Syphilis - Waraabow
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Chancres ― caabuqa isfiilitiga aasaasiga ah ee Treponema pallidum
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ReferencesWaraab (Syphilis) waa cudur lagu kala qaado galmada oo ay keento bakteeriyada Treponema pallidum. Daraasaddan, waxaan diiradda saareynaa 57 bukaan oo da'doodu u dhaxayso 18-68 oo qaba waraab labaad (secondary syphilis).
Venereal syphilis is a multi-stage, sexually transmitted disease caused by the spirochetal bacterium Treponema pallidum (Tp). Herein we describe a cohort of 57 patients (age 18-68 years) with secondary syphilis (SS) identified through a network of public sector primary health care providers in Cali, Colombia.
Venereal syphilis is a multi-stage, sexually transmitted disease caused by the spirochetal bacterium Treponema pallidum (Tp). Herein we describe a cohort of 57 patients (age 18-68 years) with secondary syphilis (SS) identified through a network of public sector primary health care providers in Cali, Colombia.
Waraabowga (Syphilis) waa caabuq bakteeriya ah oo ay keento Treponema pallidum. Waxay ku dayan kartaa cudurro kala duwan, oo ay ku kasbato magaca weyn ee “great imitator”. Cudurka waraabowga (Syphilis) ayaa wali malaayiin ku dhaca caalamka, laakiin si wax ku ool ah ayaa lagu daweyn karaa penicillin.
Syphilis is a systemic bacterial infection caused by the spirochete Treponema pallidum. Due to its many protean clinical manifestations, it has been named the “great imitator and mimicker.” Syphilis remains a contemporary plague that continues to afflict millions of people worldwide. Luckily, the causative organism is still sensitive to penicillin.
Syphilis is a systemic bacterial infection caused by the spirochete Treponema pallidum. Due to its many protean clinical manifestations, it has been named the “great imitator and mimicker.” Syphilis remains a contemporary plague that continues to afflict millions of people worldwide. Luckily, the causative organism is still sensitive to penicillin.
Treponema pallidum waxa uu keenaa isfiilitada (syphilis) marka galmo la sameeyo ama hooyada ilaa ilmaha wakhtiga uurka. In kasta oo ay jiraan baadhitaano fudud oo lagu ogaanayo oo lagu daweynayo hal qiyaas oo penicillin ah oo muddo dheer shaqaynaysa, isfiilitada (syphilis) ayaa mar kale noqotay dhibaato weyn adduunka oo dhan. Tani waxay si gaar ah run u tahay ragga u galmooda ragga (MSM) ee dalalka dhaqaalahoodu sarreeyo iyo kuwa dhexdhexaadka ah. Halka qaar ka mid ah wadamada dhaqaalahoodu hooseeyo ay la kulmeen yoolalka WHO si ay u joojiyaan gudbinta isfiilitada (syphilis) hooyada una gudbiso ilmaha, waxaa jira koror walaac leh oo isfiilitada (syphilis) ah oo ka mid ah MSM-ka HIV-ga qaba.
Treponema pallidum subspecies pallidum (T. pallidum) causes syphilis via sexual exposure or via vertical transmission during pregnancy. Despite the availability of simple diagnostic tests and the effectiveness of treatment with a single dose of long-acting penicillin, syphilis is re-emerging as a global public health problem, particularly among men who have sex with men (MSM) in high-income and middle-income countries. Although several low-income countries have achieved WHO targets for the elimination of congenital syphilis, an alarming increase in the prevalence of syphilis in HIV-infected MSM serves as a strong reminder of the tenacity of T. pallidum as a pathogen.
Treponema pallidum subspecies pallidum (T. pallidum) causes syphilis via sexual exposure or via vertical transmission during pregnancy. Despite the availability of simple diagnostic tests and the effectiveness of treatment with a single dose of long-acting penicillin, syphilis is re-emerging as a global public health problem, particularly among men who have sex with men (MSM) in high-income and middle-income countries. Although several low-income countries have achieved WHO targets for the elimination of congenital syphilis, an alarming increase in the prevalence of syphilis in HIV-infected MSM serves as a strong reminder of the tenacity of T. pallidum as a pathogen.
(1) Beerka weyn: Tani inta badan waa la helaa waxaana laga yaabaa inay la socoto barar weyn oo beerka ah. Baarista ka soo baxda beerka ee hoosta mikroskoobyada mugdiga ah waxay muujin kartaa joogitaanka spirochete. Tijaabooyinka shaqada beerka ayaa laga yaabaa inay muujiyaan cillado aan caadi ahayn. (2) Jaallaha (Jaundice): Haddii qof uu ku dhaco jaallaha waxay ku xiran tahay inta beerka uu saameeyay. (3) Bararka sanka (Rhinitis): Badanaa mid ka mid ah calaamadaha ugu horreeya, badanaa gudaha toddobaadka ugu horreeya ee dhalashada ka dib. (4) Bararka qanjirrada limfka (Generalized lymphadenopathy): Bararka guud ee qanjirrada limfka, badanaa aan xanuun lahayn, ayaa sidoo kale caadi ah. (5) Finanka maqaarka (Rash): Finanka maqaarka waxay caadi ahaan soo baxaan hal ilaa laba toddobaad ka dib sanka duufsan. Waxaa laga yaabaa inaad ku aragto dhibco yaryar oo casaan ama guduud ah oo ku yaal dhabarka, barida, bowdada, iyo cagaha. Finankani waxay u gudbi karaan diirri iyo qolof.
(1) Hepatomegaly: This is the most common finding and may occur with splenomegaly. Biopsy of the liver followed by darkfield microscopy may reveal the spirochete. Liver function tests may be abnormal. (2) Jaundice: Jaundice may or may not be present depending on the extent of liver injury. (3) Rhinitis: One of the first clinical presentations, usually in the first week of life. Copious, persistent white discharge is noted, which contains spirochetes that can be visualized under darkfield microscopy. (4) Generalized Lymphadenopathy: Generalized, non-tender lymphadenopathy is also a common finding. (5) Rash: Rash usually appears one to two weeks after rhinitis. Small red or pink colored maculopapular lesions may be commonly seen on the back, buttocks, posterior thigh and soles of the feet. The rash progresses to desquamation and crusting.
(1) Hepatomegaly: This is the most common finding and may occur with splenomegaly. Biopsy of the liver followed by darkfield microscopy may reveal the spirochete. Liver function tests may be abnormal. (2) Jaundice: Jaundice may or may not be present depending on the extent of liver injury. (3) Rhinitis: One of the first clinical presentations, usually in the first week of life. Copious, persistent white discharge is noted, which contains spirochetes that can be visualized under darkfield microscopy. (4) Generalized Lymphadenopathy: Generalized, non-tender lymphadenopathy is also a common finding. (5) Rash: Rash usually appears one to two weeks after rhinitis. Small red or pink colored maculopapular lesions may be commonly seen on the back, buttocks, posterior thigh and soles of the feet. The rash progresses to desquamation and crusting.
○ Ogaanshaha iyo daawaynta
VDRL iyo RPR ayaa loo isticmaali karaa si loo xaqiijiyo caabuqa dhawaanta iyo baaritaanka waraabowga. Baaritaanka FTA‑ABS waa baaritaan gaar ah waxaana loo isticmaali karaa in lagu hubiyo taariikhda caabuqa hore. Penicillin waxaa loo isticmaalaa in lagu daaweeyo waraabowga.