herve leger uk Three cases of misdiagnosis of bruc -

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3 cases of brucellosis and the prevention of misdiagnosis

: 100 (+ +) l: 200 (+ +) 1:400 (+ +) with a history of acute brucellosis patients. Case 3, male, 65 years old, herding staff. February 2004 started the whole body pain, fever T39 ℃ or so, the local fever of unknown origin, were treated no better,[link widoczny dla zalogowanych], the past month, gradually, headache, difficulty speaking, El teeth unclear, difficulty walking, stiff tongue nearly a week, The patient was May 10, 2004 to my office treatment, examination findings: thin face, T38 ℃, P140 plays were, BP140/80r ~ ff-Ig, questioning could not answer, unclear articulation, tongue God hath functional limitation (after a hospital examination (b] r other items were normal) test results: RBFq : 400 (+ ten ten ten) according to the inspection findings, we analyzed the patients with headache, tongue function is limited mainly due to Brucella against the glossopharyngeal nerve actions, and the diagnosis of acute brucellosis. 1.2 Methods 3 cases have clear epidemiological contact history, the more typical clinical symptoms and positive laboratory test results l2J treated by acute brucellosis, 5% sugar, 500ml, amikacin sulfate 0.8g, Vit A .0 g, three World dexamethasone 8rag · 1 times / day, while oral administration of mycophenolate earth cable 0.5g · 4 times / day, 21d for a course,[link widoczny dla zalogowanych], the latter two courses (42d) oral mycophenolate cable 0.5g of soil above, rifampicin 300mg · 2 / 13 oral consolidation treatment, the interval between treatments 7d. 2 patients the results of the first symptoms disappeared after treatment, three patients recovered completely after treatment. all normal after three months follow-up to participate in a variety of manual labor, 1 year were followed up without recurrence. 3 Discussion In recent years, the incidence of Brucellosis in Jinzhou area increased year by year the number of surrounding municipalities have brucellosis patients, the source of infection for the sick sheep, cattle, pigs and other sick animals. mainly through contact with skin and mucous membranes, respiratory, digestive Road and other means of communication. usually spread from person to person is unlikely. With this 3 patients were misdiagnosed as flu and rheumatism treatment situation, the main reasons for misdiagnosis are the following: (1) propaganda Brucellosis Control inadequate education, medical workers, ordinary people and grass-roots knowledge and understanding of brucellosis. because brucellosis is a multi-system, multi-organ systemic disease affected clinical fever, joint and muscle pain,[link widoczny dla zalogowanych], sweating, fatigue and other common symptoms of whole body based, often considered the first diagnosis of flu, arthritis, rheumatism or back off, tuberculosis and so on. (2) a few years ago, city fabric fewer patients, young doctors no perceptual knowledge of brucellosis, the lack of Brucellosis diagnosis and treatment, too much reliance on modern therapy equipment, basic skills were not taken seriously, asking occupation, medical history, especially the epidemiological history of contact is not fine is the most important reason misdiagnosed. In recent years, I ¨ Ding aquaculture developed rapidly, farmers engaged in raising pigs and Yangniu fur, meat processing workers, more and more increasing Tsui cloth disease, and therefore, the clinical term for patients with fever of unknown origin, especially with common antibiotic treatment ineffective, attention should be asked their place of residence,[link widoczny dla zalogowanych], occupation, animal husbandry history, history of exposure to epidemiological data, to reduce misdiagnosis of brucellosis. (3) Medical institutions and disease prevention and control departments to ask the exchange of information also contributed to the causes of misdiagnosis delayed, and now CDC's epidemic information is often not timely communicated to the medical institutions, making the cloth for local clinicians treating patients lack of understanding of the situation, therefore, insufficient attention brucellosis. raise awareness of the disease on the cloth, with the CDC on the suspected patients should contact understand the epidemic of information, timely brucellosis serum test is to prevent misdiagnosis of the effective measures cloth. (4) the health sector, the livestock sector should join hands to increase human and livestock disease prevention and control of fabric between the publicity to raise awareness of the disease cloth protection awareness, breeders do not buy animals without quarantine, to enhance the process of livestock confinements awareness of personal protection, such as with [] mask, gloves, etc., and make the product flow of livestock, disinfection of excreta, done sound treatment. (5) of new cases diagnosed in time, regular treatment, medication should be full enough to be 3 courses of treatment and patients often maintain contact and urge the timely referral of patients to avoid the phenomenon of interruption of treatment, to avoid conversion of acute brucellosis chronic brucellosis. medication during the regular testing of liver and kidney function, check the listening situation and avoid adverse drug reactions. In children under the age of l5 treatment, the dose should be strictly controlled. [Received】 2005-12-01 [Author] Fankai (1972 a), male, Liaoning Province, set h Kam thirty people,[link widoczny dla zalogowanych], learn .1 degree, to the main fabric for the immune disease prevention and control.
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