scholarly journals Scarlet fever on the background of toxicodermia in a child: case report and mini-review

2021 ◽  
Vol 16 (1) ◽  
pp. 47-51
Author(s):  
S. Nykytyuk ◽  
O. Mochulska ◽  
S. Levenets ◽  
T. Vorontsova
Keyword(s):  
Case Report ◽  
Allergic Reaction ◽  
Antibiotic Therapy ◽  
Clinical Picture ◽  
Scarlet Fever ◽  
Clinical Symptoms ◽  
Hemolytic Streptococcus ◽  
Beta Hemolytic Streptococcus ◽  
Mucous Membranes ◽  
Rapid Regression

The article presents a case of scarlet fever on the background of toxicodermia in a 12-year-old girl. The disease most probably developed in response to a combination of etiological factors such as bacterial infection and allergic reaction to exotoxins. The clinical picture was dubious, involving mucous membranes of the nose, mouth, and skin. Parenteral administration of glucocorticoids, antihistamines, detoxification, antibiotic therapy, and topical treatment led to rapid regression of clinical symptoms and prevented the development of complications. Sometimes, it is difficult to determine the etiology of toxicodermia combined with scarlet fever. Physicians should examine all patients with allergodermatoses for the presence of beta-hemolytic streptococcus and antibodies.

scholarly journals The role of topical anti-inflammatory therapy in the management of acute tonsillopharyngitis in children

2018 ◽  
pp. 114-117
Author(s):  
I. M. Kirichenko
Keyword(s):  
Sore Throat ◽  
Topical Therapy ◽  
Self Medication ◽  
Hemolytic Streptococcus ◽  
Beta Hemolytic Streptococcus ◽  
Mucous Membranes ◽  
Group A ◽  
Main Component ◽  
Safe Approach

Acute tonsillopharyngitis (ATP) is the most common community-acquired infection, especially in children. Sore throat is the main manifestation of ATP. This is the most common reason for seeking outpatient medical care or self-medication. The widespread, unreasonable use of antibiotics for the therapy of sore throat, as the main component in the treatment of ATP without taking into account the presence of group A beta-hemolytic streptococcus, leads to an increase in the number of frequently ill children and dysbiosis of the mucous membranes. Topical therapy of sore throat is the most effective and safe approach to the management of ATP.

scholarly journals Diagnostics of Streptococcal Infection by Emergency Department Doctors: First Experience of Application of the «Streptatest»

2020 ◽  
Vol 10 (6) ◽  
pp. 475-482
Author(s):  
N. F. Plavunov ◽  
V. A. Kadyshev ◽  
S. S. Kim ◽  
N. A. Goncharova
Keyword(s):  
Emergency Department ◽  
Antibiotic Therapy ◽  
Streptococcal Infection ◽  
Clinical Symptoms ◽  
Rapid Test ◽  
Acute Tonsillitis ◽  
Hemolytic Streptococcus ◽  
Streptococcus Group ◽  
Systemic Antibiotic Therapy ◽  
Group A

The effectiveness of the treatment of acute tonsillitis directly depends on the etiological diagnosis and adherence to the principles of rational etiotropic antibiotic therapy. Currently, streptococcal genesis of inflammation is considered as the only indication for the appointment of systemic antibiotic therapy. The article presents the results of clinical and statistical analysis of calls to patients with acute tonsillitis and express diagnostics of streptococcal infection using «Streptatest». For the period from 30.07.2018 until 30.11.2018 Doctors of the emergency department teams for adults and children performed express diagnostics of group A β-hemolytic streptococcus in 252 patients with acute tonsillitis complaining of «sore throat», whose age ranged from 3 to 44 years. This rapid diagnostic system «Streptatest», based on the method of immunochromatographic analysis, made it possible to identify as early as possible in 117 (46.4%) patients β-hemolytic streptococcus group A and promptly prescribe etiotropic antibiotic therapy to them. The second group consisted of 135 (53.6%) patients with a negative result of the «Streptatest» rapid test. In the group with a positive result of the express test, the main part was made up of children of preschool and school age — 92 (78.6%) patients. In 114 (97.5%) patients with diagnosed group A β-hemolytic streptococcus, clinical symptoms according to the McIsaас modified Centor scale were rated from 3 to 5 points. Early etiological verification of acute tonsillitis made it possible to follow the strategy of preventing the sp read of antimicrobial resistance and reducing the resistance of microorganisms to antibacterial drugs.

scholarly journals TRICHOMONAS VAGINALIS PROSTATITIS: UNUSUAL MODE OF DISCLOSURE OF COVID-19 (A CASE REPORT)

2020 ◽  
Vol 8 (11) ◽  
pp. 220-222
Author(s):  
Abdeljalil Heddat ◽  
◽  
Mohamed Moussaoui ◽  
Chafik Elkettani ◽  
Redouane Rabii ◽  
...  
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Clinical Picture ◽  
Trichomonas Vaginalis ◽  
Respiratory Complications ◽  
Alpha Blocker ◽  
Corona Virus ◽  
Acute Prostatitis ◽  
Systemic Infections ◽  
First Time

A new coronavirus outbreak has started since December 31, 2019. COVID-19 can cause multi-systemic infections of which respiratory complications are the most obvious symptoms. In this report, we will describe, for the first time, an unusual mode of disclosure of COVID-19 in a patient with symptoms of acute prostatitis, initially treated with antibiotic therapy and alpha-blocker. Faced with the worsening of the clinical picture and the appearance of respiratory signs in our current pandemic context, the search for corona virus by PCR on nasopharyngeal sample was carried out and proved positive in our patient.

SEPTICEMIA OF THE NEWBORN

PEDIATRICS ◽  
1958 ◽  
Vol 22 (2) ◽  
pp. 268-278 ◽  
Author(s):  
William L. Nyhan ◽  
Mildred D. Fousek
Keyword(s):  
Antibacterial Therapy ◽  
Clinical Picture ◽  
Clinical Manifestations ◽  
Abdominal Distention ◽  
Streptococcal Infections ◽  
Hemolytic Streptococcus ◽  
Optimal Therapy ◽  
Beta Hemolytic Streptococcus ◽  
Group A

Experience with septicemia in 106 infants over a 25-year period has been reported. An almost 2:1 predominance of males was observed. In the first 10 years of this study, the Group A, beta hemolytic streptococcus was the predominant infecting organism, while in recent years infections with coliform organisms were the most common, although Group A streptococcal infections continue to occur. Significant numbers of those patients observed in the last 15 years were found to be infected with Ps. aeruginosa and with beta hemolytic streptococci of groups other than A. Fever, abdominal distention, icterus, and hepatomegaly were the most common clinical manifestations suggesting sepsis. However, in most patients the clinical picture was one of general, rather vague, systemic illness. Optimal therapy is based on vigorous search for the infecting organism and rapid initiation of intensive antibacterial therapy.

Case Report: Patient with POLG Mutation with the Clinical Picture of a Myocerebrohepatopathy Syndrome

2015 ◽  
Vol 46 (S 01) ◽  
Author(s):  
J. Spiegler ◽  
Y. Hellenbroich ◽  
U. Ahting ◽  
P. Freisinger
Keyword(s):  
Case Report ◽  
Clinical Picture ◽  
Polg Mutation

Surgical treatment of alveolar echinococcosis: a single centre experience and systematic review of the literature

2019 ◽  
Vol 98 (4) ◽  
pp. 167-173
Keyword(s):  
Case Report ◽  
Echinococcus Multilocularis ◽  
Alveolar Echinococcosis ◽  
Lymphatic System ◽  
Surgical Intervention ◽  
Clinical Symptoms ◽  
Safety Margin ◽  
Surgical Removal ◽  
Single Centre Experience ◽  
Therapeutic Procedures

Introduction: Alveolar echinococcosis (AE) is a zoonosis caused by Echinococcus multilocularis. AE is primarily localised in the liver. Echinococcus multilocularis imitates tumour-like behaviour. It can metastasise through blood or lymphatic system to distant organs. Echinococcosis often remains asymptomatic due to its long incubation period and indistinct symptoms. Clinical symptoms are determined by the parasite’s location. Diagnosis of echinococcosis is based on medical history, clinical symptoms, laboratory tests, serology results, imaging methods and final histology findings. Surgical removal of the cyst with a safety margin, followed by chemotherapy is the therapeutic method of choice. Case report: We present a case report of alveolar echinococcosis in a thirty-year-old female patient in whom we surgically removed multiple liver foci of alveolar echinococcosis. The disease recurred after two years and required another surgical intervention. Conclusions: Alveolar echinococcosis is a disease with a high potential for a complete cure provided that it is diagnosed early and that the recommended therapeutic procedures are strictly adhered to.

A group A beta-hemolytic streptococcus: actual problems of the present and prospects of its solution

2015 ◽  
pp. 32-36 ◽  
Author(s):  
L.S. Ovcharenko ◽  
◽  
A.A. Vertegel ◽  
T.G. Andrienko ◽  
N.V. Zhikhareva ◽  
...  
Keyword(s):  
Hemolytic Streptococcus ◽  
Beta Hemolytic Streptococcus ◽  
Group A

Diagnostic confusion in paediatric respiratory pathology. Case report

ORL ro ◽  
2016 ◽  
Vol 1 (1) ◽  
pp. 48-50
Author(s):  
Adina A. Zamfir-Chiru-Anton ◽  
D.C. Gheorghe
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Clinical Picture ◽  
Foreign Body Aspiration ◽  
Effective Therapy ◽  
Partial Loss ◽  
Detailed History ◽  
Therapy Approach ◽  
Diagnostic Confusion ◽  
Respiratory Pathology

The authors present the case of a 4-year-old child admitted to the ENT Department with possible pulmonary foreign body aspiration. A detailed history revealed a clinical picture that seemed to depict an absence episode (with partial loss of conscience and cianosis) occured when eating, less the symptomes of a respiratory foreign body. Diagnosis needed full respiratory endoscopy and neurologic evaluation for correct assesment and effective therapy approach.

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