Crooked fungus enteritis of jejunum sums up _'s general knowledge

Crooked fungus enteritis of jejunum sums up _'s general knowledge
Summary
Crooked fungus enteritis of jejunum is bent the acute intestinal infectious disease that the fungus causes by jejunum. There are more neutral leucocytes and erythrocyte as the characteristic in clinical in order to generate heat, abdominal pain, courage and uprightness.
Crooked fungus earlier than ox, sheep produced to flow automatically to isolate in the body 1909 most, call the foetus vibrios (vibrio fetus) ,It was the same as this fungus from human body's first separation in 1947.
Cause of disease
(1) It is mainly an animal to infect the source, the crooked fungus belongs to and scatters in various animal body extensively, among them carry disease germs most with the poultry, wild fowl and domestic animal. Secondly isolate the crooked fungus in the rodent too.
(2) Propagate a spread route that is main of excrement of route.
(3) Apt perceptual people generally exchange the sense. The morbidity of children under the age of 5 of developing country is the highest, especially within a year old person. The morbidity rises and drops with age. The developing countries with better sanitary condition of developed country, the separating rate of crooked fungus of jejunum is the highest with years old age 10- 29, prove adult's immunity to this disease is no better than children.
Symptom
1- 10 days of incubation period, average 5 days. Person who is poison by food can only 20 hours in incubation period.
Forerunner's symptom of headache, generating heat, muscle aching etc. in initial stage, suffer from diarrhoea, sick and vomit subsequently. The persons who get up suddenly begin to generate heat, suffer from abdominal pain and suffer from diarrhoea.
Generate heat and account for 56.3- 60%, generally get for being low intermediately and generate heat, body temperature is about 38 . Can hyperpyrexia reach 40 , with whole body being uncomfortable. Children's hyperpyrexia can be with fainting from fear.
Suffer from abdominal pain and suffer from diarrhoea for the most common symptom. Shown as the whole belly or right lower abdomen convulsion angina, the drama person is like acute abdomen, but rare to beat and ache instead. It accounts for 91.9% to suffer from diarrhoea, generally rare for water sample at the beginning, then present mucus or suppuration blood mucus and relieve oneself, some relieves oneself for obvious blood. Suffer from diarrhoea number of times is mostly 4- 5 times, can up to more than 20 times frequently person. The person who involves rectum, the second form colon of pathological change, heavy after being urgent in can have. The majority is healed in one week by oneself. The lighter is healed promptly in 24 hours, difficult and viral gastroenteritis is distinguished; Condition of the patients of 20% delays, the intermittence lasts 2- 3 weeks to suffer from diarrhoea, or is it or heavy-duty to heal, recur.
There is much and non- typical baby's crooked fungus enteritis, shown as: Whole body symptom is slight, if spirit and appearance are like having no disease; The majority has not generated heat and suffered from abdominal pain; Only discontinuity suffer from diarrhoea slightly,among there is blood it, be sustained relatively long; A few because diarrhoea but development stagnation.
Check
1. The intersection of stool and regular appearance or rare ink relieve oneself for mucus. The mirror examines more leucocytes, or have more erythrocytes.
2. Bacteriology check desirable the intersection of patient and stool, the intersection of intestines and swab, generate heat blood, the intersection of puncture and liquid,etc. of patient for examine material, use and choose culture medium, train under detesting oxygen environment, separate germs. If there are typical colony shape and special biochemical characteristic that can be made a definite diagnosis of.
3. Check and fetch early and double serum in convalescence to make indirect blood coagulation to test in serology, antibody the intersection of result and price present 4 or the above, increase, can make a definite diagnosis of.
Treat
(1) Generally treat the digestive tract to isolate, should sterilize the patient's stool completely, turn overcast to train from having illness coming on to the stool to isolate one. The persons who generate heat, suffer from abdominal pain, suffer from diarrhoea heavily for the treatment to the ill, and stay in bed. Diet give easy half liquid food that digest, appropriate fluid infusion if necessary.
(2) Etiology treat fungus this to gentamicin and erythromycin, chloromycetin, Streptomycin, kanamycin, neomycin, the intersection of tetracycline and clan, forest very mould and plain and sensitive. Usually able to bear medicines to penicillin and very beginning spore's fungus. Clinic can be selected for use according to the condition. Available erythromycin of enteritis, adult 0.8- 1.2g day, children 40- 50mg/kg day, take orally, the 2nd - 3 days of course of treatment. Quinoline promise ketone antimicrobial, such as impractical curative effect of piperazine of Fluorine being good too, but can influence skeleton development to the infant. First-selected gentamicin of membrane inflammation in the bacterial heart. First-selected chloromycetin of meningitis. Serious disease should prolong to infect the course of treatment until 3- 4 weeks, so as not to recur.
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