Acute rickettsial disease characterized by general toxicity, fever, and often atypical pneumonia. The pathogen is a small microorganism. It is very resistant to drying, heating, ultraviolet radiation. The reservoir and source of infection are various wild and domestic animals, as well as mites. Infection of people occurs through contact with them, the use of dairy products and airborne dust. The disease is detected throughout the year, but more often in spring and summer. KU fever is widespread around the globe, natural foci found on 5 continents.
Symptoms and course:The incubation period lasts 14-19 days. The disease begins acutely with chills. Body temperature rises to 38-39 ± C and lasts 3-5 days. Characterized by significant fluctuations in temperature, accompanied by repeated chills and sweating. Symptoms of general intoxication are expressed (headache, muscle and joint pain, eyeball soreness, loss of appetite). The skin of the face is moderately hyperemic, rash is rare. Some patients with 3-5 days of illness join painful dry cough. Pulmonary lesions are clearly detected by X-ray in the form of rounded focal shadows. Further typical symptoms of pneumonia appear. Tongue dry, lined. There is also an increase in the liver (50%) and spleen. Diuresis is reduced, there are no significant changes in the urine. Recovery is slow (2-4 weeks). The apathy, subfebrile temperature, decrease in working capacity is long kept. Relapse occurs in 4-20% of patients.
Treatment:Apply tetracycline 0.2-0.3 g of ililevomitsetin 0.5 g every 6 hours for 8-10 days. At the same time, intravenous infusion of 5% glucose solution, a complex of vitamins, according to indications - oxyheptherapy, blood transfusion, cardiovascular drugs.
Prevention:There is a fight with KU-rickettsiosis of domestic animals. The premises for livestock are disinfected with a 10% bleach solution. Milk from sick animals boil. In natural foci, it is recommended to fight ticks, use deterring agents. For the specific prophylaxis of CU fever, vaccinations of persons who come in contact with animals are carried out. Patients with KU-fever do not pose a great danger to the people around them.