Untilin Romania only isolated cases or low outbreaks of Typhus especially were recorded among Gypsies in the outskirts of Bucharest [ 345 ].
Under these circumstances, the great Typhus epidemic breaks out in Moldavia, because of existing cases among Russian troops who were operating in the regionamong Bulgarian spies who roamed the country and among the refugees from Serbia and Bulgaria [ 478 ].
The epidemic began in Decemberreached a maximum in February and in June was almost extinguished; there anthelmintic ne demek ne demek aboutestimated cases [ 6 ]. It is situated near Ukraine — a highly contaminated area, with poor hygiene conditions; roads became impassable in winter, preventing application of preventive measures. From the endemic region of Bessarabia the Typhus spread to other parts of the country.
One of the reasons was the seasonal employment of Bessarabian workers for agricultural labor, vineyards and forest [ 6 ]. Romania participateed in the Second World War during — Pediculus corporis was known as a transmission vector [ 5 ]. Men and domestic animals were considered sources of infection.
Она оказалась в тоннеле, очень узком, с низким потолком.
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The main epidemiological factors were represented by the conditions that allowed proliferation and spread of lice [ 8 ]. In addition to the tegument there are mentioned, as potential gateways, the conjunctival mucosa, respiratory mucosa, oral mucosa [ 2 ].
The infection is possible through the dry droppings that are pulverized or through the contaminated laboratory products [ 11 ].
The patient was considered contagious in the last days of the incubation period, the entire illness period and the first days of convalescence [ 12 ]; after that, patients have a long-lasting immunity against the disease, recurrence being exceptional [ 4 ].
In the following we will briefly present the Typhus epidemics that occurred between — both in the inner zone and among the Romanian combatants, as they were reported in the Romanian medical journals.
The prisoners worked daily at the construction site, could not rest at night because of this exhausting excessive parasitism. In the absence of sufficient water, they fell into a dreadful condition of corporeal dirt[ In Novemberthe first cases of Typhus were noticed [ During November —Junethere was a Typhus epidemic in Craiova, with 58 cases.
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It appears that the source of contamination came from the army. The infection was spread by a troop boy. The mortality rate reported anthelmintic ne demek of 2. In the winter of —, an epidemic occurred in northern Bessarabia, with cases 3.
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At the anthelmintic ne demek ofabout 50, Hebrews from the Golta county from Bessarabia were deported, some being sick with Typhus. In July—Augustanthelmintic ne demek 12, Gypsies were anthelmintic ne demek deported in this county. In these circumstances during November —July there was a Typhus epidemic with cases 1.
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Incases were registered nationwide the average of the years — being [ 16 ]. During the — they are known as University and Clinics from Cluj-Sibiu.
Some people arriving into town avoided going to hospital, taking anthelmintic ne demek with relatives or returning home invoking various reasons, that they had not been admitted to the hospital because they were not so ill, and other purposely invented reasons. The Gypsy neighborhoods or the villages represented receptive environments to the disease and often had small outbreaks of Typhus.
The epidemics in the zone of military operations Although the Eastern battlefield accounted for the most important outbreak of Typhus of Romanian troops, [ 2 ] in the first two years of war, morbidity anthelmintic ne demek mortality caused by Typhus on the front line were low [ 23 ].
Those which could not be immediately put in the drying stove were burned, except the valuable ones, which were immersed in a bath of oil and gas [ The Campaign Hospital No. Among the Romanian Army troops from the bridgehead Kuban and Crimea, during —, there were cases of Typhus, with 1.
Время идет, старик канадец может куда-нибудь исчезнуть.
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The diagnosis and treatment of the Typhus in Romania during — We present below the descriptions of the disease as they remained published — from the cases observed in endometrial cancer nccn 2019 Romanian medical literature of that time.
The Clinical Picture Encompassed usually the clinical triad: rash, fever, nervous symptoms [ 8 ].
Incubation ranged from 7 to 23 days [ 4 ]; sometimes digestive disorders, mild headache, and subfebrility in the evening appeared [ 28 ]. The state period 8—18 days [ 7 ] : the temperature remained constant at 39—41°C Mild hepatosplenomegaly appeared, that regressed with fever [ 24 ].
Exanthematous eruption Fig. In the first phase small pink papules appear, located on the sides of the thorax and abdomen and shoulder region, and, in the severe forms, on the entire skin, except from the face, palms and soles. The papules were slightly revealed with irregular contour and disappeared under pressure.
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In the second phase, papules evolved differently: in mild forms, they became pale and disappeared; in the severe forms the color accentuated anthelmintic ne demek pink to red-purple; in very severe cases the papules became hemorrhagic with confluent tendency.
If evolution was favorable, in the last phase papules gradually disappeared, after which they produced a fine desquamation of the skin [ 752412 ].