What are the symptoms of faces? What is the forecast of the disease? How is the treatment of grinding inflammation? Answers to these questions you will find in the article.
Content
Rygin
Ryzh - acute streptococcal disease characterized by defeat
skin with the formation of a sharp limited inflammatory hearth as well
Fever and symptoms of general intoxication, frequent relapses.
The pathogen is hemolytic streptococcus - nothing
does not differ from the causative agent of other streptococcal diseases
(for example, angina). Penetrates low skin damage.
Perhaps exogenous infection (contaminated tools,
dressing). In the emergence of relapses of faces on one and that
The same place is an allergic restructuring and sensitization of the skin
To hemolytic streptococcus.
Symptoms of faces
The duration of the incubation period from
a few hours to 5 days (more often than 3-4 days). By the nature of local
lesions distinguish erythematous, erythematous bullous,
erythematous and hemorrhagic and bullous forms, in gravity - light,
medium and heavy, by multiplicity - primary, recurrent and
Repeat, localization of local phenomena - localized,
Common and metastatic. Primary face begins like
Rule, sharp, with symptoms of general intoxication. Body temperature
rises to 39-40gr. C, general weakness appear, chills, head
Pain, Malgia (muscle pain), in severe cases there may be cramps, nonsense, irritation
Brain shells.
After 10-24 hours, local
Symptoms: pain, burning and tension feeling in the affected skin,
In case of inspection, hyperemia and skin swelling are detected. Erythema (severe skin redness) more often uniform,
towering over skin level. Edema is especially expressed when
Localization of inflammation in the field of the eyelids, lips, fingers, genitals.
Sometimes against the background of erythema, bubbles filled with serous
(viewer-bullous) or hemorrhagic (bullosis-hemorrhagic
Ryg) content. Limphangitis and inflammation of the regional
Lymph node. At the place of inflammation in the future appears
Peeling skin. Local changes hold 5-15 days; May be long
Paste Pastoznost and Skin Pigmentation.
Relie relapses can occur between several days to 2
years after the suffering. With later (over 2 years)
The appearance of the faces are talking about repeated feeling. It is usually localized on
New skin area. Recidialation promotes insufficient treatment
Primary faces, residual phenomena after faces (lymphostasis, etc.). At
Frequent recurrences Fever and symptoms of intoxication are expressed nonresco.
Complications and consequences of ries can be the same as
other streptococcal diseases (rheumatism, jade, myocarditis), but
May be specific to faces:
Tassels and skin necrosis (gangrenous face), abscesses and phlegmon
(Absuccessive face), violation of lymph circulation, leading to
elephantism. When clinical diagnostics, it is necessary to differentiate from
other diseases in which local redness may occur
and skin sweering (veins thrombosis, eryzipide, phlegmon and abscesses, sharp
dermatitis and other.). When studying blood, there is a small
leukocytosis, neutrophilez, raising. Immunity after the faces not
arises.
Treatment, forecast and prevention of faces
Treatment. Most effective antibiotics of penicillin row.
In primary feeling and rare recurrences, penicillin on a dose of 500 is prescribed
000 eh after 6 hours for 7-10 days, at the end of the course additionally
Bicyllin-5 is introduced (1500000 units). With significant residual
phenomena for the prevention of the recurrences of Bicyllin-5 must be administered in
within 4-6 months (1,500,000 units after 4 weeks). With intolerance
Penicillin can be prescribed erythromycin (0.3 g 5 times a day) or
Tetracycline (0.3-0.4 g 4 times a day), course duration 7-10 days.
With persistent and frequent recurrences, antibiotics are combined with
Corticosteroids (prednisone 30 mg / day).
Forecast favorable. With often recurrent feeling may occur with elephantism, breaking disability,
Prevention.
Prevention of injury and feet failures, treatment of streptococcal
Diseases. With a pronounced seasonality of recurrences spend
Bicyllinoprophylaxis, which begins a month before the start of the season and
continue for 3-4 months (administered every 4 weeks bicillin-5 to 1 500
000 units). With frequent relapses, the faces are carried out year-round
Bicyllinoprophylaxis. Events in the hearth do not conduct. Specific
No prevention.
