How to treat erysipelatous foot inflammation, face, hands, lower leg( disease of erysipelas)?
Jul 16, 2018
Erysipelas( erysipelatous disease) is a common infectious disease characterized by streptococcal soft tissue damage and a tendency to relapse. The causative agent is beta-hemolytic streptococcus group A. Streptococcus is very variable, so antibodies that are produced by the body to protect against infection, can not "remember" them and develop immunity.
This explains the frequent relapse of streptococcal infection. In addition, the pathogens of the disease are dangerous in that they release toxins that weaken immunity and destroy the walls of blood vessels. Inflammatory process on the skin is accompanied by fever and symptoms of intoxication of the body.
The concept of "erysipelas" comes from the French word, in the literal translation meaning "red."This definition most accurately reflects the appearance of the patient in the acute phase of the disease, when the skin becomes swollen and reddened. In recent years, doctors have noticed an alarming trend towards an increase in the incidence of severe forms of erysipelas associated with impaired lymph flow in the lower extremities and thrombophlebitis.
The prevalence of the disease reaches 20 - 25 cases per 10 000 population. Women and elderly people are more often affected by this infection. The disease is seasonal in nature and usually occurs in summer or autumn.
A favorite place for erysipelasis localization is legs( shins, calves) and arms, less often - face, trunk or inguinal region.Effective treatment of erysipelas is possible with timely access to medical care.In this case, you can achieve full recovery and recovery of work capacity.
1 The causes of the erysipelas
- 2 The symptoms of the erysipelas disease
- 3 The diagnosis of the erysipelas
- 4 The treatment of the erysipelas disease
- 5 The medicamentous treatment
- 6 Reviews of the treatment of the erysipelas disease
The causes of the erysipelas
The streptococcus can live on the skin and mucous membranes without causingDisease, if a person has good immunity. But if it enters a weakened organism, erysipelas arises. A healthy person can be a carrier of infection, the presence of streptococci in the body is revealed in 15% of the population.
You can get infected through contact with a patient or carrier of infection, as the pathogen is transmitted by airborne droplets or through household items, handshake.
The main causes contributing to the development of the disease, consider damage to the skin and the presence of concomitant diseases.
- Breach of skin integrity.Any minor damage to the skin becomes an input gateway for infection. These can be injuries( scratches, cuts, ulcers), insect bites, wounds from the introduction of venous catheters.
- Professional factor.Damage to the skin can occur as a result of working with chemicals, prolonged wearing of rubber shoes. In the risk zone are employees of chemical and metallurgical industries, miners, mechanics, rural residents.
- Purulent and viral infections.With viral diseases such as chicken pox, herpes zoster, herpes, blisters appear on the skin, filled with fluid. After their opening there are wetting wounds through which streptococci easily enter the body. When purulent lesions( boils, folliculitis), the infection enters the surrounding tissue after squeezing out the abscess.
- Skin diseasesof an allergic nature( dermatitis, eczema, urticaria, psoriasis, neurodermatitis).These pathologies are accompanied by a decrease in local immunity and a strong itch, which provokes scratching and damage to the skin through which the infection penetrates.
- Diseases associated with metabolic disorders( diabetes mellitus, hypothyroidism) andinternal disease( cirrhosis, kidney failure).
- Decreased overall immunity of, caused by the presence of a hotbed of chronic infection.
- . Oncological diseases.
- Diseases of the ENT - organs( otitis media, sinusitis, sinusitis).
- Nerve disorders caused by prolonged stress and overexertion.
- Harmful habits( alcohol, smoking).
In addition, the appearance of erysipelas can be facilitated by catarrhal diseases, hypothermia and the intake of drugs that suppress immunity. The disease often occurs against the background of fungal skin lesions, obesity, varicose veins.
Thus, predisposing factors contributing to the development of streptococcal infection are very many, and the treatment of the erysipelas disease should begin with identifying the causes of the disease.
Symptoms of a erysipelas infection
Only a few hours pass from infection to the appearance of the first symptoms, much less often 2-3 days. The disease begins sharply, with a sharp rise in temperature to 38-40 ° C and is accompanied by severe weakness, chills, dizziness, headache, muscle and joint pain. In severe cases, cramps, blurred vision, the appearance of nausea and vomiting.
There is an increase in lymph nodes, especially those that are closest to the affected area. Symptoms of general intoxication arise in response to the first wave of toxins released by streptococci.
Within a day after the appearance of the first symptoms, the skin blushes at the site of the lesion, there is a feeling of heat and itching. The bright red color of the skin is explained by the expansion of the blood capillaries under the action of streptococcal toxin. The affected area has clear boundaries and slightly rises above the surface of healthy skin, reminiscent of its uneven edges of the tongues of flame.
The lesion lesion in a few hours can significantly increase in size, this area becomes swollen and painful, the pain increases with palpation. Patients note a burning sensation and tension of the skin on the periphery. Painful sensations are a consequence of the compression of the nerve endings as a result of edema. The toxins released by bacteria increase the permeability of the vessel walls, as a result of which a liquid component of blood seeps through them, provoking a strong puffiness.
When feeling the affected areas it is noted that the skin becomes hot and painful. High temperature and symptoms of intoxication can persist on the background of therapeutic measures up to 10 days. Skin symptoms last longer - up to two weeks, then redness disappears and in its place the skin begins to peel off. The pathological process is more often localized on the hands and lower limbs. Erysipelas of the face appears in the region of the nose and cheeks in the form of a butterfly, can drop to the corners of the mouth and grasp the zone of the auditory canal.
In the erythematous-hemorrhagic form of the disease, subcutaneous hemorrhages occur against the background of lesions, from small to large, prone to fusion between themselves. Fever lasts longer than with other forms of the disease, and the disappearance of skin manifestations occurs much more slowly.
Bullous-hemorrhagic form is accompanied by the appearance of blisters filled with purulent or bloody contents. After their opening, ulcers and erosions, leading to the appearance of scars, remain on the skin.
For the erythematous-bullous form, the presence of small bubbles filled with transparent serous contents is characteristic in the lesion focus. After a short time, they are opened independently and do not leave scars behind.
Erysipelatous foot inflammationis most common in women, and often in the initial stages is not particularly worrisome, as patients perceive edema and redness of the skin as an allergic reaction. If you do not start treatment on time, you may develop severe complications on the shins and calves( purulent abscesses, elephantiasis).
Erysipelatous inflammation of the shincan be recognized by severe itching, extensive swelling and rapid spread of painful redness. For lesions localized on the lower extremities, frequent recurrences and a more severe course of the inflammatory process are characteristic, which in some cases can lead to such a serious complication as gangrene.
The severity of erysipelas is largely dependent on the patient's age. Thus, in the elderly, the acute form of the disease and repeated relapses are particularly severe and are accompanied by a prolonged fever, symptoms of intoxication and exacerbation of concomitant diseases.
The course of streptococcal infection is often accompanied by severe complications. It can be suppuration( phlegmon, abscess), tissue necrosis, thrombophlebitis. Disturbances of the lymphatic drainage and lymphatic stasis provoke the development of lymphedema and elephantiasis. With a significant weakening of the immune system, it is possible to develop a toxic-infectious shock, cardiovascular insufficiency and sepsis.
Diagnosis of erysipelas
Diagnosis of erysipelas is performed by a therapist or infectious disease specialist. The doctor diagnoses on the basis of a clinical picture and laboratory blood tests indicating signs of a bacterial infection.
In order to select an effective treatment, material from the surface of the lesion can be taken for bacteriological examination. This will clarify the type of pathogen and find out its sensitivity to antibiotics.
Treatment of a erysipelas disease
At the heart of the treatment of this infectious disease is antibacterial therapy, designed to destroy the pathogen. In addition to antibiotics, comprehensive treatment includes the use of antihistamines, which contribute to the elimination of itching and can cope with the intoxication of the body.
For the treatment of erysipelas, the doctor will prescribe an individual therapy with the selection of antibiotics in tablets. The average course of antibiotic therapy is 5 to 10 days. Assign the following drugs:
When intolerant antibiotics are administered with furazolidone or delagil. In severe disease, treatment is performed in a hospital setting where a course of benzylpenicillin is prescribed. When complications are added, cephalosporins and gentamicin are additionally used. For the treatment of extensive lesions, the use of anti-inflammatory drugs is indicated. If erysipelatous foot inflammation is complicated by a fungal infection, antimycotic drugs are prescribed.
In addition, patients with erysipelas are prescribed a maintenance course of vitamin therapy, antipyretic and diuretics. To eliminate the symptoms of intoxication, intravenous fluids are administered.
When relapses of the disease are consistently used intramuscular injection of antibiotics, most optimally affecting streptococcus, and prescribe drugs to maintain immunity.
Topical treatment with
Treatment with topical preparations is performed only with vesicular forms of the disease. The erythematous version of erysipelas does not need the use of such drugs, and some of them( ichthyol ointment, ointments with antibacterial components, Vishnevsky liniment) can cause undesirable complications.
In an acute period, not opened bubbles carefully cut and after the release of serous fluid is imposed on the lesion lesions with a solution of furacilin or rivanol, changing them several times a day. If on the site of the opened blisters appears an extensive wet wound surface shows the purpose of baths with a solution of potassium permanganate and the subsequent application of dressings with the components listed above. With bleeding, apply applications of the liniment dibunol to the focus of inflammation.
Effective applications with a solution of dimexide, which well anesthetizes, improves blood circulation, has antimicrobial and anti-inflammatory effect. For the treatment of wet surfaces, powders with enteroseptol are used, with extensive lesions, oxycyclisol is used in the form of an aerosol, which allows treating inflammation sites up to 20 square meters. See
Physiotherapeutic procedures are applied taking into account the stages of the disease and the severity of its symptoms:
- UFO -procedures are prescribed from the first days, simultaneously with the intake of antibacterial drugs. The course of treatment - from 2 to 10 procedures.
- Magnetotherapy( high-frequency) on the adrenal gland, used at the beginning of treatment. Irradiation can inhibit mediators of inflammation and reduce allergic reaction. The number of sessions is 5-7 procedures.
- Electrophoresiswith lidase or potassium iodide is administered 5-7 days after the onset of inflammation. Procedures improve lymphatic flow and reduce the amount of infiltration. To achieve a positive effect, 5-7 procedures are sufficient.
- UHF( 5-10 sessions).Procedures normalize blood circulation, warm up tissues and reduce inflammation.
- The sessions of paraffinotherapyare prescribed one week after the onset of the disease. The applications of warm paraffin to the lesions improve the nutrition of the tissues and accelerate the recovery.
- Infrared laser therapyis used in the recovery phase. Sessions activate protective processes in the skin, eliminate swelling and promote the rapid healing of damaged tissues.
At the stage of recovery a good effect is provided by applications with naphthalan ointment and the use of ozoceritherapy.
Treatment of erysipelas with folk remedies at home
Treatment of erysipelas with folk remedies with developed lesions of the skin will not give a result.Therefore, folk recipes based on homemade ointments, decoctions and infusions of medicinal herbs can be used only in the initial stages as an auxiliary and after consultation with the attending physician. Here are a few recipes that are often used in the treatment of erysipelas in the home. The most popular are compresses that can quickly remove inflammation and have an antiseptic and regenerating effect. Compressor made from chalk.A clean chalk bar is triturated to a powdery state and applied as a powder to the lesion site. On top, cover with sterile gauze and apply a bandage. The compress is left overnight.
- Compress their bloodbaths.For the procedure, a ready tincture of the medicinal plant is purchased at the pharmacy and a solution is prepared. Bubble tincture is diluted with 50 ml of boiled water, impregnated with a sterile napkin, applied to the affected skin and fixed with a bandage. According to the patients, such a compress relieves pain, itching and burning.
- Compress of Burdock.For the procedure, take a fresh leaf of the plant, carefully washed and lightly beaten to secrete the juice. Then the leaf is applied to the lesion, the dressing is applied and the compress is left overnight. Broth from elderberry.Is taken internally to reduce the symptoms of inflammation and intoxication. The leaves and young branches of black elderberry are ground, poured hot water and cooked over low heat for 15 minutes. The ready-made broth is infused for 2 hours, filtered and taken up to 50 ml two or three times a day.
Feedback on the treatment of the disease of the erysipelas
Some time ago, the temperature rose sharply and all the signs of a cold, chills, aching muscles, headache appeared. To the doctor did not go, took as usual antiviral drugs.
Then a red sore spot appeared on his leg, which ached and itched, the skin was hot, followed by a constant burning sensation. I smeared my foot with Vishnevsky's ointment and a great complication began, my leg was terribly swollen, the redness spread almost to the whole limb, my health was terrible.
I went to the hospital, the doctors explained that I had a erysipelas, treated with antibiotics. He spent three weeks in the hospital, underwent UFO and electrophoresis. Now I hardly risk taking self-medication. Now I see an infectious disease specialist, because the disease can return.
Treated erysipelas on face. This is some kind of nightmare, my acquaintances did not recognize me, my face was swollen, it became swollen, eyes were left with lumps, my skin reddened, itched and ached. Has passed or has taken place course of treatment in a hospital.
Treated with antibiotics, intravenous infusions, electrophoresis procedure. Assigned vitamins, antihistamines. Now everything has passed, but I'm afraid of a relapse, so once a month I show myself to a specialist. Very unpleasant disease, I do not want this nightmare to happen again.
The foot had erysipelas. At first I was very sick, there was a high fever, dizziness, chills. Then a red spot formed on my foot, I suffered from constant burning and itching. Tried to do house lotions and compresses, but nothing helped.
The doctor prescribed antibiotics, lotions with furatsilinom and dimeksidom, from pruritus saw Klaritin, took painkillers and antipyretics. For help turned on time, so the inflammation did not spread, a week later felt better and soon the symptoms of infection disappeared.