erysipelas is an infectious disease caused by hemolytic streptococci. Inflammations and deformities affect a clearly restricted area of the skin, accompanied by fever and intoxication of the body.
Since the activity of group A streptococci is considered the main reason why a person appears on his leg( see photo), the most effective treatment is based on the use of penicillins and other antibacterial drugs.
Causes of the occurrence of
Why does the face appear on my leg, and what is it? The main is caused by erysipelas, streptococcus , which gets into the blood as a result of any damage to the skin, abrasions, microtrauma. The role is also played by hypothermia and stress, excessive sunburn.
Among the factors that can lead to the development of erysipelas, stress and constant overload, both emotional and physical, play an important role. Other determining factors are:
- sharp temperature changes( decrease and rise in temperature);
- damage to the skin( scratches, bites, injections, microcracks, intertrigo, etc.);
- excessive tan;
- various bruises and other injuries.
In the vast majority of cases, the erysipelas develop on the hands and feet( feet, legs);much less inflammation occurs on the head and face, the most infrequent are inflammatory processes in the groin( perineum, genital organs) and on the trunk( abdomen, sides).Mucous membranes can also be affected.
Is the disease of the erysipelas on foot?
Erysipelas of the skin is a contagious disease, as the main cause of its occurrence is an infection that is safely transmitted from one person to another.
When working with a patient( treating the site of inflammation, medical procedures) it is recommended to use gloves, after the contact is finished, wash hands thoroughly using soap. The main source of diseases caused by streptococcus is always a sick person.
Classification
Depending on the nature of the lesions, erysipelatous inflammation can occur as:
- Bullous form - blisters with serous exudate appear on the skin. The extreme degree of this form is the emergence of necrotic changes - skin cells die and practically do not regenerate on the affected area.
- Hemorrhagic form - in the place of the lesion the vessels become permeable and the formation of bruising is possible.
- Erythematous form of - the leading symptom is redness and swelling of the skin.
To determine the correct tactics for treating erysipelas, it is necessary to accurately determine the severity of the disease and the nature of its course.
Symptoms
The incubation period of the erysipelas inflammatory process is from several hours to 3 to 4 days. The medical pathology is classified as follows:
- by severity - mild, moderate and severe;
- by the nature of - erythematous, bullous, erythematous-bullous and erythematous hemorrhagic;
- for localization - localized( at one site of the body), a common, metastatic lesion.
After the incubation period, the patient exhibits symptoms of erysipelas on his leg, among which general weakness, weakness and malaise. After this, the temperature suddenly rises quite suddenly, and chills and headache appear. The first few hours of the face are characterized by a very high temperature, which can reach forty degrees. There is also muscle pain in the legs and lower back, the joints are hurting the person.
A characteristic feature of the inflammatory process is the bright red color of affected areas, similar to the flames. Clearly marked edges have elevations along the periphery - the so-called inflammatory shaft.
More complex form - erythematous-bullous. In this case, on the first or third day of the disease, bubbles develop with a clear liquid on the outbreak. They burst, forming crusts. Favorable treatment leads to the healing and formation of young skin after its collapse. Otherwise, ulceration or erosion may occur.
Birth to foot: photo the initial stage of
We present detailed photos to view how this illness looks in the initial stage and not only.
How to treat an erypsipelas on the leg?
If it is a matter of mild severity, then there is enough treatment at home. But in severe and neglected cases, one can not do without hospitalization in the surgical department.
The most effective treatment of erysipelas on the leg necessarily involves the appointment of antibiotics. To maximize their effect, the physician must first find out the most effective of them in each particular case. For this, an anamnesis is mandatory.
In most cases, the following drugs are used:
- Lincomycin;
- Penicillin;
- Levomycetin;
- Erythromycin;
- Tetracycline.
In addition to antibiotics, drug treatment includes other purposes.
- Antipyretic, diuretic and vascular agents are used to relieve painful and severe manifestations of the disease and symptomatic treatment.
- Means that reduce the permeability of blood vessels - their reception is also necessary in some cases.
- In cases where the severe course of the disease is complicated by intoxication, in the fight for health, detoxifying agents are used - for example, rheopolyglucin and / or glucose solution.
- Vitamins of groups A, B, C, etc.,
- Anti-inflammatory drugs.
Also the patient with a erysipelas is shown cryotherapy and physiotherapy: local ultraviolet irradiation( UFO), high frequency current( UHF), weak electrocution, laser therapy in the infrared light range.
Forecast
The prognosis of the disease is conditionally favorable, with adequate timely treatment, the probability of complete cure and recovery is high. In a number of cases( up to a third), the formation of recurrent forms of the disease is possible, which are much more difficult to treat.
Complications of
If not started during treatment or not completed, the disease can trigger certain consequences that require additional therapy:
- Swelling and lymphostasis on the leg, leading to elephantiasis and malnutrition in the tissues.
- If an additional infection occurs, abscesses, phlegmon and sepsis may occur.
- In a weakened or elderly person, the activity of the heart, vessels, kidneys, pneumonia and cholangitis can be disrupted.
- Defects of veins located on the surface - thrombophlebitis, phlebitis and periphoebitis. In turn, the complication of thrombophlebitis can be thromboembolism of the pulmonary arteries.
- Erosions and ulcers that do not heal for a long time.
- Necrosis, local hemorrhage.