Brief description of the disease
Erysipelas - a disease of an infectious nature, called hemolytic streptococcus. Inflammation and strain clearly affect a limited area of the skin, accompanied by fever and intoxication. Since the activities of group A streptococci is considered the main reason for which the person has a face is, the treatment is based on the administration of penicillin and other antibiotics.
Typically, the disease manifests itself after damage skin, but in some cases the face is there, and without violating the integrity of the skin, after ingestion of infection from people who are sources of pyogenic bacteria. Their pathogenic effect is characterized by hyperemia, serous inflammation, infiltration and swelling of affected areas. In the absence of adequate treatment of erysipelas on the leg or other parts of the body leads to the formation of abscesses and necrosis of the skin tissue. In addition, the virus can be spread by streptococcus body through the blood vessels and cause a secondary septic complications.
By the nature of the inflammatory process, there are three forms of the disease:
- erythematous - redness and swelling of the skin;
- hemorrhagic - bleeding blood vessels due to the phenomenon of permeability;
- bullous - the emergence of bubbles on the damaged areas. These bubbles reach quite large and filled with serous fluid.
Rozsa - symptoms
The incubation period lasts for several days and then abruptly appear and local clinical symptoms:
- chills, weakness;
- nausea, vomiting, tachycardia;
- muscle aches;
- the swelling of the damaged area of skin.
In some cases, the disease leads to mug delirious state, convulsions and meningism. Also documented cases when viruses infect not only the skin, but also regional lymph nodes. Most often, there is erysipelas on the leg, arm, torso and face, at least - on the mucous membranes.
Depending on what form it takes erysipelas, symptoms can vary. Eritemtoznaya face is characterized by the appearance of erythema, edema and the presence of pain. Eretimy edges are irregular, broken line configuration, and she painted in bright pink, clearly limited to a certain area of the skin and is accompanied by desquamation.
Bullous form similar to eritemtoznoy, but is characterized by detachment of the epidermis and the formation of bubbles of various sizes, filled with serous content. After some time they burst or are transformed into sores.
Haemorrhagic form occurs on the background already described above, and is accompanied by symptoms of multiple hemorrhages in the affected areas. In rare cases, people have bullous-hemorrhagic erysipelas - a disease that leads to the formation of bubbles as usual bullous form, but they are not filled with serous and hemorrhagic exudate.
When eramatoznoy shape fever and intoxication lasts up to 5 days in other forms - up to 10-15 days or more. Rozsa being treated irrationally or accompanied by fungal and purulent lesions may recur after 2 years after the previous disease. She also called provoking factors - body hypothermia, hazardous working conditions, migrated from chronic diseases or lymph nodes. Recurrent form most often seen in young people and the elderly.
In the absence of adequate treatment of the disease leads to mug phlegmon, abscess, necrosis of the skin, an infectious-toxic shock and encephalopathy. Older people may receive secondary pneumonia and sepsis.
Rozsa - treatment of the disease
The treatment method depends on the degree of intoxication, and the multiplicity of complications associated disease. The most effective therapy has a causal - receiving tetracycline, penicillin, oletetrin, erythromycin and other antibiotics. It is advisable to hold two courses of therapy with the change of drugs (7-10 days of not less than 10 days). When recurrent form shown corticosteroids (daily dose - 30 mg).
In case of persistent infiltration, erysipelas on the leg and other parts of the body is treated with anti-inflammatory drugs - reopirin butadiene hloutazola. Efficiency and autohaemotherapy. In acute inflammatory foci act via UHF and MSS.
When bullosa form acceptable topical treatment - attachment dressings with a solution or furatsilina rivanola. To be most effective at the same time they are used Shostakovskiy balm and bandages with ekteritsinom. The use of such funds should alternate with physiotherapy.
Rozsa, treatment is carried out with appropriate quality and compliance with all prescribed procedures in such cases, has a favorable prognosis. Otherwise, it will recur and lead to various complications (cellulitis, abscesses, regional lymph nodes).