What diseases can cholera like syndrome cause?
summary
Cholera like (janbon) syndrome refers to acute necrotizing inflammation in which the surface of colon or / and small intestine mucosa is covered with pseudomembranous substances composed of cellulose, mucus, necrotic mucosa and inflammatory cells. Therefore, it is named pseudomembranous enteritis, postoperative enteritis, antibiotic associated enteritis and anorectal syndrome. What disease can cholera like syndrome cause? Now let's talk about it.
What diseases can cholera like syndrome cause?
Toxic megacolon, characterized by high fever, tachycardia, decreased blood pressure, drowsiness, systemic failure; Abdominal rapid expansion, tenderness, percussion was drum sound, bowel sounds weak or disappeared, and occasional lower gastrointestinal bleeding. Acute perforation is often indicated when abdominal tenderness, rebound pain and muscle tension appear. Laboratory examination showed that the total number of white blood cells and neutrophils increased significantly, the nucleus shifted to the left and toxic particles appeared. Anemia, hypoproteinemia, hypokalemia, hypocalcemia, hypomagnesemia, dehydration, etc. Abdominal X-ray plain film showed segmental or total colon dilatation, especially transverse colon and splenic flexure.
Paralytic ileus, the prominent performance of paralytic ileus for abdominal distension, and often accompanied by vomiting stomach content, vomit without fecal taste. The patient can't sit up and has difficulty breathing. Due to the loss of a large number of body fluids, I felt extremely thirsty and decreased urine volume. Physical examination: abdominal distention, abdominal breathing disappeared, intestinal type and peristaltic wave were not seen; Abdominal tenderness was not significant; Percussion showed uniform tympanic sound, and the boundary of liver voiced sound was reduced or disappeared; During auscultation, the bowel sounds were obviously weakened or completely disappeared.
Intestinal perforation. According to the medical history, symptoms and signs, X-ray examination, abdominal ultrasound, CT and other examinations, it is not difficult to diagnose. But in the process of diagnosis, we must make clear the location and cause of perforation to guide the treatment.
matters needing attention
If you go to a country or region with a high incidence of cholera, you must pay more attention. If you can try not to go or less, you should keep a distance from the people suffering from the disease. If you go to visit such patients, you must disinfect them after you come back and change all the clothes.