Tularaemia in children in Khanty-Mansiysk autonomous District-Ugra
The aim of our study was the analysis of morbidity and clinical couse of tularemia in Khanty-Mansiysk autonomous District – Ugra for the period 2007–2015 timeframe. The highest incidence of tularemia in the Khanty-Mansiysk noted in the year 2013 (1036.6 о/0000), mainly urban residents (91%). The pro...
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| Format: | Article |
| Language: | Russian |
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Journal Infectology
2016-11-01
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| Series: | Журнал инфектологии |
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| Online Access: | https://journal.niidi.ru/jofin/article/view/507 |
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| author | T. N. Ugleva V. A. Pahotina B. G. Shalapin A. Yu. Kurganskaja |
| author_facet | T. N. Ugleva V. A. Pahotina B. G. Shalapin A. Yu. Kurganskaja |
| author_sort | T. N. Ugleva |
| collection | DOAJ |
| description | The aim of our study was the analysis of morbidity and clinical couse of tularemia in Khanty-Mansiysk autonomous District – Ugra for the period 2007–2015 timeframe. The highest incidence of tularemia in the Khanty-Mansiysk noted in the year 2013 (1036.6 о/0000), mainly urban residents (91%). The proportion of children among the sick (1005 people) accounted for 16%. Reviewed the clinical manifestations of tularemia among hospitalized children in 62 children’s infection Department for the period from 19 August to September 3, 2013 year ranging in age from 2 months to 18 years. The dominant clinical form of tularemia (98%) diagnosed ulceroglandular, easy (18%) and moderate (82%). The main clinical manifestations of tularemia in children was a triad of symptoms: ulcer of skin, fever, and lymphadenitis. Dominated femoral and inguinal lymphadenitis (55%), and in the head and neck region (29%), somewhat less frequently axillary (16%) Ultrasonography of lymph nodes with color Doppler mapping (Colour Doppler Imaging – CDI) allows you to assess the dynamics of the process and identify the presence of abscedirovania (5% of cases). 77% of cases have highlighted the febrile fever (39-40ºС), lasting an average of 4,0 ± 0,28 days. 26% of children noted chills, pain in muscles, joints and bones, weakness, loss of appetite, 24% there was a rash all over the body surface, 35% of patients have appeared anemia, 18% of patients have proteinuria was observed (up to 1 g/l), the presence of acetone and ketone bodies in the urine. At 94% of children with tularemia detected blood inflammatory changes in the form of moderate Leukocytosis, increased erythrocyte sedimentation rate, an increase in the level of c-reactive protein. Shows the high efficiency of treatment with an antibiotic in children of tularemia aminoglycoside-amikacin. Are 2 clinical observation. |
| format | Article |
| id | doaj-art-44659f6efbc4429cac0ed70e4b2aca6d |
| institution | Kabale University |
| issn | 2072-6732 |
| language | Russian |
| publishDate | 2016-11-01 |
| publisher | Journal Infectology |
| record_format | Article |
| series | Журнал инфектологии |
| spelling | doaj-art-44659f6efbc4429cac0ed70e4b2aca6d2025-08-20T03:44:23ZrusJournal InfectologyЖурнал инфектологии2072-67322016-11-01836674495Tularaemia in children in Khanty-Mansiysk autonomous District-UgraT. N. Ugleva0V. A. Pahotina1B. G. Shalapin2A. Yu. Kurganskaja3Khanty-Mansiysk State Medical Academy, Khanty-Mansiysk, RussiaKhanty-Mansiysk State Medical Academy, Khanty-Mansiysk, RussiaRegional Hospital, Khanty-Mansiysk, RussiaRegional Hospital, Khanty-Mansiysk, RussiaThe aim of our study was the analysis of morbidity and clinical couse of tularemia in Khanty-Mansiysk autonomous District – Ugra for the period 2007–2015 timeframe. The highest incidence of tularemia in the Khanty-Mansiysk noted in the year 2013 (1036.6 о/0000), mainly urban residents (91%). The proportion of children among the sick (1005 people) accounted for 16%. Reviewed the clinical manifestations of tularemia among hospitalized children in 62 children’s infection Department for the period from 19 August to September 3, 2013 year ranging in age from 2 months to 18 years. The dominant clinical form of tularemia (98%) diagnosed ulceroglandular, easy (18%) and moderate (82%). The main clinical manifestations of tularemia in children was a triad of symptoms: ulcer of skin, fever, and lymphadenitis. Dominated femoral and inguinal lymphadenitis (55%), and in the head and neck region (29%), somewhat less frequently axillary (16%) Ultrasonography of lymph nodes with color Doppler mapping (Colour Doppler Imaging – CDI) allows you to assess the dynamics of the process and identify the presence of abscedirovania (5% of cases). 77% of cases have highlighted the febrile fever (39-40ºС), lasting an average of 4,0 ± 0,28 days. 26% of children noted chills, pain in muscles, joints and bones, weakness, loss of appetite, 24% there was a rash all over the body surface, 35% of patients have appeared anemia, 18% of patients have proteinuria was observed (up to 1 g/l), the presence of acetone and ketone bodies in the urine. At 94% of children with tularemia detected blood inflammatory changes in the form of moderate Leukocytosis, increased erythrocyte sedimentation rate, an increase in the level of c-reactive protein. Shows the high efficiency of treatment with an antibiotic in children of tularemia aminoglycoside-amikacin. Are 2 clinical observation.https://journal.niidi.ru/jofin/article/view/507tularemiachildrenepidemiologyclinical picturediagnosistreatment |
| spellingShingle | T. N. Ugleva V. A. Pahotina B. G. Shalapin A. Yu. Kurganskaja Tularaemia in children in Khanty-Mansiysk autonomous District-Ugra Журнал инфектологии tularemia children epidemiology clinical picture diagnosis treatment |
| title | Tularaemia in children in Khanty-Mansiysk autonomous District-Ugra |
| title_full | Tularaemia in children in Khanty-Mansiysk autonomous District-Ugra |
| title_fullStr | Tularaemia in children in Khanty-Mansiysk autonomous District-Ugra |
| title_full_unstemmed | Tularaemia in children in Khanty-Mansiysk autonomous District-Ugra |
| title_short | Tularaemia in children in Khanty-Mansiysk autonomous District-Ugra |
| title_sort | tularaemia in children in khanty mansiysk autonomous district ugra |
| topic | tularemia children epidemiology clinical picture diagnosis treatment |
| url | https://journal.niidi.ru/jofin/article/view/507 |
| work_keys_str_mv | AT tnugleva tularaemiainchildreninkhantymansiyskautonomousdistrictugra AT vapahotina tularaemiainchildreninkhantymansiyskautonomousdistrictugra AT bgshalapin tularaemiainchildreninkhantymansiyskautonomousdistrictugra AT ayukurganskaja tularaemiainchildreninkhantymansiyskautonomousdistrictugra |