Qhov sib txawv tseem ceeb ntawm Scarlet fever thiab Kawasaki kab mob yog tias Scarlet fever yog kab mob sib kis thaum kab mob Kawasaki yog kab mob inflammatory.
Scarlet fever tshwm sim thaum tus neeg sawv cev kis tau tsim cov tshuaj erythrogenic co toxins hauv tus neeg uas tsis muaj cov tshuaj tiv thaiv kab mob antitoxin. Ntawm qhov tod tes, tus kab mob Kawasaki yog ib qho tsis tshua muaj tshwm sim ntawm cov hlab ntsha nruab nrab vasculitis uas tuaj yeem ua rau cov hlab ntsha ntawm cov hlab ntsha aneurysms yog tias tsis kho kom raug.
Scarlet Fever yog dab tsi?
Scarlet fever tshwm sim thaum tus neeg sawv cev kis tau tsim cov tshuaj erythrogenic co toxins hauv tus neeg uas tsis muaj cov tshuaj tiv thaiv kab mob antitoxin. Yog li, Pab Pawg A streptococci yog cov kab mob ntau tshaj plaws uas ua rau kub taub hau. Feem ntau, qhov no tshwm sim raws li kev kis kab mob sib kis tab sis qee zaus tuaj yeem muaj kab mob sib kis hauv cov chaw nyob xws li tsev kawm ntawv.
Tshuaj Kho Mob
Qhov no feem ntau cuam tshuam rau menyuam yaus 2-3 hnub tom qab tus kab mob pharyngeal streptococcal. Cov yam ntxwv kho mob ntawm nws suav nrog;
- Headache
- Vim
- Regional lymphadenopathy
- Ib pob khaus uas ua rau lub siab tshwm sim rau hnub thib ob ntawm kev kis mob. Nws yog generalized tsuas yog nyob rau hauv lub ntsej muag, xib teg, thiab Tom qab li ntawm 5 hnub, cov pob liab liab ploj nrog tom qab desquamation ntawm daim tawv nqaij.
- Flushed face
- Tus nplaig muaj tus cwj pwm strawberry tus nplaig zoo nkaus li pib nrog cov txheej dawb uas tom qab ntawd ploj mus tawm hauv qhov zoo nkauj, ci liab "raspberry nplaig".
- Otitis media, peritonsillar, thiab retropharyngeal abscesses cuam tshuam rau Scarlet fever.
Diagnosis
Kev kuaj mob yog qhov tseem ceeb raws li kev kho mob tshwj xeeb thiab tau txais kev txhawb nqa los ntawm kev kho mob caj pas.
Kev tswj hwm
Cov tshuaj tua kab mob uas tau sau tseg los tiv thaiv tus kab mob txuas ntxiv yog Phenoxymethylpenicillin lossis parenteral benzylpenicillin.
Kab mob Kawasaki yog dab tsi?
Kab mob Kawasaki yog ib yam kab mob inflammatory. Nws yog ib qho tsis tshua muaj tshwm sim ntawm cov hlab ntsha nruab nrab vasculitis uas tuaj yeem ua rau mob hlab ntsha tawg yog tias tsis kho kom raug. Qhov ua rau tus kab mob no tsis paub thiab ntseeg tau tias yog vim muaj cov tshuaj tiv thaiv autoimmune. Feem ntau, nws cuam tshuam rau cov menyuam yaus hnub nyoog 4 hli txog 6 xyoo thiab qhov tshwm sim siab tshaj plaws yog thaum thawj xyoo ntawm lub neej.
Tshuaj Kho Mob
Cov yam ntxwv kho mob ntawm Kawasaki kab mob yog;
- Cov me nyuam uas muaj tus kab mob Kawasaki yog khaus thiab muaj kev tswj tsis tau qib siab
- YConjunctivitis
- YCervical lymphadenopathy
- Muscous membrane hloov- txhaj ntawm pharynx, daim di ncauj tawg
- Erythema thiab o ntawm xib teg thiab soles
- Nyob li ob peb lub lis piam tom qab epidermis ntawm xib teg thiab ob txhais taw pib tev tawm.
- Qee zaum, qhov mob tuaj yeem tshwm sim ntawm BCG caws pliav.
Kev tshawb nrhiav
Kev kuaj mob Kawasaki tuaj yeem ua tau hauv thawj ob lub lis piam. Hauv thawj ob lub lis piam, WBC thiab platelet suav txuas ntxiv nce nrog CRP.
Kev tswj hwm
- Kev txhaj tshuaj ntawm immunoglobulins tswj cov txheej txheem inflammatory tsis tu ncua hauv thawj 10 hnub.
- Aspirin tiv thaiv thrombosis. Thaum pib, koob tshuaj aspirin siab tau muab rau kom txog thaum cov cim inflammatory rov qab mus rau hauv paus. Tom qab ntawd txo cov koob tshuaj antiplatelet rau 6 lub lis piam
- Ntawm qhov kev lees paub ntawm lub xub ntiag ntawm cov hlab ntsha coronary aneurysms, peb yuav tsum muab warfarin.
- Yog tias cov tsos mob tshwm sim, peb yuav tsum tau txhaj koob thib ob ntawm cov tshuaj immunoglobulins.
Qhov txawv ntawm Scarlet Fever thiab Kawasaki Kab Mob yog dab tsi?
Scarlet fever yog kab mob sib kis thaum Kawasaki kab mob yog kab mob. Qhov no yog qhov sib txawv tseem ceeb ntawm Scarlet fever thiab kab mob Kawasaki. Tsis tas li ntawd, Scarlet fever tshwm sim thaum tus kab mob kis tau los ua cov tshuaj erythrogenic co toxins hauv tus neeg uas tsis muaj cov tshuaj tiv thaiv kab mob antitoxin. Ntawm qhov tod tes, tus kab mob Kawasaki yog ib hom kab mob uas tsis tshua muaj tshwm sim ntawm cov hlab ntsha nruab nrab vasculitis uas tuaj yeem ua rau cov hlab ntsha ntawm cov hlab ntsha aneurysms yog tias tsis kho kom raug. Muaj lwm qhov sib txawv ntawm Scarlet fever thiab Kawasaki kab mob hais txog lawv qhov chaw kho mob, kev kuaj mob, thiab kev tswj xyuas.
Summary – Scarlet Fever vs Kawasaki Disease
Scarlet fever tshwm sim thaum tus neeg kis tus kab mob tsim cov tshuaj erythrogenic co toxins hauv tus neeg uas tsis muaj cov tshuaj tiv thaiv kab mob antitoxin thiab kab mob Kawasaki yog ib qho tsis tshua muaj tshwm sim ntawm cov hlab ntsha nruab nrab vasculitis uas tuaj yeem ua rau mob hlab ntsha tawg yog tias tsis kho kom raug. Scarlet fever yog tshwm sim los ntawm tus kab mob kis tau tus kab mob thaum Kawasaki yog vim tsis tau piav qhia txog kev mob tshwm sim. Qhov no yog qhov txawv ntawm Scarlet fever thiab Kawasaki kab mob.
