms. Disease
    It begins acutely with a sudden rise of temperature to 38.5-40 degrees
    WITH. A sharp headache appears, dizziness, pain in the muscles of the legs,
    back and lumbar region, loss of appetite. In severe cases can
    be vomiting, nasal bleeding. Characterized pronounced sweating,
    Sleep impairment in the form of insomnia or on the contrary. Often
    There is an euphoria and an increase in activity against high temperature.
    Marked redness and swelling of the face and conjunctiva in the first days
    Diseases. Later on the mucous membrane of the oral cavity appear point
    Hemorrhage. Language is covered with a gray rode. Characteristic sign -
    the increase in various lymph nodes, the dimensions of which can be
    Mustains to walnut.
    What is Tularemia
    From the cardiovascular system, bradycardia is celebrated,
    hypotension. In the blood of leukocytosis with moderate neutrophilic shift.
    Liver, spleen increases not in all cases. Stomach ache
    Possible with a significant increase in mesenterical lymphatic
    nodes. Fever lasts from b to 30 days.
    Tularemia bubonic form. The causative agent penetrates through the skin, not
    leaving the trace, after 2-3 days of the disease develops regional
    Lymphadenit. Buboons are little painful and have clear contours of up to 5
    cm. Subsequently, either the softening of the bubon (1-4 months.), either
    Its spontaneous autopsy with the release of thick creamy pus
    and the formation of tularemia fistula. Mortar is more striking,
    Inguinal and femoral lymph nodes.

    The ulcer-bubonic form is characterized by the presence of primary lesion at the site of the entrance gate of infection.

    The eye-bubonic form develops when the pathogen is hit on
    mucous membranes of the eye. Typically the appearance of follicular growths
    Yellow color size to seed grain at conjunctiva.

    Bubon is developing in the parole or submandibular areas, the course of the disease is long.

    An angino-bubonic form occurs during primary defeat
    mucous membrane almonds, usually one. Occurs in the food path
    infection.
    There are forms of Tularemia with a predominant defeat of the internal
    organs. Pulmonary form - more often registered in the autumn-winter period.
    The generalized form proceeds by the type of general infection with pronounced
    toxicosis, loss of consciousness, nonsense, strong head and muscular
    pools.
    Complications may be specific (secondary tularemia
    Pneumonia, peritonitis, pericarditis, meningoencephalitis), as well as abscesses,
    Gangrena due to secondary bacterial flora.

    Diagnostics is based on a leather-allergic sample and serological reactions.


    Treatment and Prevention of Tularemia

    Hospitalization of the patient.
    The leading place is given to antibacterial drugs (tetracycline,
    aminoglycosides, streptomycin, levomycetin), treatment is carried out up to 5 days
    Normal temperature. With prolonged forms use
    Combined antibiotic treatment with a vaccine that is introduced
    intracudino, intramuscularly at a dose of 1-15 million microbial bodies for transactions with
    3-5 days intervals, treatment course 6-10 sessions. Recommended
    Vitamin therapy, repeated transfusions of donor blood. When appearance
    Bubon Fluctuations - Surgical Intervention (Wide cut to
    Empty Bubon). Patients are discharged from the hospital after complete
    Clinical recovery.

    Liquidation
    natural foci or reduction of their territories. Protection of housing, wells,
    Open reservoirs, products from miserable rodents. Holding
    Mass planned vaccination in Tularemia foci.

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