W\u015br\u00f3d chor\u00f3b tropikalnych, o trudnej diagnostyce znajduje si\u0119 ju\u017c wcze\u015bniej opisywana przeze mnie na blogu Melioidoza<\/strong> (burkholderia pseudomallei), kt\u00f3r\u0105 mo\u017cna \u201eprzywie\u017a\u0107\u201d z Tajlandii.<\/p>\n Dlatego chc\u0119 pokaza\u0107 zestaw bada\u0144 w laboratorium, kt\u00f3re wykonuje do\u015b\u0107 szeroki zestaw w zakresie chor\u00f3b tropikalnych. Jest nim:<\/p>\n Bernhard-Nocht-Institut f\u00fcr Tropenmedicin<\/strong><\/p>\n Zentrale Labordiagnostic Fach\u00e4rtze f\u00fcr Mikrobiologie, Virologie und Infektionsepidemiologie, Prof. Dr. Stephan G\u00fcnther, Prof. Dr. Dennis Tappe<\/p>\n Bernhard-Nocht-Str. 74 \u2013 20359 Hamburg<\/p>\n Tel. +49 40 42818-211 (\u00c4rtze), -252 Fax<\/p>\n W\u015br\u00f3d ma\u0142o u nas znanych chor\u00f3b ( zobacz mapk\u0119 rozprzestrzenienia choroby – Tsutsugamushi_Triangle<\/a>) (obszar wyst\u0119powania wewn\u0105trz tr\u00f3jk\u0105ta Iran-Japonia-Australia) chor\u00f3b diagnozowanych przez to laboratorium w Hamburgu znajduje si\u0119 te\u017c \u00a0m.in.<\/p>\n Orientia tsutsugamushi (Wikipedia<\/a>) One billion people are estimated to be at risk of infection at any moment and an average of one million cases occur every year in the Tsutsugamushi Triangle.<\/sup><\/p>\n “Orientia tsutsugamushi <\/em><\/strong>(from Japanese tsutsuga <\/em>meaning “illness”, and mushi <\/em>meaning “insect”) is a miteborne bacterium<\/strong> belonging to the family Rickettsiaceae<\/strong> and is responsible for a disease called scrub typhus in humans<\/strong>.[1] It is a natural and an obligate intracellular parasite of mites belonging to the family Trombiculidae Orientia tsutsugamushi <\/em>causes a complex and potentially life-threatening disease known as scrub typhus. Infection starts when chiggers bite<\/strong> on the skin during their feeding. The bacteria are deposited at the site of feeding (inoculation), where they multiply. They cause progressive tissue damage (necrosis)<\/strong>, which leads to formation of an eschar on the skin<\/strong>. Necrosis progresses to inflammation of the blood vessels, called vasculitis.<\/strong> This in turn causes inflammation of the lymph nodes, called lymphadenopathy.<\/strong> Within a few days, vasculitis extends to various organs including the liver, brain, kidney, meninges and lungs.<\/strong>[56] The disease is responsible for nearly a quarter of all the febrile (high fever) illness<\/strong> in endemic areas. Mortality<\/strong> in severe cases or due to improper treatment or misdiagnosis may be as high as 30-70%<\/strong>.[57] About 6% of infected people die untreated<\/strong>, and 1.4% of the patients die even with medical treatment. Moreover, the death rate can be as high as 14% with neurological problems and 24% with multi-organ dysfunction among treated patients.[58] In cases of misdiagnosis and failure of treatment, systemic complications rapidly develop including acute respiratory distress syndrome, acute kidney failure, encephalitis, gastrointestinal bleeding, hepatitis, meningitis, myocarditis, pancreatitis, pneumonia, septic shock, subacute thyroiditis, and multiple organ dysfunction syndrome.[59]<\/p>\n Harmful effects involving multiple organ failure and neurological impairment are difficult to treat, and can cause lifelong debilitation or be directly fatal.[59] The central nervous<\/strong> system is often affected and results in various complications including cerebellitis, cranial nerve palsies, meningoencephalitis, plexopathy, transverse myelitis, and Guillan-Barre syndrom<\/strong>e.[60] Death rates<\/strong> due to complications can be up to 14% in brain infections, and 24% with multiple organ failure.[58] In India, scrub typhus has become the major cause of acute encephalitis syndrome, which was earlier caused mainly by a viral infection, Japanese encephalitis.[61]”.<\/p>\n","protected":false},"excerpt":{"rendered":" Jeste\u015bmy przed sezonem wakacyjnym. Z wyjazd\u00f3w zagranicznych opr\u00f3cz wra\u017ce\u0144 i opalenizny czasem przywozimy choroby, kt\u00f3re s\u0105 pami\u0105tk\u0105 na ca\u0142e \u017cycie.\u00a0 Niekt\u00f3rych z nich nie ma mo\u017cliwo\u015bci rozpoznania w naszych laboratoriach.\u00a0 Mamy hipotez\u0119, ale potwierdzenia brak. Szukamy w laboratoriach weterynaryjnych, wojskowych … Czytaj dalej ![\"\"](\"https:\/\/www.dr-mamczur.pl\/blog\/wp-content\/uploads\/2020\/11\/Tajlandia-Melioidoza-300x225.jpg\")
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<\/a>Dzi\u0119ki uprzejmo\u015bci i za zgod\u0105 pacjentki przedstawiam zestaw bada\u0144 wykonywanych w BNITM w 2022 r.<\/p>\n![\"\"](\"https:\/\/www.dr-mamczur.pl\/blog\/wp-content\/uploads\/2022\/06\/Hamburg-\u2013-Mellioidoza-i-inne-blog-1-300x225.jpg\")
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