Rickettsialpox

ʻO Rickettsialpox kahi maʻi i hoʻolaha ʻia e kahi mite. Hoʻokumu ia i kahi ʻāpana moa-like ma ka kino.

Hoʻokumu ʻia ʻo Rickettsialpox e ka bacteria, Rickettsia akari. ʻIke ʻia ia ma United States ma New York City a me nā wahi kūlanakauhale ʻē aʻe. Ua ʻike ʻia ia ma ʻEulopa, ʻApelika Hema, Kōlea, a me Lūkia.

Hoʻolahalaha ʻia nā koʻohune e ka nahu o kahi mite e ola ana ma nā ʻiole.

Hoʻomaka ka maʻi ma ke kahua o ka nahu mite ma ke ʻano he ʻeha ʻole, kūpaʻa, ʻulaʻula (nodule). Hoʻomohala ka nodule i loko o kahi blister piha i ka wai e hū a pā. Aia paha kēia puʻupuʻu i 1 iniha (2.5 centimita) ākea. ʻIke mau kēia mau puʻupuʻu ma ka maka, ke kumu, nā lima, a me nā wāwae. ʻAʻole lākou e ʻike ʻia ma nā poho lima a me nā kapuwaʻi o nā wāwae. Hoʻoikaika mau nā ʻōuli ma ke ʻano he 6 a 15 mau lā ma hope o ka pili ʻana me ka bacteria.

Hiki i nā ʻōuli ʻē aʻe ke:

• ʻO ka hōʻoluʻolu ʻole i ke kukui mālamalama (photophobia)
• Fiva a me nā anuanu
• ʻEha poʻo
• ʻEha ʻeha
• Rash e like me ka moa
• Hoʻoulu
• Mū ihu
• Eha ka 'ā'ī
• Cough
• Nā lymph node hoʻonui ʻia
• Loaʻa ka ʻai ʻole
• Nausea a i ʻole ka luaʻi

ʻAʻole ʻeha ka hū a holoi mau i loko o hoʻokahi pule.

E nānā ana ka mea mālama ola e nānā i kahi ʻōpala e like me ka moa.

Inā kuhi ʻia ʻo rickettsialpox, e hana ʻia paha kēia mau hoʻāʻo.

• Helu piha koko (CBC)
• Nā hoʻāʻo o ke koko serum (serologic haʻawina)
• Swabbing a me ka moʻomeheu o ka hū

ʻO ka pahuhopu o ka mālama ʻana e hoʻōla i ka maʻi ma ka lawe ʻana i nā lāʻau ʻaloʻalo. ʻO Doxycycline ka lāʻau i koho ʻia. Hoʻōmi ka mālama ʻana me nā lāʻau antibiotic i ka lōʻihi o nā ʻōuli i 24 a 48 mau hola.

Me ka ʻole o ka lapaʻau, hoʻonā ka maʻi iā ia iho ma waena o 7 a 10 mau lā.

Kuhi ʻia kahi ola hou ke lawe ʻia nā antibiotic e like me ke kuhikuhi.

ʻAʻohe maʻamau i nā pilikia inā mālama ʻia ka maʻi.

Kāhea i kāu mea hāʻawi inā ʻo ʻoe a ʻo kāu keiki paha nā ʻōuli o ka rickettsialpox.

ʻO ke kaohi ʻana i nāʻiole e pale i ka hoʻolaha ʻana o ka rickettsialpox.

Rickettsia akari

ʻO Elston DM. Nā maʻi bacteria a me nā ricket. I: Callen JP, Jorizzo JL, Zone JJ, Piette WW, Rosenbach MA, Vleugels RA, eds. Nā Hōʻailona Dermatological o ka maʻi ʻōnaehana. 5th lā. Piladelapia, PA: Elsevier; 2017: chap 32.

ʻO Fournier P-E, ʻo Raoult D. Rickettsia akari (Rickettsialpox). I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 187.