Friday, May 20, 2011

Syphilis and CHILDREN

Baby M. born in refugee camps, often natural born, New baby. My parents also met at the refugee camp and lived together since then, my mother was pregnant, the birth sequence to date, no antenatal care at all because there is no refugee camp obstetrician or midwife, and her laboratory . Healthy children, sign language can only eat so I keep a runny nose and again, the corners of each foot and running water, her parents for drinking "cold medicines" out there forever. New blood test she discovered she was suffering from congenital syphilis, which means you have syphilis infected by bacteria transmitted through maternal blood. Because my mother is not pregnant should consult with syphilis during pregnancy without knowing it. Baby was treated with penicillin and speedy recovery.


Fortunately, cases like barely seen in Vietnam's children settled in this area. However, in the general U.S. population and in a minority ethnic group (ethnic minorities) or some particular group as part of homosexuality (homosexuals), injecting drug use and blood vessel (intravenous drug users) sex and gender, sardines syphilis are increasing rapidly and therefore the cases of congenital syphilis in children is also growing fetus was due to syphilis bacteria from passing through the mother's blood. 1990 statistics of the Center for Diseases Control recorded 2.867 cases of infants infected with germs of syphilis (congenital syphilis), compared with 859 children in 1989 and is the highest in 40 years, although methods of prevention and treatment more closely. Particularly for our Vietnamese people in the U.S., with the number of people travel to Vietnam as well as the international playboy growing, perhaps we would not be surprised to witness an increase in cases giang bring on tomorrow from foreign although no exact figures. Adults caught the disease may not be a source of disease brought from outside in, plus the drive of domestic syphilis is often accompanied with soy ke and prostitution are threatening the youth of this country.
Syphilis (syphilis) described a long illness. According to anecdotal Christopher Columbus and his crew brought the disease from the Caribbean to Europe in the 15th century and thus the spread of syphilis in Europe to a large epidemic killed many. However, probably syphilis has been a long time before Columbus, now thought to be leprosy cases described in the biblical truth that there are cases of syphilis in China and ancient documents also described symptoms consistent with syphilis.
Syphilis caused by Treponema pallidum bacteria, a germ of helical (spiral). Germs enter the body through mucous membranes (mucosa, mucosa) and red skin that is thin in the genitals, anus or mouth, sometimes fall through the normal skin areas of the body if the skin scratched (such as caressing the bite). About three weeks after infection (after transmission), the patient will see the sores on the genitals, wounds usually painless swelling of lymph nodes and attached (lower commitment, chancre). If the patient is not treated a patient two months after the second stage (secondary syphilis) with general symptoms such as fatigue, headache, fever and signs of skin, or in the mucosa (mucous membranes) the genitals. Without fire, disease progress through the third period of syphilis, including the terrace in the skin, internal organs (heart, liver, stomach) and cause neurological symptoms are diverse.
In fact, syphilis is important for the health of young people on the following aspects:
1 .- Although antibiotics such as penicillin era appearance, syphilis usually have the typical manifestations as described above, current symptoms are not usually so obvious, if not alert patients Doctors also easily be mistaken for not only thinking about syphilis. For the teenage years (adolescence), syphilis rates have all increased, and rates among young women increasingly appear higher than before. Most of the girls she does not know that I take for syphilis in women with symptoms such as itchy, with white blood, sores sometimes been viewed as signs of normal, primary treatment lean like sundry other women. Where some advocates now need a blood test for syphilis quest (routine screening for syphilis) for all kids "sexual activity" (Adolescent sexually active.) To the parents should be aware if their children and visit them a question about any symptoms related to urinary or reproductive tract, parents should be understood and seek medical help if needed. Some practical points need to be reminded to her he said: First, birth control pills have no effect against the disease "sexually" including syphilis, the second of the symptoms of syphilis in the first phase is it can go away after some time, but does not mean the disease was eradicated diseases, whereas disease is still progressing through the next stage, dangerous, difficult to detect and more stubborn. Also, unlike AIDS, largely limited to a certain gender (homosexuality, drug addiction), syphilis and gonorrhea (gonorrhea) is much more common. Each year about 100,000 people in the U.S. have caught this disease and all walks of life can suffer. Recently it was found AIDS and syphilis often go together, partly because of the sores of syphilis skin makes AIDS virus spreads easily from person to person.
Should also recall some common symptoms such as skin rash, swollen glands, so when the signs of syphilis and help the doctor discover and treat disease before it is too late.
2 .- Syphilis in the mother can pass through the fetus if the mother was pregnant. Currently at the first prenatal check obstetrician will all her blood tests for syphilis quest and timely treatment to prevent mother to the fetus. Recently, doctors are advised to test blood again at near birth. But if the woman is pregnant and are not concealing their families at a carefully monitored election, if they carry disease and syphilis can not be detected or are detected too late as near as your baby from birth treated promptly and brought the symptoms of syphilis at birth. These symptoms may be heavier or lighter depending on circumstances. I could die at birth (still birth), premature birth, brain membrane swelling, swollen liver, anemia, v. .. v. .. Treatment and monitoring of the baby is expensive and complicated and prolonged.
Recurring syphilis based on clinical symptoms (symptoms at medical records, clinical signs) but also depends largely on the test (test) blood of patients or other substances from the body diseases (such spinal drain, cut a piece of swollen lymph nodes for testing, cut a piece of skin to try to find the bacteria Treponema).
Most common blood test. People with syphilis infection carried in the blood a substance called reagin (now called cardiolipin antibodies, anticardiolipin antibodies), if blood tests show the disease, people with substance reagin Treponema suspect. Previous standard tests used in Vietnam or Bordet Wassermann (hereinafter referred to as BW), we have heard, "BW positif" or "BW negatif" to refer Wassermann reaction positive (infected) or negative (no disease .) Now rarely used this reaction, the reaction often people use the name of RPR for "purification" (screen) syphilis suspect quickly. Then if necessary we use these tests more complicated but more accurate, do not go deep within this article.
Syphilis treatment is relatively simple as emerging diseases. In the past people have used these highly toxic drugs such as mercury (mercury), these drugs are sometimes found used in Vietnam. Current treatment with penicillin is the most effective method. People who are allergic to penicillin are treated with erythromycin or tetracycline.
In conclusion, syphilis is a disease "sexually" has tended to increase especially among young females. The disease can cause long-term consequences for patients as well as their children. But the disease can easily with the simplest of means (condoms) if diagnosed early and relatively simple treatment (antibiotics Penicillin, Erythromycin) and very effective.

Tuesday, May 17, 2011

Clinical symptoms of the syphilis

 Clinical symptoms of the syphilis

Syphilis first period includes a chancre and lymph nodes:
Chancre: survival period chancre 3-8 weeks, average 6 weeks. Better treatment of patients completely healed, if not treated well chancre disappears.
Chancre characteristics:

- The traces of agricultural suddenly lost a part of the epidermis only.

- The regular round or oval.

- No typing up or concave down.

- flat surface.

- Red meat.

- Background thin solid sheet of cardboard, is the most important symptom.

- No itching, no pain, no pus.

- Always accompanied by lymph surrounding areas.

Location of the chancre:

- The vast majority of the genitals, where the spiral bacteria enter the body.

- In men, grooves circumcision, penis, urethra hole, the first pouch, the urethritis.

- In women: large lips, her lips, vulva, clitoris, urethra hole, the cervix.

- You can see lesions in the lips, tongue, almond, fingers, eyelids, anal sex due to irregularities.

Clinical forms of atypical:

- Chancre ulcer: not a trace that is suddenly down deep ulcer mesoderm.

- Chancre diphtheria form: a white film covering, usually almonds.

- Chancre scales.

- Chancre coordination between syphilis chancre and low commitment. The first phase soft, hard chancre sore back


Accounting: often inflamed lymph nodes surrounding area, cost-solid. Including a cost to most cost-lord called, painless, mobile, no pus.

Tests at this stage:
Stained glass directly:

- Health Products in wound suddenly (chancre) should suddenly wound.

- disease in lymph Products: injection of 0.5 ml normal saline 0.9% in lymph glands and smoking day plague.

- Seamless specimens on glass and examined under the microscope the black background.

Tribondeau Fontana staining method:

- Observe under an optical microscope.


Syphilis period 2 appeared 45 days after the chancre development, this is the stage of sepsis, the spread of symmetry, agricultural feed on the skin, mainly congestive should lose very quickly. There are many twists in bacteria is very contagious lesion. Late-stage infiltration form available.
Two primary syphilis develop the following symptoms:
* Red-committees:
Is inlaid pink peach blossoms are fresh as when a little dark, flat surface of the skin, oval shape, pressing the glass disappears. There is little swelling when the urticaria hassle, no itching, no pain, no scales.
Usually localized two ribs on the network, palms, soles of the feet.
Erythematous existence and pass away a few days, sometimes reappear.
* Cost:
More cost-spreading, in the groin, neck, chin, underarms, elbows, bones beam.
Usually cost more, solid, no pain. No pus and diving fingertips.
* Mucous membranes:
Mucosal wound was suddenly, very shallow, there is no shore. Small particles may pass or coins. Can be from 1 to more injuries.
Array of red mucosa can trot, colored or white clay.
Headache: usually at night.
Hair loss: progressively sparse sparse forest type, style eating cockroaches.
Two recurrent syphilis have symptoms:
The two primary symptoms of syphilis found to exist in a while then disappears without treatment. Over time recurrent silent again, usually from December 4 to December. Lesions in the skin and mucous membranes including:
Recurrent erythematous: Fewer, but larger lesions than the primary distribution erythematous, localized into clusters and forming an arc.
Stainer: Size: a few mm to 1 cm in diameter. Symmetry in nature: body, limbs. Palms, soles of the feet are usually scaly borders (collerette de Biette), may be in the forehead. In the anus, scrotum, vulva, buttocks, upper deck floating high, forming rounded meat block, flat feet out like friends skinned chicken crest. Lesions seen in the armpit, under the breasts, legs guys.
Maternity pictures: Sometimes just Stainer caviar, sometimes pus like chicken pox scabs, sores and sometimes scab. Have when hunting to a crowd, ball type psoriasis scales. Having put up in bunches as it produced, have satellite. There are cases where the deep ulcers, have high coupling.
The syphilis test period 2:
Swabs taken from lesions: the mucus membranes, produce, nuts.
Blood serum reactions for syphilis positive.
Syphilis period 3:
Localized damage, destroying nature organizations and causes irreversible sequelae and even fatal. This period was less dangerous to the community. For women with children are born capable of congenital syphilis. Serological tests remain positive during this period.
Tubercle and syphilis syphilis include:
Localized to the skin, mucous membranes, muscles, joints, eyes, digestive, liver and endocrine.
Lesions: the number of small tubers, a region localized asymmetrically in the back, extremities. Floating high above the tuber skin, round, smooth, infiltration, no pain. Size <1cm, ring, arc, twisted round the shore, between the healthy and the surrounding developments.
Of progress include: over 4 phases
Hard phases: a solid mass lesions, round, clear boundaries, normal skin surface.
Soft phases: from agriculture to include soft, deep red skin stick to the skin, not mobile.
Ulcer stage: includes broken latex comparator, then stick to a stand of ulcers, bloody pus bottom. Shore or to provide all round.
Scarring stage: including scarring from the pinch.
Cardiovascular syphilis:
3 when syphilis is not treated or appear 10-40 years later manifestations of cardiovascular syphilis.
Pan and zoom the aorta, the early stages often has no obvious symptoms, a normal ECG.
Opening the aorta: sound diastolic murmur, maximum increase HA, HA minimal reduction.
Bulging aorta and can be broken because of the weaker vessel.
Nervous Syphilis:
Appear 10-20 years after infection. Lesions in the brain that contain levels of meningitis, chronic.
Ceramics in the spinal cord paralysis localized or whole body.
Congenital syphilis:
Spiral bacteria syphilis passed from mother to child in thu5 months of pregnancy. Spiral bacteria directly into the fetus of congenital syphilis should have the following characteristics: never ulcer lesions, lesions develop early, clearly influenced the development of children.
Depending on the severity of maternal infections that may occur should the following circumstances:
Consecutive miscarriage.
Infants died immediately.
Develop lesions after 2-3 weeks of age.
Early congenital syphilis:
Bullae on the palms of the hands, feet.
Edge cracking of feet.
Runny nose lasts.
OA cartilage included fake parrot
Underweight children, wrinkled skin, pale yellow like old leather. Belly, collateral circulation, hepatomegaly, splenomegaly, weight loss quickly, may die suddenly.
Late congenital syphilis: the same three stages of syphilis.
    

Sunday, May 15, 2011

Some picture for Syphilis

Some picture for Syphilis













Syphilis

Syphilis is a disease transmitted by sexual spiral bacterium Treponema pallidum causes. Transmission of syphilis is almost always sexually transmitted, although there are examples of cases of congenital syphilis by transmission from mother to child in utero or at birth.
The signs and symptoms of syphilis are many, so before the serological test was born, the exact diagnosis of syphilis is very difficult because it is often mistaken for other diseases, especially in the third period.

Syphilis can be treated with antibiotics such as penicillin. If untreated, syphilis can cause complications for the heart, aorta, brain, eyes, and bones, in some cases can cause death.
Syphilis developed in four phases: Phase 1, Phase 2, the incubation period and third period:
Phase 1: This is a very important phase for detection and timely treatment. Approximately 3-90 days after exposure to human pathogens (median 21 days), skin lesions appear at the points of contact. Ulcers occur in areas exposed to the syphilis bacteria twisted, usually in the genitals as big lips, her lips, vagina, cervix, circumcision, penis or rectum. Casualties This business, known as the Lower Orange, is a form of ulceration, is characterized by agriculture, round or oval sizes 0.3 to 3 cm, The smooth, red, no itching, no pain, no pus; infiltration bed sores hard and swollen lymph glands accompanied by two groin area, hard and painless. These symptoms can disappear after 3 to 6 weeks even without treatment, many people mistakenly is actually cured but the bacteria into the blood at that time, patients continued with the development of other manifestations.
Phase 2: Phase 2 occurs 4 to 10 weeks after stage 1. This phase has many different manifestations, for example: note the symmetry, such as peach pink (peach) and do the full body itching or extremities including the palms, feet, image dig the red or pink rose petals, such as training, publications in the loss, not floating high above the Skin, scaly and flaking not go away. The two networks are often localized flank, chest, abdomen, upper limb. Training Committee appeared gradually within 1 to 2 weeks, survival did not change within 1 -3 weeks and then gradually faded away.
Or disease can cause the array of matched, note the water burns, sores in the skin and mucous membranes. Array of products, all kinds, many different sizes, such as using peanuts, nails gim, or production of liken, clear boundaries, such as cherry red, not linked to each other, often scaly and flaking edges skin around the property, if available will be linked together to form an array, or schistosomiasis, the production in skin friction due to many crops may be out, running water, the water contains a lot spiral bacteria, so highly contagious when in contact with these patients. Stainer pus and the less common types of training available, mainly in alcoholics, looks like the shallow and deep skin infection with pus. In the wet areas of the body (usually the vagina or scrotum), rash becomes flat, wide, white, or other lesions like warts. Other symptoms common at this stage include fever, sore throat, fatigue, weight loss, headaches, swollen lymph glands. Some rare cases can include inflammation of the liver, kidney, arthritis, periostitis, optic neuritis, uveitis, and interstitial keratitis. These symptoms usually disappear after 3-6 weeks.

Latent period: Latent syphilis is defined as serological evidence of disease but no signs or symptoms of disease. This stage is divided into two types: latent period of less than 1 year after stage 2 (early) and latent period longer than one year after Phase 2 (late). Early latent syphilis may relapse of disease symptoms, late latent syphilis, asymptomatic and not contagious in early latent syphilis.

Phase 3:  Three stages of syphilis can occur between 3-15 years after symptoms first period and were divided into three different forms: neurological syphilis (6.5%), cardiovascular syphilis (10% ) and tubers syphilis (15%). People with syphilis is not infectious stage.

    
* Cu syphilis occurs from 1-46 years after infection (median 15 years), are spherical or plane asymmetry, red plum, slightly purple, maize grain size, density would , clear boundaries, the tubers syphilis benign evolution are not necessarily necrotic atrophy or necrosis or create ulcers, slow healing and less infection than after regular from scarring. If bulbs, including localized in important institutions and will not be treated life-threatening patients.
    
* Syphilis is a neurological disease-related central nervous system. It may happen soon: there are no symptoms or clinical signs in meningitis, or the separation of cerebrospinal fluid changes were obvious clinical symptoms and crude fiber. Or the occurrence of late: to cause injury than meningitis, cerebral, and localized brain damage or degenerative brain injury. Nervous syphilis usually occurs 4-25 years after infection. It can cause debilitating depression, confusion from time to time consciousness, seizures, stroke, or causing the illusion to the patient.
    
* Cardiovascular syphilis usually occurs 10-30 years after infection. The most common complication is aneurysm.