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Cutaneous mycoses are third among diseases after parasitic and infectious ones that pose problems for persons returning from the tropics. The paper presents semiotics of the following tropical superficial mycoses: tinea imbricata, infections with Scytalidium, tinea nigra. zakażenia grzybami Scylalidium, łupież czarny, black piedra. white piedra. Treatment, diagnostics and prophylaxis are discussed.
Cutaneous mycoses are third among diseases after parasitic and infectious ones that pose problems for persons returning from the tropics. The paper presents semiotics of the following tropical subcutaneous mycoses: sporotrichosis. chromoblastomycosis, maduromycosis. pheohyphomycosis, zygomycosis and lobomycosis.
Ornidazole (Tiberal La Roche) was used in 50 persons infected with Giardia intestinalis in the dosis of 500 mg twice a day during 5 days. Examinations were performated after 7-10 days, having been repeated one month and 3 months later. A positive results were achieved after one month in 46 cases (92%) and after 3 months in 45 cases (90%). Tiberal is thought to be effective drug in the treatment of Giardiosis, causing no side effect apart from headache and nausea occurring sporadically.
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Toksokaroza oczna - przypadek kliniczny

51%
A case of ocular toxocarosis treated by Hetrazan (diethylcarbamazine) was described.
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Toksokaroza w regionie lodzkim w latach 1996-2000

51%
In the paper epidemiologic analysis of toxocarosis with socio-medical background in humans in the Łódź macroregion over the years 1996-2000 was carried out. It was found that 58.2% of toxocarosis cases represent asymptomatic invasions occurring more often in town residents. The clinical form "minor" pertained the country residents, patients of elementary education and the group "pupil-student". The "major" form of toxocarosis was found in the country residents, young people, and patients over 60 years old.
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Próby leczenia rzęsistkowicy pochwy preparatem J1

51%
Eighty eight patients in whom clinical and laboratory examinations (microscopic studies of direct preparations cytologic examination according to Papanicolauo, determination of vaginal acidity) showed vaginal trichomonadosis were treated with J1 preparation in the form of tablets and rods. The drug is composed of: vioform, boric acid, succinylsulphathiazole, lactose. One course of the treatment resulted in a complete cure i.n 36 patients, 24 cures being achieved after two, and 9 cures after three courses; in 19 patients there was no curative effect. Apparently, the negative result in these cases was due to the penetration of the parasite from the urinary paths (in 10 patients it could be found in the urine) or from other unidentified sources of infection.
The efficacy of mebendazole was evaluated as a result of six-year experience in the treatment of patients of Outpatients Clinic and Clinic of Infectious, Parasitic and Tropical Diseases in Łódź. The treatment covered 6132 subjects infected with: Ascaris lumbricoides, Ancylostoma duodenale, Trichiuris trichiura, Enterobius vermicularis and Echinococcus granulosus. Nematode infections were diagnosed by coproscopic methods whereas echinococcosis with serologie tests and ultrasonographic examination of abdominal cavity. Mebendazole was administered in the dose of 200 mg per day: for 3 days in ascariasis, for 5 days in A. duodenale, T. trichiura and mixed infections. In enterobiosis was applied a pulsation therapy: 200 mg a day for 3 days, a week of break (three subsequent cycles). In echinococcosis the drug was administered in the daily dose of 600 mg for 30 days. Follow-up examinations were carried out 30, 60, 120 and 160 days after the treatment. In the case of inetfectiveness of the first course, the treatment was repeated. The efficacy of the therapy was as follows: ascariasis 97.1%, A. duodenale infection 100%, trichuriasis 92.1%, enterobiosis 93.3%, mixed infections 95.3%, echinococcosis 77.2%. No side effects were observed.
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45%
Over the years 1996-1997 mycological examination were performed in 367 persons with cutaneous lesions, returning from the tropics. Fungal infection was diagnosed in 141 patients. Twenty nine (42.65%) of the cases were of single-focal, 32 (47.06%) of bifocal and 7 (10.29%) of multifocal nature. One hundred forty one isolates included 50 (35.6%) moulds 23 (16.3%) yeast - like fungi and 68 (48.1%) dermatophytes. Genus classification of the dermatophytes was as follows: Microsporum - 16 (23.5%), Epidermophyton - 15 (22.1%), Trichophyton - 37 (54.4%). Over the years 1996-1997 the following dermatophyte species were isolated: M audouini, M. ferrugineum, M canis, T. rubrum, T. mentagrophytes var. granulosum, T. tonsurans, T. violaceum, E. floccosum. Microsporum genus was isolated from persons returning from East, West and Central Africa, and from South Europe, Trichophyton genus was isolated from persons returning from Asia and South America.
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45%
Due to dramatic development of modern means of transport, exotic countries located on distant continents are today within a few-hour reach by a jet. Every year several million people travelled by air in business or as a tourists. This results in easy transmission of parasitic and infectious factors from continent to continent or from country to country. Plasmodium vivax infection: diagnosis concerned 6 men who had returned from Thailand, India, Senegal and Zaire. The parasitosis was detected as a result of thin smear of periferal blond tests - there were found P. vivax trophozoites an shizontes in erythrocytes. In the patients we found haematologic and termoregulation disturbances as well as hapepatosplenomegaly. Halfan was applied in therapy. Plasmodium falciparum infection: the infection was found in a man and a women after return from Kenya and Sudan. The parasitosis was detected as a result of thin smear of peripheral blond test - there found trophozoites of the parasite in erthorocytes. The course of malaria in the woman was very severe with cerebral malaria, DlC syndrome and blond circulation disturbances, hepatocellular and nephrocellular damage. Entamoeba histolytica, HAV and Candida albicans mixed infections: found in men who had returned from India. Severe E. histolytica infection: diagnosed in a women after return from Greece. There were found massive lesion of large intestine mucosa and high-degree disturbances. Leptospirosis icterohaemorrhagiae infection: found in a man after return from Belarus. Haematologic disturbance and hepatocellular and nephrocellular damage were observed.
Mycotic infections are an increasing diagnostic and therapeutic problem in pathology of the alimentary tract. The work shows the results of research on the large intestine candidosis. The following invasive factors were isolated: Candida albicans, C. guilliermondi, C. pseudotropicalis, C. tropicalis. Rectoscopic views were described. In severe C. albicans infections HIV test were performed. Four patients were HIV positive.
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Infekcje Toxocara w swietle materialow wlasnych

39%
Toxocarosis clinical forms wers diagnosed according to KRAUS et al. (1995). There were three forms: l) asymptomatic - marked by hypereosynophilia and ELISA positive serologic reaction, 2) minor - with cutaneous, pulmomary and pseudorheumatic lesions, 3) major – with hepatosplenomegaly and multifocal inflammatory lesions of organ or sight. Over the years of 1994-1997 in Infectious, Parasitic and Tropical Diseases clinic of the Voivodship Specialist Hospital of Łódź we found and treated 137 Toxocara canis cases. Among them 63 (46.0%) asymptomatic, 57 (42.6%) minor and 17 (12.4%) major forms were diagnosed. The disease was detected in 80 (58.4%) adults and 57 (41.6%) children. Seventy six patients lived i towns and 61 in country. Minor form patients had the symptoms as follows: skin allergy, large joints lesions, augmentation in lymph nodes. Radiology examinations revealed pulmonary lesions. Using ultrasonography there was found hepatosplenomegaly and changes echogenity in patiems with major form. Biochemical tests showed elevation in hepatic enzymes activity. Lesions of organ of sight were multifocal and usually included uveitis, retinitis, inflammation of anterior chamber and inflammation of vitreous body.
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