RESUMO
The paper reports a case of fresh secondary syphilis affecting oral cavity and lips in a 25 year old woman. The primary diagnosis of infectious mononucleosis, cytomegalovirus and herpes infection proved erroneous. Retrospective differential diagnostics of infectious mononucleosis, cytomegalovirus and herpes infection from fresh secondary syphilis was performed This case suggests the absence of vigilance with respect to venereal diseases in the medical personnel.
Assuntos
Infecções por Citomegalovirus/diagnóstico , Erros de Diagnóstico , Herpes Simples/diagnóstico , Mononucleose Infecciosa/diagnóstico , Sífilis/diagnóstico , Adulto , Feminino , Herpesvirus Humano 1/patogenicidade , Humanos , Estudos RetrospectivosRESUMO
UNLABELLED: Continuous surveillance for main indicators of epidemic process of meningococcal infection and etiology of bacterial meningitis. Epidemiologic surveillance was electronically-based and was performed on the basis of specially developed standardized case reporting form. Main parameters of epidemiologic surveillance included 10 indexes. Information on 18,519 cases was obtained from 47 regions of Russian Federation. Organization of personalized registry of patients with meningococcal infection and bacterial meningitis allowed to reveal etiologic structure of the disease, territorial differences in serogroup landscape of clinical isolates of meningococci, shortcomings in laboratory diagnostics as well as features of meningitis caused by pneumococci and Haemophilus influenzae type b. CONCLUSION: Necessity of continuous epidemiologic surveillance for meningococcal infection and bacterial meningitis with mandatory use of modern methods of laboratory diagnostics as well as organization of official registration system for meningitis caused by pneumococci and Haemophilus influenzae type b providing decrease of morbidity and development of vaccination tactics was substantiated.
Assuntos
Monitoramento Ambiental/métodos , Meningites Bacterianas/epidemiologia , Infecções Meningocócicas/epidemiologia , Adulto , Criança , Pré-Escolar , Monitoramento Epidemiológico , Haemophilus influenzae tipo b/isolamento & purificação , Humanos , Meningites Bacterianas/microbiologia , Meningites Bacterianas/prevenção & controle , Infecções Meningocócicas/prevenção & controle , Fatores de Risco , Federação Russa/epidemiologia , Streptococcus pneumoniae/isolamento & purificaçãoRESUMO
A total of 75 patients with proved weak sinus node syndrome (WSNS) were examined. In many cases, WSNS was found to accompany cardiovascular diseases, such a coronary disease, myocarditic cardiosclerosis and essential hypertension. Sinus node dysfunction is often combined with signs of disorder in other departments of the hearts conductive system. A screening for WSNS should incorporate a combination of diagnostic procedures, of which Holter's ECG monitoring and electrophysiological investigation of the heart's conductivity are the most reliable and informative.
