Problematic Issues of Differential Diagnosis of Jaundice in Children. Case Studies (Clinical Lecture)
Depending on the level, at which bilirubin metabolism disorders occur, the following types of jaundice are identified: hemolytic, hepatocellular, obstructive. Hemolytic jaundice is characterized by increased levels of indirect bilirubin in the blood at a normal activity of liver cell enzymes, in parallel there is a reduction in hemoglobin, red blood cells levels and high reticulocytosis in the blood. A typical laboratory sign of hepatocellular jaundice is elevated level of total bilirubin due to the direct one and increased activity of hepatocellular enzymes. Obstructive jaundice occurs in violation of the bile outflow from the gallbladder and bile ducts into the lumen of the small intestine.
Full Text:PDF (Українська)
Nasedkina AK. Lyme borreliosis (Lyme disease) - the description and the prevalence of the disease, an infectious agent, the infection and the development of symptoms and the stage, methods of diagnosis, treatment and prevention, consequences, photos [Internet]; 2015. Availeble from: http://www.tiensmed.ru/news/borrelioz-ab1.html
Lobzin YuV, Skripchenko NV, Uskov AN et al., Nauchno-issledovatelskiy institut detskih infektsiy federalnogo mediko-biologicheskogo agentstva. [Ixodes tick-borne borrelioses in children and adults: guidelines]. Sankt-peterburg. Metodicheskie rekomendatsii; 2010. 64 р. Russian.
Bezborodov NG, Polovinkina NA, Popova SP. [Clinical features of localized stage of Lyme borreliosis (Lyme disease)]. Zemskiy Vrach. 2013; 3:20. 32-35. Russian.
Koneva OA. [Methods of determination and clinical significance antiparasitic antibodies in rheumatic manifestations of Lyme disease: dissertation of candidate of medical Sciences: 14.00.39]. In: [State Institute of rheumatology of RAMS ]. M; 2003. р. 219 Russian.
Novikova TB, Dovnar-Zapol'skaja ON. Difficulties clinical and serological diagnosis of borreliosis in children at the present stage. Materialy VI Mezhdunarodnoj molodezhnoj nauchno-prakticheskoj konferencii, Minsk, 25–27 marta 2015 g. Minsk. 2015:75–78.
Shostakovych-Koreczka LR. Lyme borreliosis: diagnosis and treatment issues. Aktualnaya ynfektologyya. 2014; 2(3):43-46.
Feder HM. Lyme disease in children. Infect. Dis. Clin. North. Am. 2008; 22 (2):315–326.
Stanek G., Strle F. Lyme disease: European perspective. Infect. Dis. Clin. North. Am. 2008;22(2):327–339.
Cameron DJ, Johnson LB, Maloney EL. Evidence assessments and guideline recommendations in Lyme disease: the clinical management of known tick bites, erythema migrans rashes and persistent disease. Expert Rev. AntiInfect. Ther.2014;12(9):1103-1135.
- There are currently no refbacks.
Copyright (c) 2016 ACTUAL INFECTOLOGY
This work is licensed under a Creative Commons Attribution 4.0 International License.
© Publishing House Zaslavsky, 1997-2018