Donovanosis ( venereal granuloma ) - Causes, Symptoms and Treatment .MF .

August 12, 2017 17:52 | Infectious Diseases

donovanosis - a chronic, slowly progressive disease related to sexually transmitted group.Also called donovanosis Brock, tropical ulcer granuloma venereal granuloma.Otkrata in 1905. The Irish physician Donovan.From this and there was a name.The disease is prevalent in hot, humid climates: India, Burma, Central and South Africa, and Vietnam.We found only "importations" cases, but given the development of the tourism industry, leaving people with the aim of earning, it does not lose relevance.

causative agent of this disease is Calymmatobacterium granulomatis.When detected in the material, given the probably long name, called calves Donovan.This is the name of the discoverer and uvekovechali again.This microbe has the appearance of a stick, surrounded by a capsule.It is resistant to acids.There may be in the form of cysts (formed when the protective sheath).sexual transmission path, but described and infection through everyday contacts.It considers that the conditions for the spread of infection is humid

and warm climate, as well as non-observance of rules of personal hygiene, defects (even micro defects) of the skin and mucous membranes.

Calymmatobacterium granulomatis or calf Donovan

Symptoms donovanosis

incubation period (hidden) lasts from 8 to 80 days.On average, 17 - 50 days.In place of the introduction of the pathogen appears papule - the formation of the size of a pea.Reminds vaccination Mantoux.Frequent localization in men: the foreskin, the glans penis, scrotum, in women: the labia minora and the place of their merger.

A few days papule iyazvlyaetsya.Ulcers formed which slowly grow in size.Selections are scant, serous (clear liquid), or serous - purulent with a characteristic unpleasant odor.

As mentioned above, a chronic disease that donovanosis.After a certain period of time or the skin heals scars are formed and developed during an imaginary being.Man feels healthy.Relapse may begin within 6 - 8 months, and sometimes after 2 - 4 years.Very often, the infection is recorded with dirty hands and other skin areas.Despite the vastness of the process painless ulcer, nearby lymph nodes are not enlarged or increased slightly.

during oral sex occurs vnepolovoe localization - a mouth, when he smote the lips, gums, cheeks, palate, larynx, nose, neck, chest.The process may involve the teeth.In contrast to the classical forms, all of which can be accompanied by tenderness.In pregnancy, the symptoms will not be different.The difference is the choice of drugs and conduct in the future as a pathological childbirth.

donovanosis should almost always be differentiated from diseases such as syphilis, chancroid, lupus, amoebiasis, squamous skin cancer.Accurate diagnosis is only the delivery of analyzes can be put, but for this it is necessary to refer to venereal diseases.

Treatment donovanosis

"gold" standard in the diagnosis of infection is the detection of the pathogen in the discharge of ulcers, which take with the help of forceps or a curette.Chance and sowing material on nutrient media, with a further increase of Donovan bodies.Just when donovanosis need to be examined and for all diseases, sexually transmitted diseases.

main method of treatment, as well as other sexually transmitted infections, antibiotics are: levometitsin, gentamicin, JUnidoks.

During pregnancy it is advisable to appoint a benzyl penicillin or erythromycin.Obsheukreplyayuschee medicines (vitamins).

Very important is the treatment of ulcers (cold lotions with subsequent topical application of hydrogen peroxide).The prognosis for correctly started and timely treatment is favorable.

During the treatment of peptic ulcer granuloma must be most strictly observe good personal hygiene: daily change of underwear and bed linen, they are boiling, proglazhivanie.Excluded sexual relations and the use of alcohol in conjunction with antibiotics.

Given that donovanosis can occur as a chronic disease, you need medical supervision for 2 years.

How do you understand the use of folk remedies, especially herbs that grow in our latitudes, is overdue.

Complications donovanosis

most unfavorable that the symptoms of this disease, such as pain, malaise slabovyrazheny.Therefore, the mass may occur complications.For example: necrosis with long ongoing process (necrotizing form).The process of spreading the periphery and inside, destroying muscle and bone.All this can affect liver, spleen.Contribute to this phenomenon: the state after an abortion, miscarriage, surgery.Possible in this scenario, and death.

Quite often, inflammation, and as a consequence of impaired blood and lymph circulation leads to elephantiasis - the increase of the skin and subcutaneous tissue.This site (usually the genitals) preobretajut ugly view from the violation of their functions.As a result of the fact that the location of ulcers formed connective tissue, ie, scarring, and as a result: the narrowing of the vagina, phimosis (difficulty or inability to open the head of the penis) and the resulting difficulties in maintaining sexual activity.

Violation of the integrity of the skin and mucous membranes when donovanosis are a gateway for other microbes, so it's possible the penetration of the skin and subcutaneous tissue with the appearance of erysipelas, abscesses.The long-term effect - a consequence of reduced local immunity and regeneration of tissue, squamous skin cancer.

Prevention donovanosis

main method of prevention of this disease is careful when stay at the above-mentioned countries: the avoidance of casual sex, condom use, personal hygiene.

consultation dermatologist for donovanosis

Question: how to securely use of chlorhexidine for prevention donovanosis?
Answer: Generally ineffective.When prevention in the first act the role of condoms and personal hygiene.

Question: When traveling in tropical countries can be vaccinated against donovanosis?
Answer: This is not vaccinated.

Question: Is it possible to become infected by exotic animals?
Answer: No.Donovanosis only transmitted from person to person.

dermatologist A. Mansurov