Lymphogranuloma venereal -
- 24 Jun 02:45
- Disease Of The Skin
Fungal lymphogranulomatosis or venereal lymphogranuloma is an infection that is transmitted by sexual contact. The fourth venereal disease of lymphogranuloma began to be called, because the disease was described after syphilis, gonorrhea and soft chancre.
Venereal lymphogranuloma refers to infections common in the tropical belt. The disease is common in Australia, Africa, and South America. In Russia and in Europe, lymphogranuloma venereal is rare. In most cases, infections occur when visiting countries in the tropical region.
- 1 Causes of development of
- 2 Clinical picture of
- 3 Possible complications of
- 4 Diagnostic methods
- 5 Treatment of
- 5.1 Treatment of folk remedies
- 6 Prevention and prognosis
- 7 Photo
Causes of development of
The cause of the development of venereal lymphogranuloma is the infection of chlamydia trachomatis of a specific serotype. Intestinal lymphogranulomatosis is caused by chlamydia belonging to serotypes L1, L2 or L3.The path of infection is mainly sexual. Cases of sexually transmitted infections are extremely rare.
Clinical picture of
From the time of infection to the onset of the first symptoms of lymphogranuloma, it can take from 3 to 12 days. However, sometimes the incubation period of the disease is stretched and can last up to 1.5 months.
Manifestations of lymph globulin are localized on the site of the pathogen. Yes, in men, as a rule, rash appears on the penis, women - on the surface of the labia or in the vagina. However, depending on sexual preferences, rashes with lymphogranuloma may have other localization, for example, they may be formed in the region of the anus, in the oral cavity, and others.
At the site of the introduction of the pathogens of lymphogranuloma appears a blister or tubercle. Education can be unitary, but sometimes there are multiple rashes. At this stage of lymphogranuloma no unpleasant sensations appear, and the formation of primary rashes often goes unnoticed by patients. Very rarely in the primary period of the venereal lymphogranuloma there are symptoms characteristic of the flu.
The secondary period of lymphogranuloma occurs approximately two months after infection. At this time, patients significantly increase the lymph nodes, located close to the place of appearance of rash, that is, most often, inguinal.
At the time of palpation of enlarged lymph nodes pain is felt. The skin on the protruding nodes was red, slightly swollen. Over time, inflamed lymph nodes become hot and open. At the same time there is purulent content, and deep ulcers and fistulas are formed.
As the infection spreads through the lymphatic system, the patient worsens the overall well-being. There are headaches, the temperature rises, often lymphogranuloma venereal is accompanied by disorders of digestion, the appearance of allergic rash.
If the lymphogranuloma is localized in the rectum, develop the symptoms of proctitis. Appear mucosal-bloody discharge from the anus, pain in the rectum.
If a pregnant woman becomes infected with a venereal lymphogranuloma, the disease may be the cause of a miscarriage or delivery that began earlier.
At the secondary stage of lymphogranuloma, patients usually seek medical attention. However, if the patient does not receive treatment, then in 1-3 years there is a tertiary period of lymphogranuloma. For this stage of the disease, the spread of the inflammatory process to the colon is characteristic, while flashing and purulent ulcers are also formed.
Possible complications of
When all venereal lymphogranuloma is started, all body systems are included in the process. Possible development of inflammation of the membranes of the brain( meningitis), heart tissue( myocarditis), development of pneumonia, etc.
Because of lymph stagnation, the development of elephant genital organs is possible. The destruction of cells leads to the replacement of normal connective tissue with the formation of scarring. This can lead to strictures of the urethra and the vagina, the formation of adhesions between the organs.
Diagnosis of venereal lymphogranuloma is based on the study of a clinical picture and a series of laboratory tests. An important point is the collection of anamnesis, in particular, there was no finding in the recent past trip to a country located in a tropical belt.
In studying the clinical picture, it must be taken into account that the symptoms of lymphogranulomas are similar to those of other sexually transmitted diseases of genital herpes, syphilis, and soft chancre. Symptoms of lymphogranuloma may also occur in the manifestation of rectal cancer or proctitis.
Therefore, before the diagnosis is made, laboratory testing is required. For the analysis, lymph and excretion are used. The material is used for bacteriological sowing on the nutrient medium. When analyzing blood, it is possible to detect antibodies, the appearance of which the body reacts to the introduction of a pathogen of lymphogranuloma.
If the diagnosis of venereal lymphogranuloma is confirmed, it is necessary to conduct an examination of all partners who had an intimate relationship with the patient. For persons who had sexual intercourse with patients with lymphogranuloma, within the next 30 days, preventive treatment is prescribed. If the contacts were earlier, then the sexual partners should be supervised for some time and submit control tests.
Antibiotics are used to treat venereal lymphogranulomas. As a rule, it is prescribed:
- Doxycycline drugs. Twice a day for 100 mg for 21 days.
- Erythromycin products. Four times a day for 500 mg for 7 days.
In addition, immunostimulating drugs, such as Nevovir, Cyclocheron, may be prescribed. And also, vitamin therapy.
Locally inflamed nodes are applied ointment with antibiotics( tetracycline, erythromycin).In severe inflammatory events, it may be a surgical opening of the lymph nodes with the installation of drainage.
During the entire period of treatment with venereal lymphogranulomas, it is important to refrain from taking alcohol, because alcohol reduces the effectiveness of antibiotics. When treating drugs of the tetracycline series, you will have to give up sunbathing, as the sensitivity to the sun increases. It is necessary to refrain from including in the menu of dairy products, because milk significantly reduces the therapeutic effect of the antibiotic.
When open lympho-granulomas are ulcers, it is necessary to change everyday linen, which should be washed at high temperature and ironed.
After completion of the course of treatment of lymphogranulomas, it is necessary to take several months to monitor, periodically passing control tests.
Treatment of folk remedies
In lymphogranuloma venereal treatment with the use of herbs is ineffective. Refusing to receive drugs prescribed by a doctor can lead to the development of severe complications.
Prevention and prognosis
Prevention of sexually transmitted infections is similar to the prevention of any other STDs. It is necessary to avoid casual contacts, to use condoms, and to act after an act of sexual organ washing with antiseptic.