Carbuncle is inflammation, which is caused by pyogenic microbes and originated with the formation of pustules (abscess), which is able to grow in the plural.Localization of the disease is the neck, face, back, back, buttocks.Development carbuncle comes first with inflammation of the hair follicle, then there is an abscess, pink fringed corolla.
carbuncle may be accompanied by necrosis of the skin tissue.Pustular education affect hair follicles and sebaceous glands.
Carbuncle able to occur, both in singular and plural.At the initial stage it showed little infiltration, which over time turns into a painful abscess.
Mainly carbuncle occurrence due to the presence in the body of staphylococci and streptococci, as well as E. coli, Proteus, anaerobes nonclostridial, enterokokkokov.
And besides this, there are several factors provoking the appearance of a carbuncle:
- failure to comply with the rules of personal hygiene;constant contact with the epidermis of pet
- the presence of skin lesions, squeezing pimples, scratching insect bites;
- the presence of the skin irritating lime, coal, cement dust;
- lack of good conditions at work or at home, disturbed metabolism (diabetes);
- the lack of a balanced diet in which there is a lack of minerals and vitamins;
- general exhaustion, anemia, and fatigue.
These and numerous related causes are the determining factors in the appearance of carbuncles.From observations we noticed that the disease often appears on the back of the neck, due to the friction collar long jumper or shirt.Much more rarely affects the cheeks, lips, back, buttocks.
Younger patients are much more likely to suffer from carbuncles, located in the facial area, but elderly people are concerned about the appearance of a carbuncle on the trunk, neck and limbs.
Often confused with carbuncle furuncle.In carbuncle somewhat different symptoms.Carbuncle is often a solitary and boil appears in the plural.
Furuncle being an acute inflammation of the hair follicle and its surrounding tissues, it is caused by complications of staphylococcal folliculitis and appears in red, and deep, noticeably hot to touch a painful knot (abscess).Carbuncle appears as a result of combining multiple boils.
boils and carbuncles favorite place localization choose chin, neck, upper lip, back of the neck, buttocks and armpits.
Diagnose boils and carbuncles on the painful site, rupture of epidermal and hair cysts.If you want to do additional studies, including smear microscopy, Gram-stained and sowing pus, blood.Pus is a measure of sensitivity to antibiotics and to determine Staphylococcus aureus.Blood appropriate to examine before the start of treatment, and in diseases such as fever, sepsis.Determination of susceptibility to medicines in a timely manner allows you to change the treatment regimen.For rapid curing is necessary to open, as well as antibiotics.
Furunculosis occasionally complicated by bacteremia and colonization of heart valves, spine, joints, long bones and internal organs.
carbuncles and boils treatment includes an autopsy which provides outflow of pus and antibiotics parenterally or inside.
Prevention boils and carbuncles includes regular use of antiseptic soap that will stop the carriage of Staphylococcus aureus.
boils and carbuncles person eliminated 2% mupirocin ointment.
diseases can occur both independently and in conjunction with other no less dangerous diseases.
Carbuncle and symptoms expressed by the appearance of fever, increased heart rate, worsening general health.There is headache, vomiting, nausea, fever, poisoning, sepsis.Complications carbuncle appears purulent meningitis, lymphadenitis, lymphangitis, thrombophlebitis, sepsis.Rare complications of the disease include cellulitis and erysipelas (erysipelas).
If there was a carbuncle on the face (upper lip, the corners of the mouth), the flow goes hard.In the risk group, patients with diabetes and the elderly.
The disease manifests itself in the following symptoms:
- onset of the disease occurs mainly in the neck, where there is a small rise in the form of the nodule, increasing in size, and acquire soreness;
- inflamed nodule place, the area of infiltration of the skin becomes purplish-red color, sometimes a bluish tint;
- surface itself is characterized by a purulent focus in large amounts, resembling cork.They are characterized by swelling and redness.The patient feels pain twitches;
- opening the abscess has been slow, with the top of carbuncle acquires similarity sieve;
- numerous holes release the contents in the form of pus, rarely appear dead cells of the epidermis;
- after a while becomes hotbed crater shape and the surface turns into necrotizing.As a hallmark of carbuncle, the necrosis is able to spread very deeply.Remitting inflammatory processes is very slow, with pus and dead skin cells are rejected.Granulation filled edge carbuncle, and in some cases there is a delay of rejection centering the inflamed area.The process of ending scarring.
In the event that the disease will anthrax carbuncle, will be sufficient to conservative treatment, the essence of which lies in the conduct of anti procedures, as well as isolation of the patient.
anthrax bacteremia and its attributes are expressed in the appearance of reddened nodules of small size.The process itself is able to develop rapidly (for 12-48 hours).During this time, there are purple-bluish bubbles, which have a turbid content.Sick experiencing severe itching.
autopsy carbuncle is very fast, and the place of the wounds scab appears dark red color.Gradually, it hardens, and a day is black, gaining increased hardness.So carbuncle disease got its name for the black and hardness.Often, near the scab appears the likeness of the corolla, which is small blisters filled with serous fluid.Then there is a strong swelling, which comes to replace the tissue necrosis, as well as lymphangitis and lymphadenitis.
In severe the disease becomes bacteremia septic symptoms.Thus the general condition of the patient does not change, and the carbuncle itself is painless.
If the infection spreads deeper into the tissues, the complications arise.They often appear in patients, debilitated people, in the absence of adequate treatment.The infection spread to soft tissue, can lead to the formation of an abscess, as well as the emergence of cellulitis, with bone infection osteomyelitis develops.
When moving the infection occurs in the venous vessels phlebitis and thrombophlebitis.Rarely vascular bleeding.
most dangerous are carbuncles, located on the face.Spreading the infection passes to the meninges with subsequent development of purulent meningitis.Further fraught for sepsis, which can lead to death.
Medical Practice accurately diagnose bacteremia.However, there are cases where the differentiation is carried out by anthrax, anthrax carbuncle name.
Clinic in the initial stages is very similar, and it says the development of necrotic crust.When in doubt, doctors perform direct microscopic study.
When difficulties to establish the diagnosis of bacteremia, appoint additional blood tests.In the blood after testing revealed leukocytosis, elevated erythrocyte sedimentation rate.
carbuncle disease treated on an outpatient basis, if not highly visible intoxication, and the focus of the disease is localized on the trunk and extremities.Timely treatment immediately after the formation of the inflammatory infiltrate leads to good results.The patient is in the treatment of carbuncle is assigned a course of antibiotic therapy.Observed good effects from ultraviolet radiation, as well as the UHF-therapy.
affected skin is treated with ethanol, applied antiseptic dressing.As an antiseptic used methyluracyl ointment Vishnevsky ointment, Vinylinum.
Surgical treatment involves the use of scissors or a scalpel that carefully reveal purulent cavities.Auxiliary treatment is directed heat on the lesion.Heat accelerates the maturation of inflammation and affects spontaneous dissection.
Until relatively recently, the disease was treated surgically carbuncle.Now therapy involves antibiotics and sulfa drugs.By resorting to surgical treatment in exceptional cases.Most rely on the combined effect of streptomycin, penicillin, biomitsin, Terramycin and other antibiotic drugs.The doses used are large enough.The absolute indication for the use of antibiotics and acts lowered immunity.Below are the antibiotics at a dosage for adults and children.
Dicloxacillin for adults 250- 500 mg tablets orally 4 p.a day for 10 days.
Cephalexin for adults 250-500 mg tablets 4 p.a day for 10 days .;Cephalexin for children 40-50 mg / kg / day every 6 hours for 10 days.
Amoxicillin 20 mg / kg / day., Every 8 hours for 10 days.
Erythromycin ethylsuccinate for adults 1-2 g / day.oral tablets every 6 hours for 10 days .;Children 40 mg / kg / day.oral tablets every 6 hours for 10 days.
Clarithromycin tablets for adults 250-500 mg orally 2 p.a day for 10 days.
Azithromycin tablets for adults 250 mg orally one time a day for 5-7 days.
Clindamycin for adults 150-300 mg orally in tablets 4 times a day for 10 days;Children 15 mg / kg / day.every 6 hours for 10 days.
minocycline for adults 100 mg orally in pill 2 times per day for 10 days.
Trimethoprim / sulfamethoxazole for adults inside of 160/800 mg tablets 2 times a day over 7 days.
Ciprofloxacin for adults 500 mg orally in pill 2 times per day over 7 days.
Vancomycin for adults is prescribed in / in, and is used in severe cases.
Penicillin used as intramuscular, and as chipping lesion.The daily dose is 1000000 units.
used in the treatment of not only broad-spectrum antibiotics and anti-bacterial synthetic drugs.At the same time ill take drugs analgesic action and heart medications.
duration of treatment is difficult to determine, since it is carried out before the disappearance of the common effects of the disease and reduce inflammation.
Carbuncle how to treat yet?
Streptocide applied dose of 0.5 Gy.at intervals of 4-6 hours.
Appointed Norsulfazol 1 gram up to four times a day.These tools are used by 7 to 10 days.
treatment carbuncle home
In mild form of the disease can be used folk remedies at home:
- steamed leaves of the aerial part of clover leaves, mallow, chamomile put in cheesecloth and apply to the carbuncle;
- crushed plantain leaves in cheesecloth to putting a bandage, and the carbuncle anchoring periodically changing dressings;
- rye bread are putting flesh to the sore spot and fix bandage;
- chopped garlic in the form of slurry is effective in the treatment of carbuncle and boil.Applied application and fixed a soft bandage.
- effective Melilotus officinalis inward and outward.Indoor reception is to use a hot infusion (a tablespoon of sweet clover herb per 250 ml of boiling water), to withstand 30 minutes in a closed vessel.Infusion consume cold.Accelerated maturation of boils and carbuncles create compresses infused oil clover flowers;
- used as calendula ointment (calendula flowers combined with lard 1: 4), or juice obtained from the fresh plant.The juice lowered towel, squeeze and apply to the affected sites;
- chicory ordinary use inside a tincture (2 ch. L. To 1 tbsp. Of boiling water).Drink 1/3 cup per day.
- tubers orchids previously cooked in milk and then mixed with lard (1: 1).The mixture in the gauze is applied to the affected area;
- St. John's wort is used locally as mush inside and tincture (1 tbsp. L. Per 200 ml of boiling water).
Its therapeutic action in the home must always agree with the doctor.