Syphilis
Autor(a) principal: | |
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Data de Publicação: | 1964 |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/156947 |
Resumo: | Contém fotografias. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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7160 |
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Syphilisa grave socioeconomic problem which the world has yet to solveSaúde públicaDoenças venéreasSífilisBoubasSintomasDiagnósticoTratamentoContém fotografias.Avec la pénicilline on peut trés facilement guèrir les atteints de syphilis. Sa complete extirpation ná pas encore été obtenue par les différents gouvernements y interesses. Watt (1961) a écrit que les maladies vénériennes parmi lapopulation adolescente en Angleterre 1960 étaient en train d’augmenter. En temps de guerre les maladies vénériennes en général augmentent. De Mello a constate (Kenya, 1945) que les cas de syphilis chez les africains n’etaient si fréquents que l’indiquaient les investigateurs préce dents. Les “boubas” (“framboesia”) et la syphilis se ressemblent tellement dans leus manifestations que le diagnostic différentiel devient dificile. “BOUBAS ET SYPHILIS”: On considere que la syphilis a eu son origine en Amérique. Selon certains investigateurs la syphilis fut introduit en Espagne en 1493 et 1494 par l’equipage de Colomb, laquelle l’a apportée de l’ile de Haiti. Gordon (Kenya) croit que les Portugais, voyageant en Afrique depuis 40 années par rapport aux voyages de Colomb, aient acquis les “boubas”, en transmettant à leur tour l’infection aux populations de Ceylan et des pays de l’Orient. Gunawardena (1946) observe que le “parangi”, n’est pas une maladie vénérienne et fut introduit à Ceylan par les portugais. “Parangi” et “Boubas” seront-ils la même maladie? Le Treponema pertenue et le Treponema pallidum donnent des reactions sérologiques identiques et cedente au même traitement. Dans ce sens, en Afrique, il est difficile à faire la distinction entre les “boubas” et la syphilis. Davies (1947) a critique à Lambkin et Keane leur faillite au diagnostic de la maladie “boubas”, preponderante en Ouganda. C’est pourquoi les investigateurs en Ouganda ont référé 80% d’atteints de syphilis parmi la population africaine. “LES MANIFESTATIONS DE LA SYPHILIS”: Les lésions multiles sont fréquentes chez les africains et les photographies nous en montrent les différents aspects. L’ulcère syphilitique affecte les ganglions inguinaux, tandis que dans les cas des “boubas” les ganglions ne sont pas affectés. Il est difficile de faire en Afrique le diagnostic entre les “boubas” et la syphilis. La syphilis secondaire peu affecter la langue, la voûte palatine, la vulve et le sein, etc.. Les Symptômes à l’origine cardio-vas culaire sont frequents chez les africains, mais ils ne sont pas tous le resultat de la syphilis car beaucoup de ces cas son tune consequence du rhumatisme. L’anévrisme est difficile à trouver chez les africains. La perforation de la voûte palatine et la destruction du septum nasal sont fréquentes dans la syphilis. On peut confondre les lesions ulcéreuses aux jambes et aux organs genitaux avec les “boubas”. La neuro-syphilis est are-ais Carothers (1940) a eu l’occasion de voir quelques cas de meningo-encephalite syphilitique et de paralysie générale. Les osteítes dutitia sont plus fréquents dans les cas de syphilis. “SYPHILIS CONGÉNITALE”: Les enfants atteints de syphilis congénitale ne réussi pas à vivre au-delà des 3 ou 6 moins. Chez ceux qui survivent les symptômes classiques de la syphilis se produisent bientôt-mais à ce stade il est três difficille à savoir s’il agit d’un cas de syphilis ou de “boubas”. “THÉRAPEUTIQUE”: La pénicilline est une des meilleures drogues pour guérir les atteints de syphilis. On connait plusieurs laboratoires préparant la penicillin. L’aplication de la pénicilline dans le traitement de la syphilis ou des “boubas” donne de três bons résultats.Syphilis is easily cured with penicillin but the complete eradication of the complete eradication of the disease has not yet been achieved. In 1961, Watt reported that venereal disease had increased in the adolescent population in 1960 in Great Britain. In 1945, in Kenya, De Mello Reported that syphilis in African peoples was not as common as some authors had reported. Yaws (frambesia) and syphilis are so similar in appearance that a differential diagnosis is quite difficult. “YAWS AND SYPHILIS”: Syphilis is considered to have originated in America. According to some syphilologist, syphilis was introduced in Spain in 1493 and 1494 by Columbus’s crew, who had brought the disease from Haiti. Gordon (Kenya) thinks that the Portuguese, who sailed to Africa 40 years before Columbus discovered America, may have contracted yaws and that, accordingly, they may have transmitted the disease to the populations of Ceylon and other eastern countries. Gunawardena (1946) reports that parangi is not a venereal disease and that it was introduced by the Portuguese in the island of Ceylon. Is parangi yaws? Both Treponema pertenue and Treponema pallidum show the same serological reactions and respond to the same treatment. Accordingly, in Africa, there is some difficulty in distinguishing between yaws and syphilis. Davies (1947) criticized Lambkin and Keane for having failed to diagnose yaws, dominant in Uganda. Because of this, researchers in Uganda reported that 80% of the African population were syphilitic. “SYMPTOMS”: Multiple lesions in africans are common, as shown by the photographs. The syphilitic ulcer affects the inguinal glands, while yaws does not. In Africa, it is difficult to diagnosis between yaws and syphilis. Secondary stage syphilis may affect the tongue, the palate, the vulva, the breast, etc.. Cardio-vascular symptoms are common in many cases they are due to rheumatism. Aneurysm is seldom notice in Africans. Perforation of the palate and destruction of the nasal septum is common in syphilis. The ulcers on the legs and genitalia may be confused with yaws. Neurosyphilis is rare, but Carothers (1940) reported some cases of syphilitic meningoencephalitis and dementia paralytica (general paralysis of insane). Osteitis of the tibia is quite common in syphilis. “CONGENITAL SYPHILIS”: Infants with congenital syphilis generally do not live more than 3 to 6 months. The ones who survive show the classic symptoms of syphilis, but by then it is very difficult to ascertain whether it is a case of yaws or of syphilis. “THERAPY”: Penicillin is one of the better drugs for the treatment of syphilis. It is being manufactured widely and its use shows very good results in the treatment of yaws and syphilis.Instituto de Medicina TropicalRUNMello, Jules P. de2023-08-28T10:24:24Z1964-011964-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/156947engMello, Jules P. de (1964). Syphilis: a grave socioeconomic problem which the world has yet to solve . Anais do Instituto de Medicina Tropical, Porto, vol. 21, n.º 1-2, p. 143-151info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:39:12Zoai:run.unl.pt:10362/156947Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:56:29.855178Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Syphilis a grave socioeconomic problem which the world has yet to solve |
title |
Syphilis |
spellingShingle |
Syphilis Mello, Jules P. de Saúde pública Doenças venéreas Sífilis Boubas Sintomas Diagnóstico Tratamento |
title_short |
Syphilis |
title_full |
Syphilis |
title_fullStr |
Syphilis |
title_full_unstemmed |
Syphilis |
title_sort |
Syphilis |
author |
Mello, Jules P. de |
author_facet |
Mello, Jules P. de |
author_role |
author |
dc.contributor.none.fl_str_mv |
RUN |
dc.contributor.author.fl_str_mv |
Mello, Jules P. de |
dc.subject.por.fl_str_mv |
Saúde pública Doenças venéreas Sífilis Boubas Sintomas Diagnóstico Tratamento |
topic |
Saúde pública Doenças venéreas Sífilis Boubas Sintomas Diagnóstico Tratamento |
description |
Contém fotografias. |
publishDate |
1964 |
dc.date.none.fl_str_mv |
1964-01 1964-01-01T00:00:00Z 2023-08-28T10:24:24Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/156947 |
url |
http://hdl.handle.net/10362/156947 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Mello, Jules P. de (1964). Syphilis: a grave socioeconomic problem which the world has yet to solve . Anais do Instituto de Medicina Tropical, Porto, vol. 21, n.º 1-2, p. 143-151 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Instituto de Medicina Tropical |
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Instituto de Medicina Tropical |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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