Erysipelas is an infectious disease( among the people called "erysipelas"), which is accompanied by redness, swelling, burning on the skin of the legs and hands, sometimes on the trunk, less often in the genital area, in the perineum and on the face. This infectious skin disease is prone to recurrence and / or relapse even if the treatment was effective.
Erysipelous skin inflammation causes hemolytic streptococcus, less often the disease is caused by staphylococcus aureus. The disease is transmitted from the patient to a healthy person. Pathogen "faces" in the body gets through scratches, abrasions, intertrigo and scratching. The disease is susceptible to persons with weak immunity. If unfavorable factors have appeared in the human body, then the risk of occurrence of "erysipelas" increases. Most often, the erysipelas of the skin are affected by elderly people and women whose immunity is reduced.
The erysipelas affects not only the skin surface, the whole human body suffers from this disease. The incubation period lasts 3 days, then the body temperature rises substantially, there is a headache, nausea and vomiting, weakness. Elephancy in the extremities, especially in the lower ones, develops in the presence of lymphatic drainage disorders.
Drug treatment for erysipelatous inflammation
To date, hemolytic streptococci are sensitive to sulfonamides, penicillin antibiotics and nitrofurans. The most effective antibiotics include erythromycin, penicillins, clindamycin in the usual dosage( course of treatment up to one week).Antibiotics are taken either by mouth or by injection. For greater effectiveness, combinations of drugs of different groups are prescribed: furazolidone and phenoxymethylpenicillin, for example, the combination of drugs is used orally. Improvement occurs quickly, first the body temperature falls, then the boundary roller in the lesion begins to turn pale and already disappears completely after 3 days. In erysipelas, a 7-day course of treatment with biseptol is prescribed. With burn or wound infection, superficial streptococcal processes, ointments from fragmented tablets, enterosepthol in the form of powder, erythromycin ointment are prescribed. Simultaneously with local drugs, non-steroidal anti-inflammatory drugs and antihistamines are prescribed, but such drugs slightly decrease the effectiveness of treatment.
Patients with bullous forms of erysipelas may receive antiseptic drugs topically( furacilin solution 1: 5000).With a "face" patients often use bandages with ichthyol ointment, Vishnevsky's balm, which can not be done categorically, because this will only intensify the exudation and will slow down the healing process.
In erysipelas, immunotherapy has not yet been developed.
In case of recurrent erysipelas, retabolil is given twice daily for intramuscular injection of 50 mg to increase non-specific resistance. After a 2-3-week course, prodigiosans are prescribed. Orally administered vitamins, fortified preparations, pentoxyl 0,8-0,9 g( daily dose), methyluracil 2-3 g( daily dose).
If the erysipelas is in a recurrent stage, physiotherapy( locally laser, quartz, UHF) is prescribed. If the disease is acute, then for greater effectiveness, antibiotic therapy is combined with cryotherapy( short-lived until the skin becomes white, freezing the surface skin layers with a stream of chloroethyl).
The erysipelas is also treated with chemotherapy, which is supplemented with biostimulants( levamisole, methyluracil, pentoxil), vitamins, plasma and blood transfusions, placental gamma globulin.
Physiotherapy procedures are prescribed for erythematous erysipelas. The most commonly prescribed UFO( ultraviolet irradiation), which on bacteria acts bacteriostatically.
Prognosis of treatment
With timely treatment, the prognosis of the disease is favorable( conditionally), since the probability of complete cure is very high. The probability of rehabilitation is high.