The parasite is a migrating yak larva. The migrating larva (larva migrans): causes, symptoms, diagnosis, treatment

- a whole group of infectious children with illnesses, tied to the infected with larvae of helminths. The main symptom is dermatitis in the eyes of threadlike lines, which are established with oversupply of the bud in the upper balls of the dermis. Visip supervises strong sverbinnya, most often the lower prints. Typical symptoms allow making a diagnosis based on clinical pictures and anamnesis, possibly the appearance of larvae in the school during biopsies. Lіkuvannya etiotropne (antihelmintnі drugs) і symptomatic; admitted to the misconception of Chloretyl, in rare cases, surgical involvement is shown.

ICD-10

B76.9 ankylostomidosis of unspecified

Country houses

cause

The growth of the run is not tied to the localization of the larvae, the fragments of the rud are still chaotic and careless. It is possible to manifest both single and multiple moves, which are remembered for serous visions. In some cases, urticaria and erythematosity appear. In the case of epidermis, in the suprabasal balls, larvae appear without middle, as well as inflammatory manifestations of allergic genesis: necrotic keratinocytes, spongiosis, intraepidermal vesicles, a large number of neutrophilinophils and every

Symptoms of the migratory larva

The incubation period of the warehouse is 1-5 dB, it can change up to decile years, or it can grow up to a month or more. Vinnica larvae at mісці stronger sverbinnya, Sickness, despair, there is a red hump. Closely 40% of cases of seizure infection are on the skin of the lower bones, 20% - on the day, genitalia, 15% - on the abdomen. In the world of ensuing larvae on the skirts, they are susceptible to the sound of thread-like lines of a red-brown color, as they come from the primary hump.

diagnostics

Diagnosis of a migratory larva is confirmed by an infectious agent, it is not often necessary to look at a dermatovenerologist and other doctors. Obligatory retreat of an epidemiological anamnesis with revised trips to natural zones, endemic for this illness. Diagnostic methods required for verifying larval striking include the following methods:

Differential diagnostics should be carried out from migratory myasis, for which it is characteristic of a shvidka (up to 30 cm per day) to let through the middle school of larvae comas, which are very similar in case of boreliasis in iksodovyh clichoust, located on top of beaches with non-straight contours. In case of fungal infections, plaques and peeling are indicated. Symptoms of a mobile larva are also similar to scabs, as they are characterized by direct linear passages of a whitish-gray colora, and contact dermatitis, such as a creep due to the contact of a child with an allergen, which is accompanied by the appearance of a serum

Lіkuvannya mіgruyuchoyi larva

Lіkuvannya invites you to be carried out on an outpatient basis. special dietic recommendations not broken, it is assumed that the bathing style is adequate for the water regime. Ethiotropic therapy of the migratory larva is transmitted by oral administration of drugs to albendazole, ivermectin and thiabendazole, the efficiency is 75-89%. Can be applied to the cream or a suspension with albendazole, the effect can be reached in 96-98% of the range.

The prognosis of sagging, lethal symptoms has not been fixed. With an unrelenting interruption of the ailment, the symptoms of sickness to spontaneous manifestation are approximately 3-5 years. Somewhat up to 22-58% of the fallout in the juvenile larva is not easily interpreted medical advisors However, it is not recognized that there is an adequate response. cause diagnostic pardons the growth is implicit or implicitly the symptomatology of the overloading of itching is implicit in the presence of the scarg.

Specific prophylactic vaccines are not fragmented. By nonspecific visits to prevent the infection є a special hygienic person, see the bathing and prodovannya water in deep waters, walking along the squeak and soil in the gummed, closed type of soil, wiping out the mittens and starting the same type of robot It is necessary to carry out planned dehelmintisation of domestic vikhovanets, vignatas to vigulu dogs on childish maidanchiks.

(Chronic migratory erythem Afcelius-Lipshiutz) - the first stage of borreliosis infection. Vinikє in the bite of an infected boreliasis of the mite when the ailment is infiltrated into the shkira with a sludge coma. Vidminnoy special erythemi є її continuously improve in size with one-hour permission to go to the center. Pathology is diagnosed after consultation with a doctor-infectious disease specialist with the results of an enzyme immunoassay of venous blood for antibodies to the child. Likuvannya - antibiotic therapy, one of glucocorticoids and antihistamines.

Country houses

Miguyucha eritema - infectious dermatosis, which is caused by a bite of a mite, which can transmit boreliasis. It is characterized by a high degree of broadening and a sharp snake between the pathological vognischa, which is a reflection of the viciousness of the word "migruyucha" in the name of becoming ill. Pathology is not unique, racial and gender. The nature of boreliasis gradually expands. Recently, the United States, Australia, the island of Europe, Primorye and Siberia have become endemic territories; 80% of vypadk_v gagvoryuvannya reєstroyuyutsya vlіtku.

Lіkuvannya mіgruyuchoi eritemi

Samolіkuvannya viklyuchatsya. Lіkuvannya mіgruyuchoi erythemi is pathogenetic, carried out by a doctor-infectious disease specialist. Necessity for the onset therapy. Before the hour of the incubation period, preventively in the outpatient minds, cephalosporins, antibiotics of the tetracycline and penicillin series are recognized. Similar therapy is promoted on early stage getting sick. Individual reception scheme antibacterial drugs rozrahoyuti for a skin patient on a kilogram of vagi. If there is an acceleration of resistance before the therapy, then antibiotics are introduced in the second place with antihistamines. In important cases, the glucocorticoid stasis.

When the patient is aborted, the patient is guilty of being guilty at the dispensary for 1.5-3 years of infection (due to the severity of the pathological titre process), periodically due to the antiretroviral

Prophylaxis and prognosis of micro-health

Specific prophylaxis of boreliasis is not sleepy. At the same time, in the phase of active living of the clientele, it is necessary to get rid of the risers to eat the comas on the school: , visoki choboty, headwear), look around the shkіra when turned to the house.

With a bite of a mite of a year, the development of a miguyuchoi eritemi was rolled. It is necessary to take the lump from the shkiri, put it in an airtight vessel and send it for analysis at the SES. It is necessary to return to an infectious disease, which can lead to an interferon or a prophylactic course of antibacterial therapy. Pislya rejecting the results of the analysis of the decision about the further away of the patient's acceptance. Forecast for quick diagnostics and elimination of hospitality.

Enlargement of the disease at mandrivniks, as they turned from tropical lands.
accurate ailment In the United States, there is no home, there are no examples of this disease. In the survey, the Center for the Control of Incapacitation will be guided by the information about those 35-52% of the dogs at the entrances for the animals are infected with worms, which have become infected with the humans. Shkirna migruyucha larva - a friend for wider helminth infection.
In our land, infection is very important in Florida and on the Uzbek coast of Mexico.
Children are sick more often, not older.

To be vicious in dogs and cats with blood-sucking nematodes (crooked heads), for example, Ancylostorna braziliense, Ancylostoma caniurri.
egg worms are transmitted with increments of dogs and kishok.
The larvae live in a warm warm sand / ground.
In the stage of infection, the larvae penetrate into the skin.

Diagnostics of small juvenile larvae

Diagnosis of small juvenile larvae to get a history and clinical picture.
Above the surface, serpiginous or line reddish-brown, walk up to 1-5 cm.
Strong.
Symptoms are trivial with a stretch of decilkoh tyzhnіv or misyatsіv.
Lower pictures, Foot wrinkle (73%), daytime (13-18%) and live (16%)
Chi is not shown. In childbirths, during blood analysis, eosinophilia appears, or the formation of immunoglobulin E.

Differential diagnosis of nestling larvae

In vipadkakh іnfіkuvannya shkіrnoї mіgruyuchoi larva it is not easy to pardon the onset of illness:
Shkirni fungal infections. Vognischa are characteristically flaky plaques and ring-like beaches with permission in the center. Yakshcho serpiginous development of the small, young larva of the young form, often non-invasively transmitted to dermatophytosis.
Contact dermatitis. The visibility of the glaciers in the growth of the head, the visibility of the vesicles and the appearance of the classic serpiginous movements.

Miguyucha eritem with Lyme ailments. Vognischas zzvychay represent themselves as ring-like beaches or plaques, or do not appear sickle-like form and do not rise above the surface of the shkiri.
Phytophotodermatitis. At the stage of phytophotodermatitis, it manifests itself as swelling and vesicles, and is more pronounced in the diagnosis of postinflammatory hyperpigmentation. Such an occasional drink can be taken to the beach, for the sake of not being inflicted by the larvae of the sandwiches, but being prepared to drink with lime juice.

Likuvannya infestation by small nymph larvae

thiabendazole orally - a single preparation, hardened by the Federal Agency for the Control of Leaks, for the treatment of ailments with a shkirnoy migruyuchoy larva.
3 tablets of 500 mg can be prepared with mussel cream (15%) on a water-borne basis. Testing the effectiveness of systemic and social lykarsky forms Bulo nebagato, і carried stinks in the 1960s.
cream є good vibe for children who cannot get a tablet. - The recommended dose for oral administration is 25 mg / kg skin for 12 years for 2-5 days (the dose is not guilty of changing 3 g per day). The cream is applied m_scevo 2-3 times a day for a stretch of five days on the larvae, walking from the flooded 2-3 cm of shkіri above the vognisches.
- The efficiency becomes 75-89% with systemic therapy and 96-98% with muscular therapy.
- Systemic therapy can be carried forward cheaply; side reactions include nudota (49%), blues (16%) and head beats (7%). There are no side effects for muscle preparations.

Ivermectin(Stromektol) (not hardened by the Federal Agency for the control of liquids for the whole storage).
- Recommended single dose, yak become 0.2 mg / kg (12-24 mg).
- Efficiency at a single dose is 100%.
- In a series of six viprobuvan, there are no side effects.
- Bagato fakhivtsiv vvazhayut tse zіb drug Vibor.

albendazole more than 25 rockets have been successfully designated, but also not hardened by the Federal Agency for the Control of Likewise for the whole supply.
- The recommended dose is 400-800 mg per day for 3-5 days.
- The efficiency of perevish 92%.
- Every three days or more, the dose of 800 mg will be consumed, side effects from sides shlunkovo-intestinal tract May be significant in 27% of patients.

cryotherapy it is ineffective and it is too demanding, it is necessary to be unique.
Antihistamines can be damaged.
When a secondary infection is received, antibiotics must be prescribed.

Children of the food need to curl up in the creatures.
For homemade worms: do not allow creatures on the beaches;
It is necessary to be careful when persisting in the middle.

Klinichny butt for striking with nimble maggots... The mother of the 18-month-old boy turned up to the lykar with the drive of the hesitant hangings on the feet and s_dnitsyah of the child. Lykar, looking at the boy for the first time, having set up a grave diagnosis of dermatomycosis of a smooth skin. Likuvannya cream with clotrimazole was not successful. Dytina didn’t even sleep through the continual overwhelming and consuming her appetite. Yogo was hospitalized at an intensive therapy visit, a deluxe likar from an uzuvav, before the first visit to a likar, they turned from a trip to the Karibska Uzbek. Dytina was playing on the beaches, kudi often missed by dogs. Likar developed a serpiginous picture of the appearance of a tiny larva and successfully vigorously in the baby for an additional muscular intake of thiabendazole.

Shkirna form larva migrans (larva migrans cutanea)

Often it is possible to develop the same name, like a fluttering larva and vysuch vysip. Most of the specimens, which are given a form, are representatives of the class of trematodes from the family Schistosomatidae and nematodes (Ancylostoma caninum, Ancylostoma brasiliensis, Strongyloides and in.)

Causes of infection of larva migrans

Infected infection occurs through the skin, if people do not come into contact with contaminated soil or water. Often prices are found in endemic regions, with a rise in prices in exotic lands. Upon contact, the larvae penetrate into the skin, the stench may become oversaturated, overflowing with the characteristic trail.

The larva migrans can be seen in humans from the ice of the lonely line hanging to the swirling embryo, the harsh singing of the shkiri, right up to the generalized attack of the sprinkling woman and the feverish woman. high temperature(39-40 ° C).

In most cases, the penetration of the larva is incomprehensible, in the small cases it means sverbіzh, pokryuvannya, and in the insightfulness of the penetration, it is a heart of plyama or a papule, like in 2-3 days without a trace. Characteristic of the small form of the migrating larva is that it appears on the skin of a burnt roller, which moves, lolling after itself, following itself at the vigilance of its free moves, the so-called "vzucha visip". For adding the larva can move 2 - 5 mm. The roller is a pricey one, like a helminth larva, like a helminth larva, because of its changes (migrations) from a child to a wide range of allergic reactions, nabryak, information, deterioration. People may have symptoms zagalny nezduzhannya at the viglyad adjusted temperature, Headache, zapamorochennya, zagalnoy weakness.

These parts of the body are observed, which were in contact without a middle because of the infected middle (in the most significant cases - contact with food and water on the beaches). That most often the symptoms are manifested:

• Lower kintsivki - legs - 40%;
• Children and genitals - 20%;
• Lives - 15%.

In addition, as the larvae go out, they see it outside. The price will start in 4-6 months.

A strong sheer swelling, as a result of the larva's "rise in price" for scrubbing, provoking combing, which can be the cause of secondary bacterial infection.

General form larva migrans

Cestodes larvae (Sparganum mansoni, Sparganum proliferum, Multiceps spp.) And nematodes (Toxosara caninum, Toxosara mysax, Tohoascaris leonina, Filarioidea, Heraticola i in.). Yak in case of shkіrnoy form, ludin is not a residual ruler for these children, so helminths do not grow up to the state of growth of individuals, but move through the body, settling in the small organs of the watched larvae.

Causes of infection of visceral form larva migrans

Infection is carried out by the way of zakovtuvannya yєts helmіntіv together with water and disgustingly fouled food products (fruits, vegetables). Most often, larva migrans are favored by small children up to 5 years old.

From the helminths, they were fed into the intestines, the larvae migrate, and, having penetrated the intestinal wall and having consumed the bloodstream, settle in the organs of the blood, wicked through the attack. In the organs of the larva, they nudge viglyad pukhirts (for which they name the bulbous larvae) and can reach significant sizes of 5 - 15 cm.

Symptoms of visceral formation

Clinically manifest visceral forms even more efficiently. Symptoms bezposeredno lie in order, which is the organ of the exercise. The first symptoms are repaired in 5-6 months after drinking the eggs into the human body.

An important change in the visceral form in case of central nervous system (When the larvae are bought up in the brain). Klіnіka can be manifested by zagalomoskovy symptoms. Severe headaches, temporal arterial vise, Sudden attacks, paresis and parallel symptoms, symptoms of cranial nerve damage. It is characteristic that the symptoms of a burn-in urazhennya can be detected spontaneously, and after a dozen hour, so spontaneously, become aware. Most often, the central nervous system is opposed by cenura and cysticercus.

The purchase of larvae in the brain can be a picture of a large affirmation (chuckle to the brain).

In the brain, the larvae can grow in spinal cord, Оці, serous shells, mіzhm'yazovoi with good fabrics, Viklikayuchi ruined the functions of these organs.

Larvae hitting the lungs You may suffer from inflammation (bronchitis, pneumonia) and allergic (attack from bronchial asthma).

With ugly liver Symptoms of hepatitis may develop, as well as damage to the moths and cholangs (cholecystitis, cholangitis). The level of indirect bilirubin and state-phase indicators of the liver (ALT, AST, LF, thymol test) is increased. It is indicated that there is a hickot in the mouth, pain in the right edge, nudota, it can develop a zhovtyanitsa, etc.

Getting into the body of a human being of round worms can manifest itself as an important allergic reaction. The change in temperature to 39-40 ° C is indicated, the signs of intoxication are indicated (headball, weakness, appetite, boredom, spoiled, etc.). On shkіrі, there can also be an indication of papulosis and urticaria in viglyadі spinyworms. Illness without adequate treatment can be a mother's uncomfortable prognosis and prognosis trivially, from 6 months to 2 years. at correct lіkuvannya insist outside the vil_kuvannya.

Likuvannya of visceral and educational form of the migratory larva

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Albendazole (Nemozol, Vormil, Aldazol, etc.)
For children under 6 years old, it is not recommended to take the drug at high doses. The dose is taken by the doctor on an individual basis in the case of fallen illnesses as a result of the disease.
The dose for patients with a weight of more than 60 kg should be 400 mg (1 tablet) 2 times for a dose. If the weight is less than 60 kg, the drug should be used with a dose of 15 mg / kg / doba. The qiu dose should be divided into 2 doses. Maximum dobova dose not guilty of perevischuvati 800 mg.

For the treatment of systemic helminthiasis, such as cystic and alveolar echinococosis, neurocysticercosis, capilariasis, cystic lesions of the liver and brain and other. In the middle course of the course of treatment is 28 days, but for the second course it is necessary to carry out several courses. You can wonder more about the lecture schemes in the attached documents.

syndromelarvamigrans

The larvae of deyak nematodes, penetrating into the organism of humans, to curb the folding migration, pochkozhuyuchi on their way shkira i internal organizations... On the screen, there are the appearance of "growing" visipania (eritema, papules, vesicles), babies which repeat the oversubstantiation of helmint larvae.

Sinonymi: ailments, scho wiklikayuyutsya larvae of helmintiv; "The larva of migruyucha".

Epidemiology and ethology

Ethiology

contaminated

Eggs of helminths ripen in the ground, or a squeak, ripen in warm, muddy mountains. As soon as the larvae came out of the eggs, they penetrate into the human organism through the shkira.

Groupi Riziku

People who work on a new day and contact with the warm vologo food: farmers, gardeners, water supply workers, electricians, tesla, ribalki, workers of sanitary and epidemiological service. Lovers spend their journey to the beaches.

anamnesis

Sverblyachka in the moment of penetration of the larvae of the vine through a few years after the infection.

physical dosage

Elementi visipu. Sound, lightly bend over the surface of the smog shkiri 2-3 mm wide - internal hid, filling with a serous ridge (Fig. 30-10). The number of moves was consumed in the organism of the larvae. The speed of the migration of the larvae is within reach of the bagatokh milimeters for the dob, that in the detection of the battle there is only a diameter of centimeters. In case of massive infection, numerical walking is visible (Fig. 30-11). Colir. Chervoniy.

Localization. Vіdkritі dіlyanka tіla, wiggle feet, homіlki, sіdnitsі, brushes.

Клінічні forms

Larva currens. Zbudnik - Strongyloides ster -coralis (gut eel), the larvae of which grow quickly oversaturated (close to 10 cm / h). In the midst of penetration of the larvae, there are papules, papulovesiculi, and crocus (Fig. 30-11); characteristic strong sverb_zh. Localization: perianal area, sidnytsi, quilting, back, shoulders, living. The larvae migrate in the blood-bearing vessels, and both the sverblyach and hang out. Helmint grows in the intestinal mucosa. Visceral form of larva migrans syndrome. The mobile larvae of the dog and kitty toxocara (Toxocara canis, Toxocara cati) and the human ascaris (Ascaris lumbricoi -des) are hostile to internal organisms. Manifest: a course of eosinophilia, hepatomegia, inodi - pneumonitis.

Differential diagnosis

Chervoni smuga chimeric form phytodermatitis (allergic contact dermatitis, wickedness with roslin); photo-phytodermatitis; Lyme ailment (chronic migruyucha eritema); opikas applied by the tentacles of jellyfish; epidermomiko-zi; k_lcepod_bna granuloma.

diagnosis

Deliver a key picture.

Techia

For most of the helminths, Lyudin is a "dead-end" gentleman: the larvae are out of reach of their state of maturity, and they pass independently. Visipannya is known through 4-6 times.

Malunok 30-10. syndromelarvamigrans. The vuzka chervona sounds a smuga, lightly drifted over the surface of the shkiri, repeating the fledgling movement of the helmint larva

lykuvannya

symptomatic lykuvannya

Corticosteroids for zovnishny zasosuvannya, before occlusive dressing.

antihelmintnі zasobi

Thiabendazole is administered orally in a dose

50 mg / kg / day skin 12 years for 2-5 dB.

The maximum dobova dose is 3 g. The drug can be used to fix the drug, before the occlusive dressing.

Albendazole. Visokoeffective. Meaning at 400 mg / dob with a stretch of 3 dB.

cryodestruction

Apply rare nitrogen to the "growing" end of the inner run.

baby30-11. syndromelarva migrans: larva currens. Visip on sidnitsyah: twisted chervoni of smuga, papules, other puffs, vesicles. The very sensitivity of the elements in the visip made it possible to suspect the defeat of the shkiri by the mobile larvae of Strongyloides stercoralis

LARVA MIGRANS, migrating larva(Lat. Larva mask, larva; migrans transitional), - a group of human ailments, scho to wicked maggots of nonlastic helminths of twins. Naymenuvannya for the first time Beaver (R.S. Beaver) s spivavt. in 1952 Infection of people with helminths of the twins is seen by these paths, which are specific for the new species. In the body of people, helminths, as a rule, go through the first stages of development, they are running in fabrics for a few trivial hours.

Seeing shkirnu and visceral forms of L. t. new species helm_nt_v. The shkіrna form (pozucha visip) wicks overwhelmingly with the larvae of nematodes (div. Nematodosi) and trematodes (div. Trematodosi), and the visceral form - larvae of nematodes and cestodes (div. Cestodosi). Nek-Riu author pomilkovo call Larva migrans ailment, so that the migraine of gadfly larvae (div. Miazi) occurs.

shkirna form

Nybilsh by frequent cultivars є ankylostomids and twarin Ancylostoma braziliens, Faria, 1910; A. caninum (Ercolan, 1859) Linstow, 1889; Uncinaria stenocephala (Railliet, 1884); strongyles of great horny thinness (Strongyloididae spp.); shistosomatidy water birds.

Seemingly lonely feral forms of L. t. In the small climatic zones of light, spring in the USA (larvae of ankylostomid dogs, nematode of great horned thinness), in China (paragonimus of dogs and cats), in SRSV.

Infestation, imovinno, can be found in contact with the soil or water (when bathing, cleanly), in which larvae were found in the invasive phase.

The shkirna form is characterized by lyn_inny lesions of the shkiri, which in the course of the feeding of the larvae and supervised by the small sverblyachkoy shkiri. Shkіrnі urazhennya with a lot of thirst for epіdermіs. Small papules, more often pass into vesicles, start at the time of the penetration of the larvae, and the small larvae from the center of the dumplings, those who do not mean the wrong line of papuloveticular hanging for days It’s more old, but on the 2-3rd day, it’s scorching, after 10-14 days it’s more. The ruchoma larva grows in a granular ball of epidermis, immediately under the basal ball. In some cases, the larvae penetrate into larger balls of the shkiri, and then they can again turn into epidermis. The ignition reaction in the case of migratory larvae is mainly of an allergic character.

Likuvannya to carry out Mintezol or Vermox.

The forecast is always hospitable, navigate without addiction.

Prevention - intercourse between unprotected shkiri contact with soil and water in the midst of young larvae in the invasive phase.

visceral form

A visceral form of congestion of the winery is during the migration of the larvae of helminths of the creatures along the internal organs of the human. The most common visceral form of L. t. Viklicyut larvae of toxocara dogs (Toxocara canis; Werner, 1782) and kishok (Toxocara mystax; Zeder, 1800). The numerical variations of the visceral form of L. t., Viklican with helminths, registered in the USA, Poland, Bulgaria, Romania, Yugoslavia, England, Netherlands, SRSR and other countries. In the past, the most popular form of culture can be found in the hottest regions of the country, in Pivdenno-Shidniy Asia, on the islands of the Pacific Ocean, and also in Japan. Described species of anizakidosis - larval stage of the nematode Pseudonisakis rotundatum (Rudolphi, 1819; Mosgovoy, 1950); hepaticculosis - hepaticola hepatica (Bancroft, 1893; Travassos, 1915); gongylonematosis - Gongylonema pulchrum; Angiostrongylus - Angiostrongylus cantonensis (Choen, 1935) і ін.

Infestation with under-rome helminths of animals can be found in cases of clotting of invasive eggs, or larvae with soil-clogged food products, water (for example, Toxocar larvae and in.). In іnshikh vipad people become infected when implanted in їzhu molluscs, shrimps, ribs without thermal processing.

The visceral form is favorably promoted among children in the age of 1-4, who want to see the mood of the middle age. Patol, process є inherited mechanical injection larvae of tissue and fiery reaction to their presence. Allergic granulomas and necrosis appear in the urazhenih tissues. Patol, the process can be found in any organ and tissue, where larvae penetrate, and often in the liver. Around the dead larvae, there is a greater allergic reaction, less than about living ones.

The main symptoms of ailments are fever (div.), Pneumonia (div.), Hepatomegaly (div. Pechinka), hyperglobulinemia (div. Protein.), Eosinophilia (div.). The temperature will change as soon as possible in the evenings and may be supervised for more visibility. Most of the ailments develop pneumonia. A dry cough is promoted, in some cases it is important for asthmatic disorders and cyanosis. When roentgenol, pre-lesions appear flammable eosinophilic infiltrates, lengthening of the malunky, one picture of bronchogenic infiltrates.

Hepatomegaly is a typical sign that can be seen in case of mild invasions. The liver on palpation is sharp, smooth, often stressed. During laparoscopy, there may be many visible blood cells, which, with microscopic pre-sluggishness, appear as eosinophilic granulomas. Rivn of the zealous blood test for the increase in the number of gamma globules, especially IgM.

In the form of important myocarditis and granulomatous eosinophilic pancreatitis. In some cases, they are susceptible to attack by the type of petit mal, accumulated, apparently, by eosinophilic granulomas in the brain. Eosinophilia stiyka, triva, become bl. 50% in leukocyte formulas, or even up to 90%. The number of leukocytes in the sutta is increasing.

Accurate diagnosis of the visceral form of L. t. Do not expect to be young, because K. Viyaviti is a very important larva, but it is not a pity to identify them in large numbers. By means of diagnostic methods - serol, reactions with specific antigens. It is necessary to differentiate from the early stage of the power of these people with helminthiasis (ascariasis, noncatorosis, opisthorchiasis, fascioliasis, schistosomiasis, etc.)

Small preparations for specific therapy є Antihelmintics of a wide range of diy - mintezol (thiabendazole) and vermox (mebendazole). Mintezol should be given a dose of 25-50 mg / kg per dose in three doses for 5-7 days after sleep, Vermox - 100 mg twice a day for 5-7 days after sleep. If necessary, repeat the procedure in 1 - 2 ms.

The triviality of overcoming ailments - from some months to some rocks.

The prognosis is in a large number of cases of hospitableness, and a single rate of deaths has been described.

Prophylaxis: taking into account the rules of special hygiene, sufficient thermal processing of food products.

Bibliogr.: Bagatomne standard in microbiology, clinical and epidemiology of infectious diseases, ed. Ii. N. Zhukova-Verezhnikova, vol. 9, p. 665, M., 1968; Faust E. S., B e a v e r R. S. a. Jung R. C. Animal agents and vectors of human disease, Philadelphia, 1968.

M. I. Alexeva

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Shkirna form (Larva migrans cutanea)

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Klinichny manifest itself as a non-bargaining novelty and is characterized by an appreciation of the sentimentality, a poke or an overwhelming experience in the penetration of helminthes. In case of infection with shistosomatosis on shkiri, it is likely that cercariae have papular elements, which are transformed in 1-3 days into skorinki, often it is more likely that the miscellaneous is widened; It is not uncommon for a short-hour fever, signs of zagalny nezduzhannya, a greater turn in case of repeated infection. After 1-2 pressures (before 5-6 pressures), the infusion is infused. A similar picture can be observed in the early stage of cystosomiasis in humans. In case of invasion by nematode larvae, linear allergic dermatitis develops, and it expands as a rule to the larvae (from 1-5 cm). The triviality of pathological manifestations can be as high as 4-6 m / s, much more.

In the hemogram of ailments of the school form larva migrans - past eosinophilia. At the scrapings of the shkіri, one can know the surplus of larvae.

Forecast of Shkirnoy forma Larva Migrans

When the larvae are bent, you should insist on being bent over.

Visceral form (Larva migrans visceralis)

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Cestodes larvae (Sparganum mansoni, Sparganum proliferum, Multiceps spp.) And nematodes (Toxosara canis, Toxosara mysax, Tohoascaris leonina, Filarioidea, Neraticola and in.)

In case of infection with cestodes in the intestines of humans, the larvae enter the intestines from the helminths, they penetrate through the intestinal wall into the roof and reach the small internal organs, and they transform into healthy tissues, 5-10 cm long. ...

Show (Symptoms) Visceral form Larva Migrans

The larvae stages of the tapeworms (tsenura, cysticercus) grow in the membranes and speech lines of the brain, and they wicketly show a clear picture of the large process (cysticercosis, brain cenurosis). The ailments are discouraged head b_l, Signs of cerebral hypertension, symptoms, epileptiform sudom. In addition to the brain, the larvae can grow in the spinal cord, otsi, serous membranes, midwife tissue, etc.

Invasion of twarin nematodes with eggs (for example, toxocariasis, toxoascaridosis, etc.) When X-ray diffraction, they appear in the legends of "flying" eosinophilic infiltrates. Frequently hepatomegaly with the development of the liver and damage to the liver function tests; eosinophilic granulomas appear in liver biopsies. Analogous changes can be known in nirkas, intestinal tissue, myocardium and other tissues.

The hemogram of such ailments is characterized by a significant eosinophilia (50-90%); mozhliva leukemoidna reaction, SHOE pidvischena. Hyperglobulinemia is common.

Poor sickness until recurrent interruption, the triviality of its reach is 5-8 m / s (in the first 2 years).

Some of the manifestations are spontaneous in the early stages of ascariasis, the triviality becomes 2-3 times.

Ailments of people, wikklicans by the mobile larvae of nematodes

Larva migrans is a group of illnesses, which are viciously wicked by the larvae of helminths tvarine, which are migrating in the body of humans, and who are viciously vicious and defeated by internal organs. The pupils can be representatives of the nematode, trematode and cestode classes. Having consumed the human organism, the larvae of the helminths of the twins, as a rule, do not develop until the stage of development, but they can be smashed on the tissues, the important damage of the organs, which is necessary to play the triviality and the slow twist.

toxocariasis

Toxocariasis is a nematode of the Anisakoidae family (Skrjabin et Korokhin, 1945) in the genus Toxocara (Stiles, 1905). There are two types of toxocar: Tocsocara canis (Werner, 1782) - helmint, which is the enemy of the head rank of representatives of the canine family, and Toxocara mystax (Zeder, 1800) - helmint of the family of kittens, which is one of the most common in English The role of T. canis in the pathology of people has been brought to the fore, but the role of T. mystax is still to be discussed, that in the given hour the term "toxocariasis" can only be used to get sick of people, so Toxocara canis is declared.

1) Lyudin for їkh zzbudnik - nevlastivy gentleman;

2) the pupils in the body of the people cannot reach the state of maturity;

3) a symptom-complex of mutations of larvae to migrate and to mature helminths in shkiri or to the internal organs of humans.

Falsely from the overtake symptoms in the school, visceral and intramural forms of larva migrans. Formerly, in 1969, P. Beaver, having protonated in quiet vapors, since it was a disease of a child, denoted a captive not by the fueling term "small larva", but by a specific name, like the name of the starter (dirofilariasis, angiostomia ). Toxocara canis (Toxocara canis), called toxocariasis.

The main pathways for toxocara infection in dogs include:

1) intrauterine infection through the placenta by larvae;

2) zakovtuvannya live larvae tsucenata with the milk of the mother-year of the dog;

3) zakovtuvannya іnvazіynyh yєts with particles of soil (often in older dogs, led to patent іnvasії);

4) the closure of the invasive larvae with the tissues of the paratenic gentlemen.

Seroprevalence of the population. The incidence of toxocariasis in the population is due to the long-term progress of blood sampling in serological reactions, often in enzyme-linked immunosorbent assay. In this hour, we have rectified the numerical data on seroprevalence with toxocariasis in the inhabitants of the Russian Federation and the country of the SND. This indicator will become, for the butt, in Moscow and the Tula region - 5.4%, in Dagestan - 7.4%, in the Irkutsk region - 6.0%. Minimal rate - in Chukotka A.O., Kamchatka region. In Lithuania, the incidence of the middle of the sick, who turned out for outpatient assistance, becomes 11.5%. Seroprevalence with toxocariasis is permanently inoculated in Bagatyokh regions of the world, most of the time in Columbia (68.2%), in Taiwan (51.4%), in the Netherlands, it is significantly lower (6.1%), and in Japan for all 3.6%. A trace of memory about those, but not all individuals with positive results of serological reactions to toxocariasis ailments. According to our data, the number of ailments in the middle of the warehouse is 1.5% of the number of seropositive.

Granulomas in case of toxocariasis can be established in any organ and tissue for the development of mechanisms of reaction of the adapted type. At the center of granulomas there is a zone of necrosis, along the periphery there is a large number of eosinophils, as well as gastrointestinal symptoms, neutrophils, lymphoid, epithelial cells and macrophages. The number of granulomas with toxocariasis is found in the liver, lesions, as well as in the flesh, myocardium, mesenteric lymph nodes, and the brain. Thus, histomorphological toxocariasis є desemination of eosinophilic granulomatosis, which manifested an allergic reaction of the associated type.

The results of numerical experimental infection of paratenic hospitals with toxocars showed that the growth of larvae in the tissues and their survival is even more unimportant in one of the same type of hospitals, and the most frequent manifestations of toxocariasis are very frequent. Infestation of paratenic hospitals with toxocara eggs with toxocara eggs should be produced for a few days until the liver is infected with a rotated eosinophilic interstitial tissue. At pechintsi, at the same time, it pretends to be rich in granules with larvae and without them. On the periphery of the cellular ball, the granuloma and the larva form a fibrous capsule. So it is very quick to form granulomas in the lungs, how to produce hyperaemia and fatty tissue, active lymphoid reactions, and then until pneumonia and alveolitis are diagnosed. During the first days of the infection, the larvae are introduced into the brain, nirkas, muffs, and organisms and tissues.

Klinika. spectrum key manifestationsє a common type of intensity of the infectious dose and frequency of reinfection, enlargement of larvae in quiet organs and tissues, as well as the stage of immune response. Toxocariasis is characterized by a trivial recurrent interruption (from decile months to decile rocks), which is associated with periodic changes in the migration of toxocara larvae. Ridkisnі lethal diseases in case of toxocariasis mating from migrating larvae into the myocardium and is important in the functional relation of the central nervous system.

The proportion of the incidence of adult clinical forms of toxocariasis is still inadequate, and according to the data given to the Center for the Fight of Ailments in the United States, 20% are reported for visceral toxocariasis, face-to-face - 67%, asymptomatic - 13% of cases in late 1981 in early 1981. In Slovakia (1993), 36% of cases are reported to be visceral toxocariasis, in person - 26%. In the last few years, it was established (Lysenko A.Ya., Feldman E.V., Ribak E.A.) that toxocariasis in children should be reduced to a decrease in the effectiveness of vaccination and revaccination against cortex, diphtheria and the right. In uninfected children, the average antibody titre values ​​often outweigh the lower level before revaccination, while in those infected with toxocaras larvae, the level of the revaccination is too low. In cases of infection with other helminthoses (enterobiasis, ascariasis) T. canis is the most active polyvalent immunosuppressive activities.

Visceral toxocariasis. Visceral toxocariasis is a problem for children, as well as adults, who want to develop more often in children. The development of the visceral toxocariasis occurs as a result of infection with a large number of larvae and is associated, for example, in children with animal geophagy. The main symptoms of toxocariasis are recurrent fever, legene syndrome, abnormal liver changes, lymphadenopathy, eosinophilia, hypergammaglobulinemia. According to our data, in children with toxocariasis, the temperature rises up to early, or even in the evening, superficially with little awareness, often subfebrile, more often - febrile. The temperature reaction, as a rule, is more susceptible during the period of lesions (62% of the temperature). Syndrome of acute lesions develop in 65% of patients with visceral toxocariasis and variation in wide boundaries: from catarrhal symptoms to important asthma conditions. Patients suffer from recurrent catarrh, bronchitis, bronchopneumonia. Turbule dry cough, part of the cough attack, in some cases - important for asthmatic disorders and cyanosis. With auscultation, it is dry, rarely in wheezing. In case of toxocariasis, the development of important pneumonia, which occurred with accelerated disease and ended with lethal traces, appeared. Have decilkokh ailments, as they perebuyut before our visual and trivially suffered bronchial asthma, Along the way, get a toxocarous etiology of the ailment, having found a high level of specific antibodies. Repeated courses of specific therapy led to the elimination of specific manifestations of ailments and gradual reversal. A further follow-up, carried out in the Netherlands, showed that in the middle of children with bronchial asthma ailments or recurrent bronchitis toxocariasis occur at a frequency of 19.2% (in the control group - 9.9%). With radiological predictions of our data, 33.2% of the ailments show many or one single eosinophilic infiltration, the improvement of the lung malink, a picture of broncho-lung infiltration. The order of the lesion syndrome is even more often (up to 80% according to our caution), the increase in the size of the liver is indicated. The liver during palpation is narrow, smooth, often stressed. Approximately 20% of patients have spleen disease, 67% - lymphatic universities, Right up to systemic lymphadenopathy, especially often in children. Lymph nodes are small in size, painless, not welded to navkolishny fabrics. For those who have been overwhelmed in 46% of those who have experienced ailments by us abdominal syndrome(Pain in the abdomen, abdominal pain, nudity, inodi bloating, diarrhea). In 32 ailments, the sufferers become susceptible to recurrent visceral symptoms (eritematoznі, urticarium). On palpation in the visipan, there are not many gaps. Determination of toxocariasis in children with the diagnosis of "eczema", after an hour spent in the Netherlands, showed that, in the middle of them, 13.2% may have high titers of specific antibodies to toxocar. In some cases, toxocariasis contrasts with the development of myocarditis, mabut, and allergic nature. Also described is eosinophilic pancreatitis, development of nirok, eosinophilic granulomas in the rectal mucosa. In an hour, the glimpses of the order of visceral and full-time vision of the neurological form of toxocariasis. When toxocara larvae migrate into the brain, signs of damage to the central nervous system appear in vigilas with convulsions of the "petit mal" type, epileptiform attacks, paresis and parallels. On the other hand, the frequency of high titers of antioxidant antibodies in patients with epileptic seizures in the stomach, but not in the control group of healthy individuals, the protest is the same in those who have the cause of epileptic seizures in no home. Shvidshe for everything, epilepsy є not inherited, but deprived of being infected with toxocariasis factor. infected with toxocariasis wiklikє also development neurological damage, Which are manifested in behavior change: hyperactivity and a wide range behavioral reactions - navchannya, further development of the new middle age, the transmission of a complex of problems to the emergence of a folding situation. The linkage of such manifestations with no toxocariasis in velmi is problematic, however, in one of the gray epidemiological dosages (it is shown in one of the gray epidemics when reading, it is unhappy with toxocariasis and a low level of toxicity before being taken in 1984). A round-up of children 1-15 years held in New York showed that children were inflicted by toxocars in children suttuvі in health children in neuropsychological tests, motor and cognitive functions. Until the present hour, 2 types of toxocariasis desemination with one-hour liver damage have been described, a lesion of the central nervous system in immunocompromised ailments (one - on the other course of therapy with the drive of malignant pulmonary disease and one

Full-time toxocariasis. The development of full-time toxocariasis is mated from infected humans with a minimum number of larvae. Patients with full-time toxocariasis are older, less visceral, immune to an infection of the wrong type, titres of specific antioxidant antibodies in them, as a rule, are not very good. The first symptoms of intramural toxocariasis buli appear on the ear of the 50s. of our capital, since H. Wilder, who had histologically up to 46 eyes, had been diagnosed in children with retinoblastoma (24 vapors), Coates' ailment, endophthalmitis, in 24 vials found larvae of capsicum nematodes Characterized by a snake, an eosinophilic abscess with a necrotic center. In 20 cases of 24 cases, the disease was clinically developed as retinoblastoma. In general, toxocariasis, the eyes began to diagnose in the rural lands with ample posture. Clinically, in children, the disease manifests itself in viglyadi oblique bones, decreased zoru, leukocoria. Larvae can be found in ophthalmologic dosage, for example, in the area of ​​the healthy nerve or in the macular area. All types of toxocariasis are divided into 2 main groups: solid granulomas and chronic endophthalmosis with exudation. It is practical to start with toxocariasis only one eye. With full-time toxocariasis, there are usually no more than one larva. A peculiar form of eye damage in toxocariasis was described by Hogan and the author in 1965. The bull larva was found on the periphery of the sieve in a child with chronic pars planets. At the nasty tili, having passed the exudat at the viglyadi "snigovykh kul". According to the data of the authors (Perkins, 1966), 10% of cases of chronic uveitis are associated with toxocariasis. In some cases (for example, in case of intraretinal migration of the larva), during the ophthalmoscopy, the ruff of the larva can be seen, and in the patient, in the field, there is a young scotoma. Striking a zorovaya nerve by a toxocar larva can lead to one-sided sloughing. At the same time, the disc and nasal cells are infiltrated by lymphocytes and eosinophils, plasma cells. Ophthalmologist V.M. Cherednichenko (1985) vidіlyaє takі їkh form:

1.granulomas in the posterior aspect of the eye, 2.peripheral granulomas, 3.veit, 4.pars-plan, 5.Chronic endophthalmitis, 6.abscess in the mucous membrane, 7.neuritis of the healthy nerve, 8.keratitis, nasty tili.

The best methods for diagnostics of intramural toxocariasis are not abnormal. In bagatokh vipadkakh diagnosis is only diagnosed with histological diligence. Brown (1970) occasionally found that 245 nucleated eyes were associated with the diagnosis of retinoblastoma, in 88 (35.9%) toxocara larva were detected. By means of preliminary methods of diagnostics of intramural toxocariasis and immunological reactions (they are not informative in case of intramural toxocariasis), ultrasound and radiographic information. In 1977, it was promoted in the most common cases of retinoblastomy and conduction serological dosage on toxocariasis of the punctate of the anterior chamber, and in 1979 - biopsy of obstetric body.

Infection with toxocariasis. We carried out a survey of the estimated number of individuals suffering from visceral toxocariasis in the Russian Federation. Ochіkuvane the number of ailing middle children in vіtsі up to 14 years become 184 yew. Osib, in the group over 14 years old - 366 yew. In total, the number of toxocariasis ailments can be close to 550 yew. Cholovik, warehouse 380 for 100 yew. Population. For the sake of it, it’s a similar indicator for ascariasis in 1993, sklav 71.8. In general, it is obvious that full-time toxocariasis is more underdeveloped, less visceral. The price of viplivania with data in the United States, from the middle of 700-1000, were reestablished by the Center for the Fight against ailments in toxocariasis (on the thought of the Center for Fighting Ailments, which are far from being the case), about 500-600% are brought in for intramural toxocariasis.

Laboratory diagnostics. One of the leading and most persistent manifestations of the visceral form of toxocariasis is the stage of trivial eosinophilia up to the development of eosinophilic-leukemic reactions of the blood. The average level of eosinophilia is 30%, and in some cases it can reach 90%. The high level of eosinophilia is also indicated in some cases of full-time toxocariasis (up to 44%), but in general it is less pronounced and not very persistent. The total number of leukocytes can also grow up to 15-20 * 109 / l, and in some cases - up to 80 * 109 / l. Eosinophilia can be taken with a stretch of decilkovy mіsyatsіv and navіt rokіv. At the point cystic brain eosinophilic hyperplasia appears, SHOE is susceptible to change, in one sense. With a trivial interruption of ailments, anemization of ailments will gradually increase, the number of erythrocytes decreases, and hemoglobin levels decrease. Rivn of the zagalnye bleak of blood from the growth for the rakhunok of globules. In the early period, the ailments change immunoglobulin class M, and more immunoglobulin class G appears. Especially the growth of immunoglobulin in class E, which changes the norm in around 25-30 ailments. In case of toxocariasis, the eyes are not swollen, but they may be visible.

diagnostic value key signs visceral toxocariasis in balls

(According to L.T. Glickman, 1978) Signs: Diagnostic value in balls:

Eosinophilia of peripheral blood (5)

Leukocytosis (4)

Збільшення ШОЕ (4)

Hyper globulinemia (3)

Hypoalbuminemia (3)

Anemia (2)

Recurrent hot water (3.5)

Legenewy Syndrome (3.5)

X-ray signs of a lesion (2)

Zbіlshennya rozmіrіv pechіnki (4)

Neurological problems (1.5)

Shkirnі strikes (1)

Lymphadenopathy (1)

If there are symptoms and a sign that you can get over 12 points, you can use the immunological method to treat toxocariasis. The diagnosis of toxocariasis is significant in the case of an epidemiological anamnesis. Ordering for a family dog ​​for close contact with dogs high risik infected with toxocariasis. The presence of an allergy to the wool of a creature is also often encountered in case of toxocarial infection.

Likuvannya. The problem of specific therapy of toxocariasis cannot be considered by the virus. Good results are obtained with prescribed Mintezol (Thiabendazole), Vermox (Methobendazole) and Ditrazin (Dietilcarbamazin). Mintezol is used to give a dose of 25-50 mg per 1 kg of oil for 5-10 days after a while. Sparing the side effects, tied with the infusion of Mintezol, shortly and quickly pass when the drug is administered. Before them, the loss of appetite, tedium, headache, drowsiness, pain in the abdomen are reported. The drug shvidko gets wet from the shlunkovo-intestinal tract and vivoditsya nirkami. There is no evidence of any negative impact on cardiovascular systemі organi dikhannya. Vermoks priznachayut directly in vіku 100 mg 2 times and for a stretch of 2-4 tiznіv. Increase the dose to increase the dose to 300 mg. bitter appearances(Pain in the abdomen, nudota, diarrhea) are found in the edge of the country. Ditrazine citrate should be used in a dose of 2-6 mg per 1 kg of oil for a dose of 2-4 times. With lіkuvanny, there can be vicious side reactions: headache, zamorochennya, nudota, innocent fever. The improvement of the relative efficiency for the treatment of visceral and intramuscular toxocariasis thiabendazole and albendazole, carried out in 1989 in Tsurich (D. Sturchler, P. Schubarth), showed a high efficiency of both drugs in the presence of a dose of 10 mg / If possible, I recommend that you use albendazole. Oscillations of the preparation may be teratogenic, and should not be used for the treatment of women. Side effects, which occur in the presence of antihelmintic drugs, can be tied not only to the toxic dose of antihelmintic drugs, but also to the reaction of the body to the death of toxocara larvae. To this, in the process of treatment, it is also worthwhile to acknowledge antihistamines as well.

The criteria for the effectiveness of the treatment followed the progressive decrease in the level of eosinophilia, the regression of the clinical manifestations of ailments, the decrease in the level of specific antibodies to the level of 1: 800 and lower. In case of general polishing of clinical and laboratory indicators, the course of specific therapy should be carried out in 3-4 ms. In some cases, 4-5 courses of study are required.

anizakiasis

Diagnosis is put on the display of houses about the living in the Syrian people of life, trickyness, cliche pictures and morphological dosage biopsy material. Some of the larvae can be found in the bloody masses or feces of the sick. At the present time, the criteria for morphological identification of the larvae of anizakid are broken. Stagnate also serological reactions with a specific antigen. Likuvannya is not broken up. It is possible to ochіkuvatie efektu from the consumption of mebendazole and thiabendazole. In case of ulcers of intestinal imperfections, the urazhene of the intestine is resected. The forecast is good in case of a prompt liking.

Prophylactic come in to include the correct technology of ribbing processing (shvidke patrannya), showcasing ribs in freezers at temperatures - 20 ° C for a period of 60 years, correct cold ribbing processing.

Angiostrongilez

gnatostomosis

dirofilariasis

The effect is described for the use of thiabendazole, mebendazole.

Tropical eosinophilia syndrome

Tsey syndrome was previously tied for migration in humans, nematodes Twarin. Most of the authors vvazhayut, scho ethiological factorє migration of microfilaria W. bancrofti. Tropic eosinophilia is seen by endemic vuchererosis (India, Shri-Lanka, Pacific Islands). Indigestion is characterized by the development of a trivial flow legeny syndrome after the type of Leffler's syndrome and endomyocarditis with the result in endomyocardiofibrosis. Stimulation of blood hypereosis, inodi - hepatolienal syndrome. Legeny syndrome in tropical eosinophilia - WEINGARTEN syndrome is pathogenetically and clinically close to becoming ill, develops when people are infected with alien species of helminths. Tsey syndrome is manifested by attacks of cough, often with an important asthmatic component, back pain, chest pains high fever, Hypereosinophilia, high SHOE, Hypergammaglobulinemia. Radiographically in the legends, there are enhancements of bronchial-blistering babies, pyramidal dibs, and even in the middle and lower Legeny fields with the radial severity of the legends. With differential diagnosis, it is necessary to remember about the possibility of developing idiopathic illnesses, the development of Leffler's syndrome on aphids of eosinophilic vasculitis.

When contacting from the obstructed middle, the larvae quickly penetrate into the unsuccessful school, provoking in the course of the migration, the fiery fiery see on the products of its own secretion. , fishing, misleading, as well as being on the beaches of the graduates and playing on the ground for children.

Sverblyachka in the place of penetration of the larvae of the vine, even after a few years of infection, and usually after 2-3 weeks. passing from decile milimeters up to decile centimeters wide, flaringly vivid, slightly drifting over the surface, internal going from horny-red to purple-violet gray ring, flaring up to 2-3 mm nagadu slid of the sea ravliki, without a reason to collapse along the squeak when there is an outflow. The trail slides down 0.5-3 cm in front of the visible end of the move into the reactive zone.

On odnіy dіlyantsі Mauger Buti prisutnіm kіlka larvae SSMSC utvoryuyut kіlka blizko roztashovanih hvilyastih lіnіy.Naіbolee often vrazhayutsya Stop i ankle potіm slіduyut sіdnitsі, genіtalії i ladonі.Otmechaetsya sverbіzh od pomіrnogo to strong, іnodі sposterіgayutsya vtorinna іnfektsіya i ekzematozne broken-winded.

Without licking, the larva of the guinea after 2-8 months.

Клінічні forms

• Larva currens (shkirny strongyloidosis). Zbudnik - Strongyloides stercoralis (gut eel), the larvae of which grow oversaturated (close to 10 cm / h). In the middle of the penetration of the larvae, there are papules, papulovesiculi, and sprinkling; characteristic strong sverb_zh. Localization: perianal area, sidnytsi, quilting, back, shoulders, living. The larvae migrate in the blood-bearing vessels, and both the sverblyach and hang out. Helmint grows in the intestinal mucosa.
• Larva migrans syndrome (visceral form). The mobile larvae of the dog and kitty toxocara (Toxocara canis, Toxocara cati) and the human ascaris (Ascaris lumbricoides) are hostile to internal organisms. Manifest: a course of eosinophilia, hepatomegaly, inodi - pneumonia.
• Leffler's Syndrome is a possible accelerated infection of Ancylostoma braziliense, including focal infection of lesions and eosinophilia.

Diagnosis is made on the basis of clinical picture and diagnosis. In 30% of cases it is eosinophilia. breast cancer may appear in the display of information.

• scab
• schistosomiasis
• bather's little baby
• Opik of the Portuguese ship
• Contact with jellyfish
• Erythema kilcepodibna from the center of Daria
• eritema migruyucha
• Phytophotodermatite
• Contact dermatitis
• mycosis of the feet
• loiasis
• Drakunculiasis
• gnatostomosis
• Alien tilo

In typical types of migration and sverbіzh, it takes 2-3 days for a cob to pick up

systemic therapy

• Ivermectin 200 microns / kg (average dose 12 mg) in a single oral dose. The lesions heal in 5 days after receiving an ear of Invermectin. Another course of drug administration in the same dose should be carried out at the time of recurrence.
• Albendazole (either 400 mg orally once a day, or 200 mg orally twice a day for 3-7 days). It should be done to repair the service, it will take 3-5 days to repair, and it will take 6-7 days to check it.
• Thiabendazole. Meaning vseredin at a dose of 50 mg / kg / day skin 12 years for 2-5 days, the maximum dobova dose is 3 g.

Secondary infections should be stagnant for antibiotics.

misce therapy

Attachment of a broken end to the presence of rare nitrogen is often ineffective.