Lymphogranuloma venereum - Causes, Symptoms and Treatment .MF .
lymphogranuloma venereum (lymphogranuloma venereal) - an infectious disease belonging to the group of STD that affects mainly the skin and lymph nodes.In older textbooks it is also called the "fourth venereal disease", as it was described after gonorrhea, syphilis, chancroid, and "Duran disease - Nicolas - Favre."On behalf of the French doctors who discovered it in 1913.The disease is widespread in East and West Africa, India, parts of South - East Asia, South America.In our country, in Europe there are only imported cases.
causative agent of venereal lymphogranuloma
Called us microbe known: Chlamydia trachomatis, but it's a little different Chlamydia, not the one that is responsible for urogenital chlamydiosis.It has varieties (serotypes).It is believed that the cause lymphogranuloma venereum L1, L2, L3.
The pathogen spreads through sexual contact.
Symptoms of LGV
from infection to onset of symptoms takes place 3 - 12 days.Frequent localization in men the glans penis, women in the vagina or labi
Symptoms 1 stage LGV
Patients begin to seek help at a second stage, when joined by swollen lymph nodes, usually the groin or nearby (eg cervical, submandibular if affected by oral cavity), which in this case rezkoboleznennye,edematous skin on them, they can be opened with the formation of fistulas (holes).
Symptoms of LGV phase 2
In further infection to spread throughout the lymphatic system.This results in deterioration of health: headache, fever, nausea, vomiting.During this time, quite often there are rashes on the skin, similar to the rash of allergic reactions.
When the localization process in the rectum, we see proctitis symptoms: anal itching, discharge from the anus, pain in the rectum.All these phenomena can spontaneously subside and flare up again.In malignant
for LGV can cause miscarriage, early labor in pregnancy, and complications and the inability to conceive a child.
Diagnostics lymphogranuloma venereum
Differential diagnosis of lymphogranuloma: disease on symptoms like genital herpes, syphilis, chancroid, limfogranulomotoz, lupus, proctitis, rectal cancer.Accurate diagnosis can only be a specialist, using the same and additional methods of research (laboratory).Therefore it is necessary to consult dermatologist.
Laboratory diagnostics, to some extent, causes difficulty.Since the possibility of cross-reaction with other chlamydia, nahodyaschiemisya in the body and innocent in this disease.Isolate the pathogen in chicken embryos injected with the test material: ulcerative discharge, lymph.According to the analysis of blood can identify antibodies, protective proteins on the introduction of the pathogen (serological tests).
general Diagnosis is based on clinical presentation, additional methods of investigation and examination of sex partners.It is also necessary to eliminate all diseases, sexually transmitted diseases.Often need advice and other professionals to differentiate from other disorders (oncologists, surgeons, gynecologists, urologists).
Treatment of lymphogranuloma venereum
During treatment is antibiotics, macrolides (erythromycin, Hemomitsin), tetracyclines (JUnidoks), antibiotics (sulfalen), immunotherapy (tsikloferon, neovir), vitamin therapy, local therapy (tetracycline ointment).Swollen lymph nodes often require surgical intervention: the autopsy and their drainage.
Since alcohol lowers immunity, has side effects in conjunction with an antibiotic, reduces its effectiveness, from alcohol during treatment should be completely abandoned.While receiving tetracyclines can not sunbathe (the skin during this period is sensitive to the sun) and take milk and dairy products, since they neutralize the antibiotic.If there is a selection of ulcers, we recommend frequent change of underwear and bed linen with boiling.
After treatment, the patient is kept under observation until all the symptoms and positive dynamics analyzes.
exotic diseases Treatment folk remedies are not effective and destructive mass of complications.
Complications lymphogranuloma venereum
If you still run lymphogranuloma venereum, the process proceeds to the third stage.If it can affect all organs and tissues, and their destruction: the brain (meningitis - inflammation of the membranes of the brain), pneumonia, heart (myocarditis) ... It is possible the formation of a fistula between the uterus and the bladder, rectum, urethra and the scrotum.As a result of inflammation and congestion of lymph formed elephantiasis (disfiguring appearance by increasing the skin and subcutaneous tissue).As a consequence of the destruction of the cells, the connective tissue is formed, there are scars that lead to stricture of the urethra, vagina (violation of the entrance), adhesions between organs.
Prevention Prevention of this infection is the same as all STDs: exclusion of casual sex, condom use, treatment of external and internal genitalia and chlorhexidine miramistina.
Medical consultation for lymphogranuloma venereum
Question: Is it possible infection lymphogranuloma venereum eating exotic fruit?
Answer: No.The oral route is not transmitted.
Question: What are the contacts are subject to preventive treatment?
Answer: All persons who have been in sexual contact with a sick person for 30 days.The rest are under surveillance.
Question: Can other pathogen Chlamydia reborn in lymphogranuloma venereum?
answer is no
dermatologist A. Mansurov