Environmental change, climate warming, population density increase, high migration activity of the population and other factors provoke the emergence and spread of new infections around the world. The emergence in December 2019 of diseases caused by the new coronavirus («coronavirus disease 2019») has already gone down in history as an emergency of international importance. It is known that the most common clinical manifestation of a new infection is pneumonia, and also in a significant part of patients — respiratory distress syndrome. Our article provides a brief analytical review of these temporary guidelines Ministry of Health of the Russian Federation «Prevention, Diagnosis and Treatment of a New Coronavirus Infection (COVID-19)», version 3 (03.03.20) and other published sources. The team of authors expresses the hope that these data will be useful to doctors in providing medical care to patients with a new coronary virus infection, as well as to teachers in preparing students and residents. Source: Ministry of Health of the Russian Federation. Temporary guidelines «Prevention, diagnosis and treatment of new coronavirus infection (COVID-19)», version 4 (27.03.20). Available on: https://static-3.rosminzdrav.ru/system/attachments/attaches/000/049/881/original/COVID19_recomend_v4.pdf
An article aims to generalize data on Lyme disease’s natural nidality and it’s causative agents ecology, spectrum of carriers and reservoir hosts, mechanisms and routes. Clinical aspects, diagnosis, core principles of Borrelia diseases treatment are discussed in the paper. Once “tick-born disease” activator found in the mite’s body, the study describes immediate preventive measures with the usage of medication. Borrelia miyamotoi is been studied over the last years, as well as pathogenic diseases caused by it. Full Ixodic Lyme Disease diagnosis includes dynamic study of IgM and IgG antibodies, Immunochip and PCR. The article shows case history of a patient with erythematous Lyme disease and full disease’s management.
The popularity of home canning contributes to a sufficiently high incidence of botulism worldwide. The canned products containing botulinum toxin do not change neither color, taste, nor smell of contents of canned food. The criteria for the severity of the course of botulism are considered a violation of swallowing liquid food and symptoms of difficulty breathing. A distinctive feature of the paralytic syndrome in botulism is its symmetry and the absence of a violation of sensitivity. The criteria of the severity of the course of botulism is considered a violation of swallowing liquid food and the severity of acute respiratory failure. The paper presents the features of the therapy of the patients with botulism in the intensive care unit. Clinical examples illustrate the difficulties in recognizing botulism at the early stage of the disease, which are due to the polymorphism of the clinical picture of botulism and the similarity of symptoms with other diseases. Most commonly, patients with botulism are diagnosed with acute intestinal infection or the neurological pathology. Patients are not hospitalized in a timely manner, which can affect the outcome of the disease. The ability to recognize botulism at the prehospital stage is necessary for all doctors.
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