Amoebiasis , symptoms
Helminthiases / / August 12, 2017
incubation period for amebiasis lasts from 1 week to 3 months, and sometimes more.The disease begins acutely or prodromal period during which patients complain of malaise, weakness, loss of appetite, blurred abdominal pain, headache.Diarrhea appears then 5-15 and more times per day.Usually fecal chair with transparent glassy mucus and sometimes blood.Sometimes mucus soaked with blood, and takes the form of "raspberry jelly".In severe cases, amebiasis, usually in combination with bacterial dysentery, resulting in necrotic processes in the intestines become malodorous feces.
With the defeat of the rectum occur painful tenesmus, burning in the distal intestine.Persistent symptoms in the acute phase of the disease are cramping abdominal pain.Temperature is usually normal or low-grade.Belly distended, painful on palpation, especially in the iliac region.The cecum is thickened, pasty, often spastic sigmoid reduced.
When sigmoidoscopy visible swelling and redness focal mucosal rectum and sigmoid colon, mucus
liver of normal size or slightly increased.Cardio-vascular system is observed pulse lability, a slight expansion of the boundaries of cardiac dullness, systolic murmur at the apex of the heart.
B blood leukocyte counts in the normal range or slightly elevated, sometimes small neutrophilia with a shift to the left.With long-term course of the disease marked monocytosis, lymphocytosis, anemia.
In the absence of specific treatment for diarrhea lasts from one to several weeks.The number of bowel movements is gradually reduced, the blood, and later the mucus out of the chair disappear.However, spontaneous recovery occurs rarely.The disease occurs with the change of periods of exacerbations and remissions.In the long chronic relapsing amebiasis develop asthenic syndrome, food decline, hypovitaminosis and even cachexia.
Apart from symptomatic forms, there are deleted form of amebiasis in which sometimes occur small intestinal disorders.
- Perforation and colon gangrene when amebiasis
- Appendicitis with amoebiasis
intestinal amebiasis is necessary to differentiate a bacterial dysentery, balanthidiasis, ulcerativecolitis.Unlike typical bacterial dysentery, amoebiasis at the phenomenon of intoxication are usually absent or poorly expressed, the temperature is normal or low-grade, mucosal changes rectum and sigmoid colon are focal character.Smears of feces in the intestinal amebiasis is characterized by the presence of macrophages, eosinophils, Charcot-Leyden crystals, the meager number of neutrophils.For bacterial dysentery typically present in stool pus.However, we should not forget about the possibility of a combination of amebiasis with bacillary dysentery.