Deer Fly Fever (Tulaeremia)- Ayurvedic Treatment, Diet, Exercises, Research

Einführung

Deer fly fever or Tulaeremia is an infectious kind of fever that is seen in almost all parts of Asia Europe and America but it is mostly seen in south and central parts of the United States. It is seen almost everywhere in US but not in Hawaii. The disease spreads primarily from rodents or pet animals to humans, but not directly from person to person.

Signs and symptoms of Deer Fly Fever (Tularaemia)

The clinical manifestation differs according to the site affected

Ulcero-glandular type:

Skin ulcer that is caused by an insect bite or infected animal bite

Painful and swollen lymph glands

General fatigue

Chills and fever

Kopfschmerzen

Oculoglandular type affects the eyes. Signs and symptoms include:

Swollen, painful and running eyes

Reddish discolouration of the eyes

Sensitivity to the light

Ulcerations inside the eyelids

Tenderness of lymph glands in and around neck, ears and face

Oropharyngeal type: this affects the upper respiratory and digestive systems mostly. This develops from drinking the contaminated water or contaminated food. There will be difficulties like throat ache, vomiting, diarrhoea, swollen lymph nodes in the neck, tonsilitis, mouth ulcers, and fever.
There is another type of tularaemia known as pneumonic and it is associated with pneumonia.
Difficulty in breathing
Chest pain
Dry cough that worsens at night
Recurrent low-grade fever
A very rare type of tularaemia known as typhoidal tularaemia. This is the most serious form of this disease with splenomegaly or hepatomegaly, vomiting, diarrhoea, severe lethargy and a high fever.

Causes of Deer Fly Fever (Tularaemia)

Tulaeremia does not develop within the human body as its own but only gets affected from an infected animal or insect. The condition is caused by the infection with a bacteria called Francisella tularensis. Many animals like rabbits, deer, sheep or birds can be affected by this bacterium and eventually can reach humans by direct contact.

Pathophysiology of Deer Fly Fever (Tularaemia)

Tulaeremia is a zoonotic disease caused by a bacterium, Francisella tularensis that affects human from animals, insects etc. No direct infection between humans reported yet. Francisella tularensis ia very dangerously infectious bacterium, and only a few bacteria can cause the infection. They penetrate into the body through breaks in the skin or mucous membranes. They are also capable of entering the body by inhalation or ingestion accidentally. It is an intracellular type of bacteria, meaning that it can live in a host cell, as a parasite. At first, they attack macrophages, a type of WBC that play an important role in immune response, hence hampering the body’s immune system. The bacteria travels and spreads into many organs in the body leading to organ failures like liver, lungs, spleen or the whole lymphatic system.

Diagnosis of Deer fly fever (Tularaemia)

Körperliche Untersuchung

Detailed case history taking to confirm the probability of an insect bite or any contact with the bacteria

Blood tests and culture for confirmation

Antibody tests like serum agglutination or ELISA

Treatments for Deer fly fever (Tulaeremia)

Broad spectrum antibiotics like streptomycin

Symptomatic management like anti-pyretic or anti-pruritic medicines as per needed

Prognosis of Deer fly fever (Tularaemia)

Most cases of tularaemia recover without any serious complications with two or three weeks of antibiotics. Some people also get cured without antibiotics, but some cases especially typhoid al or tularaemia with sepsis get fatal.

Complications of Deer fly fever (Tularaemia)

Untreated tularaemia can affect all the vital organs in the body and cause inflammation in them. Such complications include meningitis, myocarditis, pericarditis, inflammation of bones or joints, and hepatitis.

Deer fly fever (Tulaeremia) and Ayurveda

Krimi

Nidana-Ayurvedic causes

Causative factors for krimi are the same as that of Kushtha.

Sparsa

Aahaara together – By touch and sharing food, bed etc.

Sayya

Amrijothbhava – Due to lack of proper personal hygiene

Poorvarupa- Ayurvedic premonitory signs and symptoms

Not mentioned separately

Samprapti-Ayurvedic pathogenesis

Due to contact with krimi (microbes or parasites) and due to lack of proper hygiene, the microbes enter the body through skin, wounds or cuts, mouth, nose or eyes. They enter the bloodstream and release toxins. The vitiated rasa-raktadhatus cause the symptoms, mostly on skin. Such body reactions are understood as allergic manifestations and mostly are seen as skin rashes.

Lakshana – Ayurvedic signs and symptoms

Kotha – papules

Pitaka – pustules

Kandu – itching

Ganda-cysts or small lumps or even enlarged lymph nodes

Jwara – Fever

Sadhyasadhyata-Ayurvedic prognosis

Kricchrasadhyam

Chikitsa-Ayurvedic treatment

The Ayurvedic treatment of Krimi depends upon the type.

Here, the infestation is external and it is baahyakrimi. The main procedure is to physically remove the krimi from skin and other bodyparts. Also following good hygiene and preventive measures are advised.

Samana

Apakarshana – extraction with hand or tool

Uthkharshana-powder massage

Lepana-external application ofherbal pastes

Parisheka-Pouring medicated herbal decoctions on the area

Sodhana

Vamana

Virechana

Aasthapanavasti

And after the krimi has expelled from the body, anuvasanavasti should be done to compensate the dryness and deterioration caused by aasthapanavasti.

Commonly used Ayurvedic medicines

Amruthotharam Kashayam

Vidangakrishnadi kashayam

Vidangasavam

Aragwadharishtam

Avipattichoornam

Krimisodhinivatika

Shaddharanam Churna

Hausmittel

Using essential oils like cinnamon, clove and oregano.

Supplements including Vit B1, C, magnesium etc with natural foods like garlic and turmeric.

Intake of cat’s claw and chlorella

Diet and behaviour suitable

Zu vermeiden sind

Red meat, fried non-veg items, and sea foods

Schwere Mahlzeiten und schwer verdauliche Lebensmittel - verursachen Verdauungsstörungen.

Junk foods and spicy food- cause disturbance in digestion and reduces the bioavailability of the medicine

Kohlensäurehaltige Getränke - erhöhen den Säuregehalt des Magens und stören die Verdauung

Refrigerated and frozen foods – causes weak and sluggish digestion by weakening agni (digestive fire)

Quark - verursacht Vidaaha und damit viele andere Krankheiten

Noch zu ergänzen

Leichte Mahlzeiten und leicht verdauliche Lebensmittel

Grüne Kichererbsen, Suppen, mit Kurkuma, Ingwer und Curryblättern gekochte Buttermilch

Frisch gekochte und warme Speisen, verarbeitet mit Kreuzkümmel, Ingwer, schwarzem Pfeffer, Ajwain usw.

Verhaltensweisen:

Maintain proper personal hygiene.

Vermeiden Sie eine sitzende Lebensweise. Seien Sie aktiv.

Vermeiden Sie übermäßige Sonneneinstrahlung, Wind, Regen oder Staub.

Halten Sie einen regelmäßigen Essens- und Schlafplan ein.

Avoid forcing or holding of natural urges like urine, faeces, vomiting, hiccups etc.

Avoid Stress and emotional imbalance as much as possible.

Yoga and Pranayama

Halasanam

Ardha mathsyentra asanam

Vakrasanam

Dhanurasanam

Nadisuddhi pranayam

Forschungsarbeiten

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