mug, or erysipelas, called acute disease of an infectious nature, which is characterized by skin lesions, combined with signs of general intoxication.The history of this disease back thousands of years: it issues the clinic, and treatment difdiagnostiki engaged in the ancient Aesculapius - Hippocrates, Avicenna, Galen, Celsus.Nowadays, erysipelas is also not uncommon, so the difficulty in making a diagnosis by a doctor usually does not arise. Content
erysipelas causative agent is S. pyogenes - streptococcus group A.
and tanks for breeding, and the source of infection for this organism is the people carrier streptococcal infection, which can be infected by respiratory droplets or by contact.In group A streptococcus organism gets through the damaged skin and mucous membranes.Since this bacterium often colonizes the skin and muc
vast majority of cases are women, which confirms the presence of a genetic predisposition to the disease.Chronic streptococcal infections (caries, chronic tonsillitis) increase the likelihood of ill mug ... in 5-6 times!
causative agent of the disease can get into the thickness of the skin by exogenous (through damage to the mucous membranes and skin) or from the source of chronic inflammation (endogenous, with blood).The lymphatic vessels located in the skin layers, Streptococcus actively propagated, and this leads to the development of the local inflammatory process.In addition, the breeding, the microbes secrete a lot of toxins that enter the systemic circulation and spread throughout the body.The consequences toksinemii are chills, fever, weakness and other symptoms of intoxication.
known that a role in the development of the disease play a neuroendocrine and immune processes that influence the symptoms of disease and predisposition.
During faces to distinguish between 4 periods:
manifestations of intoxication and fever usually persist for weeks, in some cases - a little longer.After normalizing the temperatures begin to regress and cutaneous manifestations.In place of the redness of the skin is peeling, sometimes - its pigmentation.
clinical signs of the disease, namely, acute onset, intoxication syndrome, a typical view of the manifestations of the skin, allows doctors to almost unerringly to put the preliminary diagnosis.In general blood test, there are signs of inflammation (leukocytosis, increased the number of band neutrophils, high ESR).Laboratory abjection in most cases not available.
treatment of this disease can be performed on an outpatient basis.The question of the admission shall be lifted in the following cases:
both outpatient and in-hospital patients will be assigned to the following treatment:
To prevent the disease, it is necessary:
About streptococcal (strep infection, erysipelas) of the skin in the "Live Healthy! »: