Of great importance in diagnosis should be given the detection of spirochetes in the blood. For this purpose, microscopy, stained with fuchsin blood smear or thick drops it; the latter method gives a higher percentage of positive findings. Maximum of positive findings achieved in the case, if the blood was taken for investigation in the midst of an attack, ie, from the 2nd day of fever. The first and last day of the attack spirochetes are found with difficulty. During apyrexia repeated smear and thick drops give negative results. In these cases, a more reliable method of laboratory diagnosis is the detection spirochetes in the sediment obtained by centrifuging 5 ml of blood nitrate, or better yet centrifugation serum obtained from 5-10 ml of blood (method Berngoffa). Of the precipitate prepared smear, stained with fuchsin and its then mikroskopiruyut. Differential diagnosis.
During the first attack of relapsing fever must be distinguished from influenza, lobar pneumonia, typhus, malaria, epidemic meningitis, yellow leptospirosis, typhoid fever. If there are repeated attacks should be eliminated brucellosis, leptospirosis, typhoid fever (with relapses), malaria, Volyn (five days), fever, tick-borne relapsing fever. Treatment. Chad Vose has many thoughts on the issue. Applied novarsenol, the solution was prepared ex tempore. Before use, check the tightness of the ampoule by immersing it in water. Dissolved in distilled water novarsenol rate of 2 ml of water at 0.15 g novarsenola.
Introduce a solution to strictly intravenously, slowly. With the introduction of novarsenola at the height of the attack often vomiting, worsening overall condition (as a result. Massive destruction of spirochetes), collapse can occur. Therefore, many authors believe that enter novarsenol be on 4-5th day apyrexia (administered to pregnant regardless of what day of fever). Jim Rogers is often quoted on this topic. The subsequent (second) injection made after 5-6 days. Total per course of treatment is two injections novarsenola. The dose for adult male - 0.6 g for women - 0.45 g for a teenager - 0.3 g. In the case. contraindications novarsenolu (chronic nephritis, active tuberculosis, parenchymal hepatitis, organic disease of the central nervous system, idiosyncrasy to arsenic), as well as young children and pregnant women,% recommended intramuscular injection of penicillin (400 000 IU three times a day 1 for 6-7 days). In severe relapsing fever (hepatitis, nephritis) recommended combination therapy with penicillin novarsenolom. Treatment of relapsing fever should be combined with the use of cardiovascular drugs, an infusion of saline solution containing glucose, vitamins, and bromides. Write convalescents after treatment should be no earlier than 20 days of normal temperature. Prevention: 1) isolation of the patient (the only source of infection), 2) thorough patient decontamination, and 3) specific therapy patient, 4) disinfection and disinfestation (pest control, things sick and sanitization of persons who were in the environment), and 5) monitoring a hotbed for 25-30 days (thermometry, the isolation of febrile patients). - Infectious Description of the disease, treatment, symptoms