Infectious and parasitic diseases

Brucellosis treatment

The treatment of brucellosis depends on its clinical form. The length of hospitalization is 26 days for patients with acute brucellosis and 30 days for chronic brucellosis.

For the diagnosis of brucellosis use the following survey standards: general blood test, urine (in dynamics twice), feces for eggs of worms, biochemical blood test (bilirubin concentration, ALT activity, ACT), blood on Brucellae spp., Blood test for Wright reaction, Haddleson, RPGA with brucellosis erythrocyte diagnosticum, Coombs reaction (in dynamics two times)

What causes brucellosis?

The causative agents of brucellosis are representatives of the genus Brucella of the family Brucellaceae. Human brucellosis can be caused by four species of brucella: B. Melitensis, B. Abortus, B. Suis and B. Canis. The most common cause of the disease is Brucella melitensis, which is subdivided into three biotypes.

Brucellosis

Brucellosis is caused by Brucella sp. Initially, the symptoms of brucellosis include acute febrile illness with little or no local symptoms. Diagnosis of brucellosis is based on a culture test (usually blood). Optimal treatment of brucellosis requires the appointment of two antibiotics - doxycycline or trimethoprim-sulfamethoxazole in combination with streptomycin or rifampin.

Treatment of listeriosis

Patients with a glandular form of listeriosis can be treated on an outpatient basis, the rest are shown hospitalization. Obligatory hospitalization is subject to workers of food enterprises and persons equal to them, as well as pregnant women. Bed rest is necessary for patients with a nervous form, the diet for patients with a gastroenteric form (table number 4).

Diagnosis of listeriosis

It is extremely difficult to establish a diagnosis of listeriosis according to clinical and epidemiological data because of the polymorphism of clinical manifestations and the inability to detect the source of infection in a number of cases, so laboratory diagnostics is of decisive importance. Preliminary conclusion can be given on the basis of the results of a bacterioscopic study of Gram stained smears of the sediment of the cerebrospinal fluid and amniotic fluid.

Symptoms of Listeriosis

In recent years, in many countries around the world, there has been an increase in the incidence of listeriogenic meningitis, with not only elderly patients with various concomitant pathologies becoming ill, but also young, previously healthy individuals. In addition, listeria is one of the main pathogens of meningitis in newborns, patients with lymphomas, in recipients of various organs.

What causes listeriosis?

The causative agent of human listeriosis is a species of Listeria monocytogenes of the genus Listeria. Which in accordance with the IX edition of the determinant Berdzhi refers to the 19th group of microorganisms - Gram-positive sporeforming sticks of regular shape. Listeria - facultative anaerobes. They are acid-resistant, unpretentious, spores and capsules do not form, grow well on ordinary nutrient media.

Listeriosis

Listeriosis (leaf laryosis, Tiger disease, neurellosis, neonatal granulomatosis) is an infectious disease of humans and animals caused by listeria, characterized by a variety of sources of infection, a variety of ways and factors of its transmission, polymorphism of clinical manifestations and high lethality.

Treatment of Campylobacteriosis

When treating patients with campylobacteriosis occurring in the form of enteritis and gastroenteritis, there is no need to resort to etiotropic therapy, since the disease is prone to spontaneous self-healing. Usually limited to nonspecific symptomatic therapy. The use of antibiotics is advisable in the severe course of campylobacteriosis, in the treatment of patients with a burdened premorbid background and with the threat of complications.

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