Biomedical subjects
Publications and source records attributed to E B Nisnevich.
The paper reports group cases of the disease running as anthrax. The disease was not identified etiologically. The authors hold that it is important to make differential diagnosis of anthrax with necrobacillosis, pasteurellosis and contact pustular viral dermatitis. Laboratory and clinical diagnostic techniques are specified.
The study involved 239 ECGs recorded in acute period of various leptospirosis forms. In 86.2% of cases there were changes evidencing impairment of neuromuscular system and atrial (76.6%) or ventricular (61.9%) conduction. The above cardiac manifestations arise early, have peculiar characteristic features. The discussion covers their patho- and morphogenesis, frequency of detection, necessary time-course ECG control over leptospirosis patients and convalescents.
Changes in communal conditions, in economy, as well as in ecology and fauna, which took place in Rostov Province during the last decade (1973-1983) determined shifts in the etiological structure of Leptospira infection and in its course. The study revealed an increase in morbidity caused by L. icterohaemorrhagiae (up to 61%) and L. hebdomadis (up to 22%) with a simultaneous decrease in the isolation rate of L. grippotyphosa and L. pomona (up to 2-3%). In most cases (77%) the diseases caused by leptospires of different serogroups were found to take an icteric course accompanied by the development of hepatorenal insufficiency (46%). The similarity of clinical manifestations in different etiological forms of Leptospira infection was determined by common pathogenetic and pathophysiological features characteristic of the development of the leptospiral infectious process.
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