FARINGOKONJYUNKTIVALNY FEVER (Greek pharynx, pha-ryngos of a drink + lat. conjunctivus connecting) — the infectious disease caused by adenoviruses, which is characterized by damage of airways and conjunctivitis.
Activators F. l. — adenoviruses (see. Adenoviral diseases, Adenoviruses). Sources of an infection are the sick people and carriers allocating the activator with a secret of a throat, respiratory tracts, and also with excrements. Infection occurs in the airborne way. There are infections given about an opportunity through a conjunctiva of eyes, napr, during the bathing in swimming pools.
The incubation interval 4 — 12, is more often
than 5 — 7 days. The disease can begin sharply or gradually. Temperature rises to 38 — 40 °, intoxication is moderately expressed, the inflammation of respiratory tracts and a throat develops (rhinitis with plentiful serous or serous and mucous separated, cough, pharyngitis). Elevated temperature sticks to from 5 — 6 to 9 — 10 days, sometimes longer, has the wrong character. At a part of patients even the three-wave temperature curve is observed two-wave and occasionally; the second rise in temperature arises after an interval in several days. The catarral phenomena (especially cold) are usually long. From the first day of a disease, and in some cases in the next days conjunctivitis develops, to-ry in the beginning more often happens unilateral; the second eye is surprised later. Conjunctivitis has catarral, follicular and filmy character (is especially typical). A conjunctiva a century hyperemic, granular, bulked up; mucous or slizistognoyny allocations are noted. Filmy plaques appear more often on 4 — the 6th day of a disease, in the field of a transitional fold in the beginning. Films — thin, gentle, white or grayish-white color, keep several days (sometimes up to 10 — 14 days). Adenoviral conjunctivitis (see), especially filmy, often is followed by hypostasis soft to the touch a century.
Frequent symptom F. l. — increase cervical and submaxillary limf, nodes. In the first days of a disease sometimes there is vomiting, increase of a chair is quite often noted. The quantity of leukocytes in blood within norm or is observed a leukopenia and a neutrocytosis, ROE is moderately accelerated. Quite often in the first days of a disease to F. l. pneumonia joins. Adenoviral pneumonia differs in heavy and often long current, is followed by the expressed intoxication, short wind and cyanosis. Changes of a percussion sound and abundance of wet mixed rattles are defined by Fizikalno. The pneumonia arising in later terms F. l. and complicating its current, have a virus and bacterial or bacterial etiology.
The diagnosis is made on the basis by a wedge, pictures taking into account epidemiol. data. The differential diagnosis is carried out by hl. obr. with flu (see), and in the presence of filmy conjunctivitis — with diphtheria (see). The final diagnosis is established at a laboratory research (see. Adenoviral diseases).
Treatment generally symptomatic. Antibiotics and sulfanamide drugs are not effective. It is recommended to appoint them at pneumonia for the purpose of impact on the accompanying bacterial flo-Ra? participating in development patol. process. In hard cases enter protivokorevy gamma-globulin.
The forecast is usually favorable, but among children aged till 1 year lethal outcomes are possible.
Preventive and anti-epidemic measures same, as at flu (see). Considering firmness of the activator, it is necessary to disinfect objects, to-rymi the patient used.
Bibliography: Dreyzin R. S. and Zhdanov V. M. Adenoviral infections, M., 1962; Zlydnikov D. M. and Smorodintsev Ave. A. Acute respiratory diseases, L., 1974;
Ritova V. V. Acute respiratory viral infections at children of early age, M., 1969; The Guide to airborne infections, under the editorship of I. K. Musabayev, page 340, Tashkent, 1982; The Guide to infectious diseases at children, under the editorship of S. D. Nosov, page 311, M., 1980. S. D. Nosov.