Erysipelas: symptoms and treatment
As is known, streptococcus is a microorganism that can lead to the development of angina, scarlet fever, pneumonia, meningitis and other diseases.Skin disease of erysipelas( erysipelas) is also caused by this bacterium.This is a fairly common disease.And statistics say that most cases of erysipelas are documented in people over 50 years of age, and more likely to be women.Table of contents: Causes of erysipelas. Symptoms of erysipelas. Treatment of erysipelas in the home.
. Causes of erysipelas.
. Transmission of beta-hemolytic group A streptococcus occurs in a number of ways: when the bacterium enters the wounds and abrasions,A drop by the way from a person with diseases of the upper respiratory tract, by contact and household way.So streptococcus enters the human body.But to develop a face, you need a lot of conditions, this is a decrease in the reactivity of the body, and the effect of provoking factors.
The following factors can contribute to the development of erysipelas:
- Breach of skin integrity( injuries, scratches);
- Fungal and purulent skin lesions;
- Dermatoses( eczema, neurodermatitis, psoriasis, contact dermatitis);
- Diabetes mellitus, varicose veins, thrombophlebitis, chronic venous insufficiency, leading to disruption of blood supply to the skin;
- Professional skin injuries and exposure to unfavorable production factors( dust, chemicals);
- Decreased immunity after diseases, hypothermia, hypo- and avitaminosis;
- Severe chronic diseases;
- Presence of foci of chronic infection( trophic ulcers, tonsillitis, caries, sinusitis, etc.);
- Elderly age;
Symptoms of erysipelas
The erysipelas are primary( when a person falls ill for the first time), recurrent( when several months or a couple of years, erysipelas develop all on the same site as in the primary face or subsequent relapse), repeatedErysipelas arises after two years or more, usually in another area of the skin).
Clinically distinguish such forms of the disease:
The last two forms are considered in the context of complications of erysipelas.
The disease arises sharply : a person suddenly feels weak, he is beginning to worry about headaches, body aches, chills.Literally in a few hours the temperature reaches very high figures.Patients may also notice an increase in lymph nodes.Local symptoms of the disease can become apparent only after a few hours, and sometimes even days.Therefore, at this stage, patients are often mistakenly diagnosed with "ARD", "Pneumonia", etc.
After a few hours, people begin to worry about burning sensation, pain in a certain area of the skin.Usually, erysipelas develop on the face( cheeks, nose, corners of the mouth), extremities( shins, hands), in the perineum, somewhat less often on the trunk.The skin swells and turns red.
With erythematous form of erysipelas, a red stain appears on the swollen skin.Gradually, the spot becomes brighter and brighter, and as if the tongues of flame quickly spread to healthy tissues.The brightest red color is observed along the periphery of the affected area.The spot is clearly delineated from healthy, unaffected tissue.The edges of the spots are uneven, resembling flames or a geographical map.
The surface of the affected skin is tense, looks smooth, shiny.When touching the site of inflammation, pain occurs.Symptoms usually disappear after seven to ten days, with extensive dissemination - after two or more weeks.At the site of inflammation there are swelling of the tissues, peeling, sometimes hyperpigmentation.
With hemorrhagic form on the swollen skin, hemorrhages appear - pinpoint hemorrhages.The peculiarity of this form of erysipelas is that intoxication and poor health are more pronounced.In addition, the disease tends to be more prolonged.
With bullous form on the background of swollen skin, bubbles appear with watery contents.Bulla can be large and occupy the entire affected area of the skin or there may be a lot of small bullae.A few days later, the bubbles collapse or burst, and a dark crust forms in their place.When the crust disappears, the eroded surface is bare, which gradually dries up and heals.
With bullous haemorrhagic , the blisters are filled with blood.When the bulls are opened, black, thick crusts form.Erosions after rejection of crusts are deeper and long heal.
When is a phlegmonous form of , it is also called abscessing, bubbles are filled with pus.This form of erysipelas is very severe, with a particularly pronounced intoxication.It is worth to fear the development of sepsis.The appearance of phlegmonous form of erysipelas is presumably caused by the addition of staphylococcus aureus.
Necrotic form , it is gangrenous, develops mainly in weakened people.After rejection of necrotic areas on the skin can remain sufficiently deep
Sometimes the mug appears on the mucous membranes, mainly in the oropharynx.On a swollen, red background, bubbles appear quickly opening with the formation of poorly healing erosion.
Treatment of erysipelas in the home
Patients with erysipelas for other people are not dangerous, so they are hospitalized only in cases of severe current or with somatic diseases.
Patients with erysipelas are prescribed drug groups:
- Antibiotics ( benzylpenicillin, oxacillin, ampiox, ceftriaxone);
- Non-steroidal anti-inflammatory drugs ( diclofenac, butadione);
- Desensitizing agents ( diazolin, tavegil);
- Glucocorticoids ( prednisolone) is prescribed when antibiotics are ineffective;
- Vessel-strengthening agents ( ascorutin, ascorbic acid) is prescribed for hemorrhagic disease;
- Proteolytic enzymes ( lidase, trypsin) to improve nutrition and tissue repair.
Local treatment should not be performed with the erythematous form of the disease, as applying the medicines will only irritate the affected skin.But with the bullous form after preliminary opening of the blisters, you can apply a gauze dressing moistened with a solution of ethacridine lactate, furacilin.
Note: autopsy of blisters should only be performed by a surgeon in a medical setting.Attempts to open the blisters themselves can lead to additional infection and complication of the disease.
From the physiotherapeutic treatment methods in the acute period of the erythematous or hemorrhagic form of erysipelas, the patient is prescribed ultraviolet irradiation, UHF, followed by the use of ozocerite and radon baths, low-intensity laser therapy.
Grigorova Valeria, medical reviewer