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Egészség

Klebsiella in the feces of an adult and a child

, Orvosi szerkesztő
Utolsó ellenőrzés: 07.06.2024
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Klebsiella is a type of Enterobacteriaceae, which is an opportunistic microorganism. They are capsule-shaped Gram-negative bacilli, arranged one at a time, in pairs or in chains. They are considered very dangerous, as they are resistant to existing antibiotics. They are found on skin, respiratory tract, water, soil, fruits and vegetables, and feces. The shell helps them to survive in any nutrient environment, they can exist without air, and only boiling can destroy them.

The norm of Klebsiella in stool analysis

Klebsiella is detected in the fecal examination for dysbacteriosis. Its presence is not a sign of pathology, if it does not exceed the norm -105 cells per gram.

In order for the bacterium to become active, there must be disabling factors: weakened immunity, prolonged use of antibiotics, ignoring the rules of hygiene (unwashed hands, food), diabetes mellitus, alcoholism and drug addiction. [1]

Klebsiella pneumonia in the feces

There are 7 varieties of Klebsiella, one of which is Klebsiella pneumoniae. It was originally discovered as the causative agent of pneumonia, hence its name. Later it was found that its reproduction leads to the release of toxins, the defeat of which becomes the cause of other diseases, including urogenital cystitis, abscesses of the spleen, liver, pleurisy and a number of other diseases. The bacillus is found in the feces. [2]

Klebsiella oxytoca in the feces.

Another type of bacterium detected in feces is Klebsiella oxytoca. It provokes disorders of the digestive system, pneumonia, klebsiellosis. [3]

Klebsiella in adult feces

Klebsiella is transmitted by fecal-oral and household contact. Weakened adult organism, ignoring the rule of clean hands, sufficient heat treatment of products, is attacked by opportunistic bacteria, causing acute symptoms. Stool analysis reveals an exponential increase in bacilli.

If one person in a family gets sick, there is a high probability that others will be infected as well.

Klebsiella in a baby's feces.

Children are especially susceptible to the disease, as they are often in contact with animals, do not realize the importance of hygiene. Klebsiella until the time can peacefully coexist inside them, but only comes the right moment for their activation and the disease will manifest itself.

Cases of Klebsiella infection in infants are common. Immunity in newborns is weak, not fully formed, the mucous membranes of internal organs are sterile, so they are highly susceptible to the harmful effects of bacillus toxins. Usually in their feces they are found oxytocics.

Infection can be contracted from adults by airborne droplets, and carriers themselves do not suffer, their defenses can cope with the bacterium. Other ways to catch the pathology - dirty pacifiers, pacifiers, toys, as well as feeding - fermented milk products, meat can contain it.

Symptoms

Symptoms of Klebsiella infection depend on the localization of the lesion. If the gastrointestinal tract is affected, the symptoms of acute poisoning will appear:

  • abdominal pain;
  • nausea and vomiting,
  • high body temperature;
  • diarrhea;
  • body aches;
  • lack of appetite.

Pneumonia caused by Klebsiella gives a sharp jump in temperature above 39º C, a strong cough, sometimes with fragments of blood in the sputum. It is also possible to develop rhinitis, maxillary sinusitis, conjunctivitis with manifestations characteristic of these diseases: runny nose, lacrimation, sharpness and pain in the eyes, nasal congestion.

Not infrequently affects the genitourinary system: diagnosed cystitis, pyelonephritis, accompanied by frequent urges to the toilet, painful urination, turbidity of urine, pain in the lower abdomen, often going to the back, fever.

In women and girls, Klebsiella can cause vaginitis, which is characterized by copious vaginal discharge of white or gray color with an unpleasant odor, itching.

The involvement of the bone system in the pathological process, including the provocation of joint inflammation, is not an exception.

Treatment

In lesions with Klebsiella, antibiotics that are sensitive to the pathogen are prescribed. This can be gentamicin, amikacin, cephalosporins: cefotaxime, cefuroxime. Destroy bacillus and with the help of viral means - bacteriophages: klebsiella pneumoniae, oxycyte, polyvalent.

In parallel use enzymes: pancreatin, linex, festal; solutions for rehydration. In severe cases, immunostimulants are appropriate. The course of treatment can last from a week to three. For rehabilitation use probiotics, vitamin preparations, collections of herbs.

Proper and timely treatment gives a favorable prognosis for recovery, but the progression of bacilli multiplication causes dangerous consequences, up to lethal outcome.

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