Venereal lymphogranuloma (venereum limfopatiya, lymphogranuloma venereum, a tropical bubo) - a chronic infectious disease, most often transmitted through sexual contact and is characterized by lesions of the soft tissues of the urogenital region and lymph nodes.Hodgkin's disease is a causative agent of venereal Chlamidia trachomatis.Most often, the disease is found in tropical and subtropical climates (Latin America, Australia, Asia, Africa)
Venereal chlamydia causes of
To date, causes and subsequent development of Hodgkin's disease until the end and not found out.In the 20th century, most scholars have tended to tuberculous nature of the disease.Currently we discussed genetic and viral theory of the origin, but according to the International Classification of tumors of lymphoid and hematopoietic tissue (World Health Organization from 1976), sexually transmitted chlamydia is considered a form of malignant lymphoma.Besides still considered hereditary, immune and
Venereal chlamydia symptoms
The incubation period can greatlyIt varies and depends on several factors: the accompanying diseases and their treatment, imbued with the number of pathogens from the immune defense and so forth. Most often, it lasts from three to seven days, but there were cases of duration from one to twelve weeks.At the end of the incubation period begins prodromal phenomena in the form of general malaise, weakness, fever and headaches .
are three current period venereal lymphogranuloma :
Primary - observed in the place of introduction of the appearance of the primary symptoms.
Secondary - on the background of the general reaction of the body affects the peripheral lymph nodes.
Tertiary - severe manifestations of the disease, when in the perianal region, on the mucous membrane of the rectum and genitals are formed hypertrophic, inflammatory - elefantiaticheskie and ulcerative processes, passing in stenosis and scarring.
primary lesion or chancre lymphogranulomatous women often occurs in the labia or in the vagina, on the cervix less;men - on the penis, at least - on the skin of the groin or in the urethra.When oral or anal sexual intercourse primary lesion can occur on the fingers, tongue, lips, and rectum.Primary lesions take the form of pustules, papules, sores, or surface erosion.
In most cases, the first sign of Hodgkin's disease is a venereal appearance of a single vial, and then transformed into the erosion or superficial ulcers round shape with smooth edges that are prone to self-healing without a treatment for several days, followed by scarring.After a few days of the appearance of the primary lesion, begin to grow some of the regional lymph nodes, may appear of moderate limfangiita.
After quite a short period of time (from a few days to three weeks) after the appearance of the primary lesion, develops the most characteristic symptom of venereal lymphogranuloma (second period) - the defeat of the regional lymph nodes.The lymph nodes become painful, sealed, soldered together.The groin is formed lumpy dense infiltration, exceeding in size a large lemon, there are painful sensations.The skin in the area of infiltration acquire the color from pink to blue - red and become quite painful on palpation.On the surface infiltrated develop festering pockets, which are individual isolated many soft.
In the absence of adequate timely treatment of the disease continues to progress, moving in the Tertiary period, which is characterized by the development of severe destructive changes in the lymph nodes, and in the surrounding organs and tissues, increased spleen and liver.The main feature of the Tertiary period is developing in one - two years since the start of venereal lymphogranuloma genitoanorektalny syndrome.Due to the anatomical features of the genitals in women the syndrome develops more often
Venereal lymphogranuloma complications
Early complications: recto - vaginal fistula, anal fistulae, adrectal abscess, ischio - rectal fistula vesico - rectal fistula, fistula defeat sexualMember ulcerative lesion of the penis, scrotum fistula, urethral fistula.
Late complications: chronic swelling and induration of the penis and the vulva (due to obstruction of the lymphatic vessels);elephantiasis of the genitals, stricture of the urethra and rectum;women - ulceration of the external genital organs and so forth.
diagnosis of venereal lymphogranuloma is set based on the data of laboratory tests (serological, bacteriological examination, microscopic examination, skin tests) and on the basis of clinical
Venereal lymphogranuloma treatment
Iftimely treatment, modern medicine is able to completely cure the disease.Currently, treatment with antibiotics tetracycline, macrolides and sulfanilamidnymi drugs.The recommended course of antibiotics and sulfonamides is 21 days.A good effect in the early stages of the disease has a causal treatment.With deep fibrotic changes is shown holding a re-treatment in two weeks.In the presence of disfiguring scars, fistulas and other fibrotic rebirth, in addition to antibiotics and sulfa drugs are shown injection lidazy, vitreous or aloe.