Rozsa: Symptoms and Treatment


  • mug
  • Symptoms of erysipelas
  • Treatment, prognosis and prevention of erysipelas

  • mug

    Erysipelas - acute streptococcal disease characterized by lesions
    the skin to form a sharply limited the inflammatory focus, as well as
    fever and symptoms of intoxication, frequent relapses.

    Pathogen - hemolytic streptococcus - nothing
    no different from the pathogen to other streptococcal diseases
    (E.g., angina). It penetrates through small skin lesions.
    Perhaps exogenous infection (contaminated instruments,
    dressing). In the occurrence of erysipelas relapses in one and the
    same place counts allergic alteration and skin sensitization
    to hemolytic streptococci.

    Symptoms of erysipelas

    The duration of the incubation period
    several hours to five days (usually 3-4 days). By the nature of the local
    distinguish lesions erythematous, erythematous-bullous,
    erythematous-hemorrhagic and bullous form, severity - mild,
    moderate and severe, by the multiplicity - primary, recurrent and
    re, localization of local events - localized,
    advanced and metastatic. Primary erysipelas begins,
    usually acute, with symptoms of intoxication. Body temperature
    rises to 39-40gr. Since, there are general weakness, chills, headache,
    , myalgia (muscle pain), in severe cases can be convulsions, delirium, irritation

    Rozsa: Symptoms and Treatment
    After 10-24 hours of onset observed local
    symptoms: pain, burning sensation and a feeling of tension in the affected area of ​​skin,
    during the inspection revealed redness and swelling of the skin. Erythema (redness of the skin strong) most uniform,
    towering above the skin. Swelling is particularly pronounced in
    localization of inflammation of the eyelids, lips, fingers, genitals.
    Sometimes the background of erythema formation of bubbles filled with serous
    (Zritematozno-bullous) or hemorrhagic (bullous-hemorrhagic
    mug) content. There are also regional lymphangitis and inflammation
    lymph node. At the site of inflammation in the future there
    peeling of the skin. Local changes are kept 5-15 days; can be long
    pastoznost persist and skin pigmentation.

    Relapses faces can occur in a period of a few days up to 2
    years after the disease. At a later date (over 2 years)
    the appearance of faces talking about re-face. It is usually localized to the
    new skin site. Retsidiairovaniyu contribute to the lack of treatment
    primary faces, residual effects after erysipelas (lymphostasis et al.). at
    frequent relapses of fever and intoxication symptoms are mild.

    Complications and consequences of faces may be the same as for
    other streptococcal diseases (rheumatism, nephritis, myocarditis), but
    there may be specific to faces:
    ulcers and skin necrosis (gangrenous erysipelas), abscesses and cellulitis
    (Abscessed mug), violation of lymph circulation, which leads to
    elephantiasis. If you need to differentiate between the clinical diagnosis of
    other diseases where localized redness may occur
    and swelling of the skin (vein thrombosis, erizipiloid, cellulitis and abscesses, acute
    dermatitis and others.). In the study of blood was small
    leukocytosis, neutrophilia, increased erythrocyte sedimentation rate. Immunity after faces no

    Treatment, prognosis and prevention of erysipelas

    Treatment. The most effective antibiotics penicillin.
    In the face of the primary and rare relapses prescribed dose of penicillin 500
    000 units at 6 hours for 7-10 days, at the end of the course further
    introduced bicillin 5 (1500000 IU / m). With significant residual
    phenomena for the prevention of recurrence bicillin 5 must be entered in the
    for 4-6 months (at 1 500 000 units in 4 weeks). When intolerance
    Erythromycin can be administered penicillin (0.3 g of 5 times a day) or
    tetracycline (at 0.3-0.4 g 4 times a day), the length of the course of 7-10 days.
    When persistent and frequent relapses antibiotics combined with
    corticosteroids (prednisolone 30 mg / day).

    Weather favorable. If often recurrent erysipelas may elephantiasis, breaking capacity for work,

    Preventing injuries and abrasions feet, treatment of streptococcal
    diseases. When pronounced seasonality of recurrence spend
    bitsillinoprofilaktiku that starts a month before the start of the season and
    continue for 3-4 months (administered every 4 weeks bicillin 5 for 1500
    000 IU). With frequent recurrences of erysipelas is performed year-round
    bitsillinoprofilaktiku. Activities in the outbreak is not carried out. specific
    No prophylaxis.

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