ABSTRACT
The paper gives the results of observations of 1558 patients before and after tourist travels to tropical countries and 368 individuals visiting the north areas of the Russian Federation. Different conditions (malaria, amebiasis, leishmaniasis, intestinal and tissue helminthiasis, insect bites, venomous fish pricks, medusa burn, tick bites, etc.) were found in 402 persons. Prophylactic immunization included vaccination against hepatitis A and B viruses, meningitis, typhus, yellow fever, tick-borne encephalitis in more than 2500 patients (not including influenza vaccination in the epidemic season). The performed observations reinforce the statement that imported pathology is urgent to Russia and suggest that it is necessary to develop this section of medicine and to set up a network of health care facilities with a necessary therapeutic and diagnostic base to render skilled care to tourists. It is essential to improve medical staff training in travel medicine.
Subject(s)
Parasitic Diseases/prevention & control , Preventive Health Services/organization & administration , Travel Medicine , Vaccination/statistics & numerical data , Humans , Parasitic Diseases/epidemiology , Parasitic Diseases/transmission , Preventive Health Services/supply & distribution , Russia/epidemiology , Travel , Vaccines/supply & distribution , WorkforceABSTRACT
The authors describe cases of leishmaniasis for which claforan (cefotaxime) has been used, showing an obvious improvement in visceral leishmaniasis in children and a full recovery in cutaneous leishmaniasis in adults.
Subject(s)
Antiprotozoal Agents/therapeutic use , Cefotaxime/therapeutic use , Leishmaniasis/drug therapy , Adult , Child , Child, Preschool , Female , Humans , MaleABSTRACT
The prevalence and the character of aspergillous infection were studied among 64 patients (33 men and 31 women) seen at the pulmonological hospital. Ten patients of that group were diagnosed to have bronchopulmonary aspergillosis. In all the cases, the disease was regarded as secondary one: 2 patients suffered from chronic aspergillous pneumonia and 8 patients from different patterns of aspergillous bronchitis. The risk factors of the disease development are described. The data obtained indicate that secondary bronchopulmonary aspergillosis occurs not infrequently. The estimation of the risk factors, careful clinical examination, and specific mycologic and serologic tests allow an early diagnosis of bronchopulmonary aspergillosis followed by institution of adequate treatment.
