Friday, March 6, 2009

What is Diphteria

Definition
Diphtheria is an acute infection of the respiratory channels of the top
caused by the bacteria Corynebacterium diphtheriae. More often attacked
children.
Causes
The causes are the bacteria Corynebacterium diphtheriae. The bacteria are usually
the respiratory channel, especially laring, tonsil and throat. But
not less toxic, and also attacks the skin and even cause nerve damage
and heart.
Illustration clinic
- The period of the shoot 2 - 7 days
- People complain pain and swallow breath stridor,
the children not infrequently followed by fever, nausea, vomiting, shivering and headache.
- People with shortness of breath appear with or without signs obstruksi breath.
- Fever is not high.
- On examination the throat membrane appear grayish white that is easily
bleed when touched.
- Symptoms are not always available:
§ Sumbatan way so that the breath of sianosis
§ breath odor
§ bleeding nose
- The enlargement limfe gland in the neck (bullneck)
- Inflamasi with many local eksudat faring, eksudat in the sticky
mukosa gray or dark edema and network software. In the children,
phases of this disease can lead to road obstruksi breath.
- A systemic disease caused by a bacterial toxin started 1 - 2
sunday after the local symptoms. Toxin affects the heart (miokarditis,
aritmia especially during the second sunday of disease) and nerve system
(paralisis, neuritis 2 - 7 sunday after disease). When patients
recover from the acute phase of disease, usually recover without deviation broadcaster.

Diagnosis
Therapy needs to be decided on the basis of anamnesis and description
clinical.
Diagnosis is confirmed with a bacterial culture taken from eksudat in
tube to sample bacteria. Samples must kultur on special media, for that
need to first notify the laboratory. Lear preparat taken 3 days
respectively.
Treatment
- Patients asimtomatik given profilaktik either erythromycin antibiotics.
- Patients should be referred to simtomatik hospital.