Particularitǎţile clinice ale amibiazei intestinale la momentul actual

Abstract

The research was performed in SCMBCC on 116 patients diagnosed with Intestinal amebiasis in 2007. The disease affected children of the age of 0-2 in 83,62% of cases (97 patients), the age of 3 to 6 years in 12,93% of cases (15 patients) and the age of 7 to 17 in 3,44% of cases (4 patients), with the prevalence of male in 52,59% (61 patients), versus female 47,42%(55 patients). In 87% of all cases the disease had evolved on a unfavorable ground of the following simultaneous diseases: acute respiratory infection, ascaridisis, urinary infections, tonsillitis. In 81,89% of cases(95 patients) the disease had a moderate evolution, in 17,24% of cases (20 patients) the evolution was severe, and in 0,86% of cases (1 patient) the evolution was very severe. Complications occurred in 12,93% of cases (15 patients), with toxic nephritis in 7,79 % (9 cases) and acetonemic vomiting 5,17%(6 cases). Fever less than 38°C was registered in 35, 34% of cases (41 patients), fever higher than 38°C was registered in 47,41% of cases (55 patients) and normal temperature was registered in 17,24% of cases (20 patients).

A fost efectuat un studiu la SCMBC Chiţinău în perioada anului 2007, unde au fost examinaţi 116 copii cu amibiază intestinală. Maladia a afectat copiii cu vîrsta de la 0 pîna la 2 ani - 97 cazuri (83,6%), de la 3 pîna la 6 ani - 15 cazuri (12,9%), de la 7 pîna la 14 ani - 4 cazuri (3,4%), cu predominarea sexului masculin (52,6%), vizavi de cel feminin (47,4%). Boala a evoluat pe un fondal nefavorabil in 87% din cazuri cu următoarele boli concomitente: infecţie respiratorie acută, infecţii ale căilor urinare, amigdalită lacunară, ascaridoză. Amibiaza a avut o evoluţie de gravitate medie la copii (81,9%), gravă–la 20 copii (17,4%), şi foarte gravă – la un copil (0,9 %). Complicaţii au survenit în 15cazuri (12,9%): nefrită toxică - 9 cazuri (7,8%) şi vomă acetonemică- 6 cazuri (5,2 %). Amibiaza a evaluat cu febra 96 la copii, inclusiv t0 pînă la 38˚C au avut- 41 copil (5,3%), mai mult t0de 38˚C – 55 (47,4%); afebrili au fost 20 copii (17,24%).