2011年4月22日星期五

Venereal lymphogranuloma diagnostic and treatment practices

1 diagnostic criteria

1.1 The history of contact with non-marital sexual contact history or spouse infection history.

1.2 Clinical manifestations


The disease by the Chlamydia trachomatis L1, L2, L3 type of cause.

1.2.1 5 to 21 days incubation period, an average of 7 to 10 days.

1.2.2 The early days of the beginning of sores, genital area outside appears a single (sometimes multiple) small papules, erosions, ulcers, a few days to heal.

1.2.3 1 to 4 weeks after unilateral inguinal lymph node enlargement and tenderness. It can be the formation of the inguinal ligament, to separate "groove sign. " Fistula formation may rupture "spray bottle-shaped" scar left after healing. May have fever, joint pain, hepatosplenomegaly, erythema nodosum and so on.

1.2.4 occurred late rectal stenosis, genital elephantiasis.

1.3 Laboratory tests

1.3.1 4 weeks after infection with chlamydia as a complement fixation test were positive; 1:64 or more to have diagnostic significance. Or for micro immunofluorescence serological tests.

1.3.2 enlarged lymph nodes for pathological examination with stellate abscesses surrounded by epithelial cells in palisading. Lymph node extracts the white blood cells revealed by immunofluorescence of inclusion bodies. Conditions can be used for C. trachomatis culture.

1.4 Case Classification

1.4.1 with 1.1 and 1.2 reported cases of the indicators.

1.4.2 confirmed cases with 1.1, 1.2, 1.3 the indicators.

2 principles

2.1 The principles of treatment must be clear diagnosis; treatment sooner, the better; treatment must rule, sufficient to complete the prescribed course of treatment; treatment enough time to go through regular follow-up observation; partner must accept the examination and treatment; treatment before and during treatment to avoid Sex life.

After contracting 2.2 more formal treatment and prognosis of patients with active symptoms and signs disappeared. Early treatment of good prognosis, may occur late rectal stenosis, elephantiasis and other sequelae.

2.3 The management and prevention to avoid non-marital sexual contact, sexual contact with the patient recently for the preventive treatment should be. Refer to the relevant measures of other sexually transmitted diseases.

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