Diphtheria - Clinical Manifestations, Complication, Prevention

Diphtheria Clinical manifestations
  • Diphtheria nose: cold blood mixed with secretions. Mild constitutional symptoms.
  • Pharyngeal and tonsillar diphtheria (fausial): there is an acute inflammation of the throat, fever up to 38.5 ° C, tachycardia, seem weak, bad breath, swelling of regional lymph (bull neck). Membrane can be white, dirty gray, or gray-green with a slightly raised edge. When the membrane was appointed there will be bleeding. However, this procedure is contraindicated because it accelerates the absorption of toxins.
  • Laryngeal diphtheria: the toughest kind, there afonia, tightness, stridor inspiration, fever to 40 ° C, very weak, cyanosis, bull neck.
  • Cutaneous diphtheria and vaginal: ulcerative lesions with membrane formation. The lesions are persistent and often anesthesia.

Diphtheria Complication
  • Airway: airway obstruction, bronchopneumonia, pulmonary atelectasis.
  • Cardiovascular: myocarditis caused by germ toxins.
  • Urogenital: nephritis.
  • Nervous system: paralysis / paresis palate mole (weeks I and II), the eye muscles (week III), and the public (after weeks of IV)

Diphtheria Prevention
  • Isolation of patients. Isolation stopped if the results of the direct preparation C. diphtheriae two consecutive negative.
  • Immunization.
  • Search and treatment careers. Performed with the Schick test. If a negative result, performed throat swabs. If found C. diphtheriae, should be treated.

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