传染病学常考的英文内容
Bacilliary dysentery amebic dysentery
Incubation period several hours-7days 1-2weeks
endotoxemia symptoms usually(fever) ,obvious seldom or mild(fever)
abodominal tenderness left lower quadrants right upper quadrant
diarrhea as high as 20~40times/day several times/day
Tenesmus +++—++++ (-)~(+)
Predilection site rectosigmoid colon appendices and ascending colon.
Stool: : pus and blood bloody stool usually scanty with mucus etiology Culture : shigella entamoeba trophozoites
volume small large
WBC much less
RBC less much
Blood WBC ↑↑ normal or onset↑
Sigmidoscopic diffuse erythema with flask- shaped ulcers with raised
Examination superficial ulcers edges and normal intervening mucosa
Treatment antibiotics anti- ameba
19. The Main Differences Between amebic liver abscess and bacterial liver abscess
amebic liver abscess bacterial liver abscess
history amebic colitis septicemia or abdominal purulent disease symptom onset slow, long-term fever, weight loss. onset urgent,toxemia symptoms striking Liver:
enlarged liver,tenderness notable mild
abscess single,large, many,small,
brown colour pus yellow-white pus
entamoeba trophozoites be found bacterium culture :positive
Blood WBC,N ↑ ↑↑↑
Blood culture negative positive
Therapeutic response good curative effect can be gained good curative effect can be gained when using he anti- ameba agents when using t antibiotics
Prognosis relatively good easy to relapse