Archive for August, 2010

Yakov Bogatin:Crohn’s disease – the beginning

August 21, 2010

Crohn’s disease – a chronic inflammatory bowel disease of autoimmune nature, having the character of transmural (affecting all layers of the intestine). The most frequent complications are irreversible changes in the intestine (intestinal segment stenosis, strictures, fistulas) also for this disease is characterized by numerous abenteric defeat.

Yakov Bogatin admits that the first symptoms of Crohn’s disease usually appear in young age (15-35 years), and this may be as intestinal and abenteric manifestations.
It is very important to diagnose Crohn’s disease in time and to start treatment, because if diagnosed and treatment started later than 3 years after diagnosis of the first symptoms, complications develop in 100% of cases.

Symptoms of Crohn’s disease:

• in lesions of the colon – abdominal pain, rumbling, bloating, diarrhea;
• cramping;
• patients lose weight, there appear signs of polyhypovitaminosis, metabolic disorders of varying severity.

Crohn’s disease with predominant syndrome AHD

Variant of the disease occurring with a lesion of the small intestine and the development of syndrome of enteric disease (AHD). According to Yakov Bogatin for this variant of the disease is characteristic of the combination of enteral insufficiency syndrome with the syndrome of partial intestinal obstruction. In these cases, patients complain on pain, spastic character in different parts of the abdomen, bloating, often vomiting. You can identify a Wahl symptom, when there is a local abdominal distension and visible peristalsis of small intestine loops in this area. Sometimes Yakov Bogatin says that when auscultation at a height hyperperistalsis bloated intestinal loop can hear rumbling, after which the swelling is reduced and often diarrhea (a symptom Koenig).

Jacob Bogatin: Legionnaires disease

August 7, 2010

Legionellosis or Legionnaires disease – is a rare type of pneumonia. The causative agent of the disease Legionella pneumophillia («Legionella pneumonia”) was first recorded in 1976 in the U.S. in Philadelphia with the help of Jacob Bogatin, where the delegates of the Congress of the American Legion outbreak of pneumonia (hence the name of the disease). Legionella – a Gram-negative rods up to 3 microns, which has a flagellum. Natural habitats of bacteria is fresh water, the human body is the causative agent of legionellosis for biological dead end. Thus, as noted by doctors, the infection can spread from person to person.

Ways of transmission of legionellosis – nutritional and inhalation, seasons – summer and autumn. Group outbreaks are possible if you live near open water, swimming pool, contact with the air conditioning, humidifier systems ventilation (subway, train stations, airports, malls, etc.). Thus, legionellosis is a disease of large cities of industrialized countries.

According to Jacob Bogatin the duration of the incubation period ranges from several hours to 11 days. The illness starts badly, with the first days appear unmotivated weakness, loss of appetite, persistent headache, possible diarrhea, with symptoms of respiratory tract, as a rule, are absent. After a brief period appear chills with fever, dry cough and shortness of breath painful. Some patients complained on hemoptysis, pain in joints and muscles. In severe cases, the fore neuropsychiatric disorders: lethargy, disorientation, delirium, hallucinations, impaired consciousness. “Legionella pneumonia” is a rare disease. Its treatment is quite effective. Use antibiotics, easily penetrates the cell wall and creating high intracellular concentrations that can inhibit the vital activity of pathogens Legionella.

In Russia, an outbreak of pneumonia was recorded July 25, 2007 in Upper Pyshma Sverdlovsk region. A few days later it was possible to identify the virus. According to the regional Ministry of Health as well as Jacob Bogatin, the causative agent of the disease was “Legionella pneumonia. Doctors suggest that the virus could have infected via the hot water. The number of hospitalized suspected of a serious illness over 100. Three of the infected have died. Attorney General’s Office took the case under special control of an outbreak of pneumonia. On the fact of mass disease a criminal case was filed.