ABSTRACT
Malaria is a parasitic disease. It is one of blood infections caused by malaria plasmodia. The disease is transmitted to a human by a bite of a female mosquito of Anopheles genus. Local malaria transmission in Ukraine has not been registered since 1956, however, every year some imported cases occur. In 2017, 45 cases of malaria were imported to Ukraine: 80% of them were caused by P. falciparum. The aim of the research is to present a case of imported tropical malaria in a pregnant woman with the development of malaria coma. An unusual course of the illness made diagnoses difficult due to partial immunity of the patient caused by multiple previous invasions of malaria plasmodia. The diagnosis was confirmed by blood microscopy. A literature on epidemiology, clinical findings and current tropical malaria course has been scanned as well. In the presence of an appropriate epidemiological anamnesis, the patients with fever of unknown genesis should first of all be examined for malaria, the most socially significant tropical disease. It is necessary to define the type of malarial plasmodium by repeated blood parasitoscopy by a thick-blood film and blood smear coloured by Gimza-Romanovsky method. Doctors' vigilance against malaria allows preventing complicated forms and late relapses of this malignant invasion. The countries free of malaria can also face this problem and therefore they should be ready to diagnose and treat this disease effectively. The infectious diseases hospitals of Ukraine should be supplied with antimalarial drugs.
Subject(s)
Coma/parasitology , Malaria/diagnosis , Plasmodium/isolation & purification , Animals , Antimalarials/therapeutic use , Coma/etiology , Female , Humans , Malaria/drug therapy , Pregnancy , Pregnant Women , Travel , UkraineABSTRACT
Research purpose - to set the thermosemiotics of acute tonsillitis by the exposure of infrared features in a submandibular region and on the hands of healthy people, and also comparisons of the got results with the corresponding indexes of such patients. 95 patients with acute tonsillitis, and also 32 healthy volunteers with a normal temperature bodies without tonsil pathology were examined. Age of inspected persons was from 20 to 58 years. For achievement to the aim of investigation medical thermal imager ТÐ-120 was used. Thermal images were estimated visually and by use of program package «IRSee Software¼. For patients with acute tonsillitis clear strong positive correlation between the temperature of half of submandibular region and warming-up in the center of hands (r=0,816 0,853 at Ð <0,01) and in the middle thenar on a corresponding side - r=0,792...0,829 at Ð <0,01. is traced. Temperature distribution of right and left submandibular region and both hands of healthy persons is symmetric. Significant differences between females and males are not present. Between age and temperature of submandibular region there is reliable middle force reverse dependence - r=-0,392 at Ð <0,05, and also it is between age and temperature of middle of palm - r=-0, 376 at Ð <0,05.
Subject(s)
Tonsillitis/diagnosis , Acute Disease , Adult , Case-Control Studies , Female , Humans , Male , Middle Aged , Thermography , Young AdultABSTRACT
A total of 234 patients with acute intestinal infections (AII) and chronic colitis presenting with diarrhoea were examined. In an acute phase of AII induced by conditionally pathogenic flora, salmonellae and shigellae, as well as in exacerbation of chronic colitis, blood aggregability appears to be on the increase, with the ability of erythrocytes to deformation getting worse. In rectal mucosa hemodynamic disorders are common, manifested by decrease in pulse blood filling, rate of bloodflow predominantly in small and medium-size arteries as well as blood supply as a whole. Applying polysorb to rectal mucosa of such patients with the aid of an atomizer in speedier manner than it is usually done in conventional modes of treatment makes for regression of clinical symptoms of the illness, decreases the level of endotoxicosis, speeds up normalization of blood aggregability, red cell deformability, promoting quick restoration of rectal mucose bloodflow, the anal canal sphincter strength, with its rigidity returning to normal.
Subject(s)
Colitis/therapy , Diarrhea/therapy , Enterosorption/methods , Salmonella Infections/therapy , Salmonella enteritidis , Shigella flexneri , Shigella sonnei , Acute Disease , Adolescent , Adult , Chronic Disease , Colitis/complications , Convalescence , Dysentery, Bacillary/therapy , Female , Humans , Male , Middle AgedABSTRACT
Significant decrease in the tone of the rectal mucosa venules was to be seen at the climax of acute Proteus and Klebsiella enterocolitis, as evidenced by examinations with the aid of rheorectograph and an analyzer of intracavitary motor activity, general blood supply to the intestinal segment under study being not compromised. The tone of the rectal mucous membrane arterioles is raised at the climax of acute dysentery caused by a Flexner type of organism in erosive and haemorrhagic proctosigmoiditis. With the clinical recovery being set in, the blood supply to this area fails to return to normal. The excitability of the inner anal sphincter was noted to be on the increase at the climax of acute S. flexneri dysentery, this showing up predominantly in erosive and haemorrhagic proctosigmoiditis, ceasing to reveal itself in the period of reconvalescentia.
