FARINGOKONJYUNKTIVALNY FEVER

From Big Medical Encyclopedia

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).

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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.

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