Tsutsungamushi - Causes, symptoms and treatment. MF.

All rickettsiosis for clinical manifestations, complications and treatment are identical to typhus, but there are special features:

Tsutsungamushi is a disease with the same frequent manifestations in the form of primary affect, lymphadenopathy, maculopapular rash, as with vesicle rickettsiosis, but severe course.

Tsutsungamushi is distributed in the regions of the Far East( Sakhalin, Kuriles, Primorye).In other areas, this disease does not pose a threat, even if a sick person gets there, because there is no main carrier - a red mite.

The greatest changes occur on the part of the cardiovascular system, because at this rickettsiosis the heart becomes more vulnerable and the focus is on the rhythm of canter, sharp changes in blood pressure and frequent collapse, severe vascular disorders accompanied by acrocyanosis.

From the respiratory system - cough, against the background of developing interstitial pneumonia, tachypnea.

At the height of the fever, a total increase in lymph nodes and the phenomenon of polyserazitis, ie free fluid with signs of inflammation appears in the pericardium, abdominal and pleural cavities of

. At non-specific diagnosis, in OAK-leukopenia with relative lymphocytosis, an increase in ESR.In OAM - albuminuria, or in severe cases microhematuria. Since the second week, specific serological diagnostic methods( RSK, ELISA, RNGA) and a specific Weyl-Felix reaction have been used, which allow us to determine the qualitative and quantitative characteristics of antibodies. Also, additional diagnostic methods are used to determine compensation from organs and systems: ECG in dynamics, lung radiography.

In treatment in addition to etiotropic therapy, standard for all rickettsiosis( tetracyclines, levomycetins, and others listed in typhus), pathogenetic treatment, namely the appointment of cardiac glycosides and anticoagulants, is important, but the latter are prescribed only if it is possible to controlindicators of the

coagulation system General prophylaxis is to observe individual protection against ticks, and specific - the use of live vaccine in endemic foci, in the same areas it is expedientimioprofilaktika( use of doxycycline).

Therapist doctor Shabanova I.Е.