erysipelas (erysipelas) - quite a serious infectious disease that is caused by inflammatory skin lesions and general intoxication.
Mugs causative agent is Streptococcus erysipelatous resistant outside the body (just tolerates low temperatures and drying, dying only when heated for 30 minutes to 56 * C).
in age from 20 to 30 years old mug predominantly affects men, who by virtue of their professional activities are related to pollution and micro-traumas of the skin (the builders, drivers, porters and so on.).But in the older age group (after 40 years), most of the patients are women mug
The main cause of this disease is the penetration of the streptococcal infection through injury (abrasions, diaper rash, scratches, abrasions) skin.According to statistics about fifteen percent of people are carriers of the infection, but it is not becoming ill, since the development of Mugs to be triggered by certain factors or predisposing to the disease.
factors provoke Mugs:
- Sudden change in body temperature (overheating and overcooling)
- Violation of the integrity of the skin (cracks, diaper rash, scrapes, bruises, scrapes, injections)
- Bruises and injuries
Contributing appearance Mugs disease:
- Varicose veins
- Diseases of the lymph nodes
- Fungus foot
- chronic somatic diseases, which reduce the overall immunity of the organism
- Pockets of chronic streptococcal infection ( parodontit , caries, sinusitis, tonsillitis, otitis media - when Roger person; trophic ulcers and thrombophlebitis - when Roger limbs)
In almost all cases, the disease begins acutely:
- There is a general weakness of the body
- There are muscular and headaches
- Often there is nausea and vomiting
- The body temperature rises to 39 * -40 * C
- Appears chills
In severe cases, the lesions may cause convulsions, delirium occursirritation of the meninges.
During the day since the first manifestations of the disease and join local symptoms: redness, burning, swelling and pain of the affected area of the skin.
By the nature of the defeat Rozsa divided:
- Erythematous form (redness and swelling of the skin)
- haemorrhagic form (permeability of blood vessels and bleeding)
- bullous form (on the affected skin appear filled with serous fluid bubbles)
Onthe degree of intoxication Rozsa divided into: mild, moderate and severe.
by the multiplicity of occurrence of erysipelas divided into: primary, recurrent and repetitive.
As the prevalence of local lesions Rozsa divided into:
- Localized (head, back, face and so on.)
- Wandering (moves from one to another place)
affected area of the skin characterized by redness (erythema), pain and edema.Redness at the same time has a uniform bright color, clear lines and is prone to peripheral distribution.The affected area rises above the skin and has the edge of irregularly shaped
erythematous-hemorrhagic form of erysipelas
This form of the disease is almost the same symptoms as the erythematous form, except that in some cases, on-site erythema may experience bleeding indiseased skin
erythematous-bullous form of erysipelas
This form of the disease begins exactly like the erythematous form, but for three days after the defeat - on-site erythema occurs peeling of the top layer of the skin and in this place form completedclear content bubbles of various sizes.Subsequently, these bubbles burst and their locations form a crust of brownish color.In some cases, local bubbles appear erosion, which can then be transformed into sores
bullous-hemorrhagic form of erysipelas
This form of their manifestation is almost completely similar to erythematous-bullous form, with the only difference that the bubbles on the siteerythema filled with blood (hemorrhagic), not clear content
Primary erysipelas often localized on the face, and relapsing - in the lower extremities.
recurrent erysipelas is considered in the case of re-emergence of two years at the site of the original lesion.It arises due to inadequate treatment of sludge in the presence of the body provoking concomitant diseases (mycosis, diabetes , sinusitis, varicose veins, chronic tonsillitis, etc.).
Re Rozsa develops through two (or more) years after the previous disease
Treatment Treatment of the disease depends on the form and frequency of disease, the degree of intoxication and complications.The majority of patients with mild to moderate form of erysipelas treated in outpatient conditions.The compulsory hospitalization in infectious disease clinic patients need such testimony:
- Children or old age
- presence of concomitant severe diseases
- severe disease
- Frequent relapses
In the complex treatment of patients diagnosed with erysipelas occupy a prominent placeantimicrobial therapy.In the treatment in outpatient conditions appointed tableted antibiotics:
- oletetrin, doxycycline, spiramycin, erythromycin (a course of 7 to 10 days)
- Ciprofloxacin (the rate of 5 to 7 days)
- Rifampicin (course from7 to 10 days)
In the hospital, erysipelas benzylpenicillin course held from 7 to 10 days.In the case of severe illness and complications possible combination of penicillin and gentamicin, and the appointment of cephalosporins.
erysipelas appointed complex vitamins for two to four weeks.At serious disease carried detoxification intravenous therapy (saline + gemodez 5% glucose solution reopoligljukin + + 5-10 ml of 5% solution of ascorbic acid).Also appointed antipyretic, cardio - vascular and diuretics.
during the acute period of inflammation on the affected places are appointed by the UFO and then applying UHF naphthalan or wax (ozokerite).
Local treatment is carried out only if bullous form of erysipelas.At one end of the bull made an incision in the center of inflammation and applied dressings with a solution or furatsilina rivanola.Subsequently appointed manganese - vaseline dressings and bandages with balm or ekteritsinom Shostakovskiy.Local treatment should be alternated with physiotherapy.
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