D
DIFTERIA
DIFTERIA
DIFTERIA
Difteria
Infectocontagiosa disease caused by the bacterium Corynebacterium Difteriae.
It affects the throat, skin, heart, central nervous system and kidneys.
The period of incubation (the time that passes between the contact with the bacterium and the development of the disease) is of 2 to 5 days.
Factors of risk
65 greater smaller children and adults of 5.
Malnutrición.
Unhealthy conditions of life.
Lack of immunization (the vaccine against the Difteria is including in the "Calendar of infantile Vaccination").
Prevention
Vaccine of difteria. A reminder usually occurs every ten years.
Antibiotics, toxoide and passive immunization; if previously it has not been immunized, and if it is had been in contact with patients of difteria.
Diagnosis and treatment
DIAGNOSIS:
Culture of throat and analysis of blood.
TREATMENT:
Hospitalization and respiratory isolation of the patient until its recovery.
In serious cases, the patient requires traqueotomía and mechanical respiratory attendance.
To avoid secretions in mouth and nose.
The antidifterico toxoide is the election treatment.
The antibiotics, although kill the Corynebacterium Difteriae, play an accessory role.
Complications
Cardiac failure.
Suppression and bronchial obstruction.
Inflammation of the nerves that causes to blurred vision and difficulty when swallowing.
Prognosis
Cardiac failure.
Suppression and bronchial obstruction.
Inflammation of the nerves that causes to blurred vision and difficulty when swallowing.
Causes
The bacterium Corynebacterium Difteriae produces a toxin that is distributed through all the body, with capacity to damage diverse organs and senses.
Signs and symptoms
Precocious state:
Annoyances of throat, slight fever and pain in the ganglia around the neck, that are swollen.
They appear grayish, adherent membranes, in the throat produced by the presence of the bacterium and the toxin.
Advanced state:
Balloon barrage and difficulties to breathe.
Double vision, difficult speech and problems when swallowing.
Shock with hypotension, palpitaciones, pallor, perspiration and anxiety.
U.E.P.
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