Is erysipelas on the leg treated. Erysipelas, treatment of erysipelatous disease

Erysipelas (erysipelas) is a fairly common disease. infectious nature. During such an ailment, soft tissues are affected by streptococci, due to which some parts of the body begin to swell strongly and outwardly resemble a swollen roller.

Faced with such a disease, a person is at risk of relapse, which most often ends with elephantiasis and lymphostasis. In addition to streptococcal lesions, this disease can be caused by a violation of the flow of lymph and blood in the lower extremities. And not to provoke serious complications, you need to know how to treat the onset erysipelas legs, arms or other parts of the body.

Initial stages of treatment

The treatment of such a disease first of all begins with an increase and strengthening of the immune system. If you do not pay attention to this, then the disease will then return again, each time proceeding more and more difficult. And this can eventually lead to disability. Therefore, it is necessary to treat erysipelas comprehensively.

First, the focus of the underlying infection is identified, and a course of antibiotics is prescribed to eliminate it. Next, you need to restore the disturbed microflora of the body. To do this, you need to include daily diet a large number of dairy products containing lactobacilli.

To remove toxins and medicinal poisons, it is necessary to drink mineral alkaline waters. But you need to do this in small portions (three sips) throughout the day. When the body is seized with a fever, the drinking regimen increases. At this point, it is recommended to drink at least three liters of fluid.

The diet during the treatment period should consist mainly of proteins that will be easily absorbed by a weakened body. These are lean meat, fish, seafood and cheese. All products are consumed boiled or stewed. Protein is necessary for erysipelas, as it contributes to the creation of antibodies that effectively fight streptococci.

Do not forget about fats that contribute quick recovery the affected epidermis. Therefore, the table must be present vegetable oil, seeds and nuts, fatty fish. To restore internal and physical strength you need to eat vegetables and fruits that contain many vitamins and minerals.

A disease such as erysipelas can cause anemia. Therefore, iron preparations are necessarily taken or hematogen is used. For get well soon may be appointed ultraviolet irradiation. But the duration and number of procedures is set only by a doctor.

During the treatment period, hypothermia and overwork of the body should not be allowed. And also strong nervous strain. Caffeine, chocolate, salty and spicy foods, alcoholic drinks.

Medical treatment

The following antibacterial drugs help to effectively treat erysipelas:

penicillins;
tetracyclines;
chloramphenicol;
macrolides.

Penicillins quickly block reproduction dangerous bacteria and suppress their activity. Most often they are used in conjunction with Streptocide or Furazolidone. Among penicillins, benzylpenicillin is prescribed in the form intramuscular injections, Bicillin-5 and Phenoxymethylpenicillin in the form of tablets or syrup. The drug Bicillin-5 is usually prescribed for the prevention of relapses, one injection once a month. The duration of the course is two years.

Drugs from the penicillin group help to quickly eliminate erysipelas

Of the tetracyclines, doctors most often use Doxycycline. It stops protein synthesis, which is necessary for the formation of new bacterial cells. The drug is taken twice a day after the main meal. Levomycetin slows down the reproduction of streptococci. It is used three times a day for ten days. With advanced stages of the disease and if blood cancer contributed to such an ailment, the duration of therapy can be increased.

Macrolides also stop growth pathogenic bacteria and resist their reproduction. More often, a remedy such as Erythromycin is prescribed. It is taken at 0.25 mg one hour before meals four times a day.

In order for the treatment to give its positive and prolonged result, other drugs are prescribed in addition to antibiotics:

drugs that eliminate allergies;
sulfonamides;
nitrofurans;
glucocorticoids;
biostimulants;
multivitamin preparations;
thymus preparations;
proteolytic enzymes.

Antiallergic drugs (Suprastin, Tavegil, Diazolin) eliminate soft tissue swelling and promote faster resorption of the internal accumulation of lymphatic fluid. They are taken for ten days twice a day, one tablet. Sulfonamides (Streptocid, Biseptol) destroy the cellular structure of bacteria and inhibit their growth. They are prescribed in a dosage of one tablet four times a day.

Nitrofurans (Furadonin, Furazolidone) also slow down the growth of dangerous bacteria, and when increased amount provoke their death. Drink these drugs should be two tablets four times a day. Glucocorticoids are usually prescribed for developing lymphostasis. Such drugs are hormonal drugs Therefore, they are prescribed only by the attending physician based on individual indicators.

Biostimulants (Pentoxyl, Methyluracil) activate growth immune cells and accelerate the regeneration of the epidermis in the area of erysipelas. The duration of the course can be 20 days.

Preparations of a multivitamin nature (ascorbic acid, Askorutin) several times strengthen the weakened walls of blood vessels and strengthen local immunity. If not treated in time associated problems, then the risk of recurrence of the disease increases.

Thymus-based drugs (Taktivin, Timalin) are administered intramuscularly.

They also have a beneficial effect on the immune and internal system a person, and they also increase the number of lymphocytes in the blood. Proteolytic enzymes (Trypsin, Lidaza) are administered as subcutaneous injections. They contribute to the resorption of formations and improve the nutrition of the affected tissue. Such complex drug therapy allows you to quickly remove unpleasant symptoms and get rid of erysipelas.

Method of external treatment

In addition to taking medications inside, erysipelas is also treated through applications, as well as various compresses. This is especially true when the disease affects the upper or lower extremities.

Dimexide solution is used as applications. To do this, a piece of gauze is folded into several layers and abundantly moistened with Dimexide, after which it is applied to the affected area. This bandage should be kept for two hours, and the procedure itself will need to be repeated in the morning and evening.

Dimexide will eliminate inflammation and reduce the manifestation of pain

Dimexide solution not only eliminates inflammatory process, but relieves pain, stimulates blood circulation and increases the effectiveness of antibiotic treatment. You can use the drug Enteroseptol in the form of powders. The skin to be treated must be absolutely dry.

For the procedure itself, several tablets of this medicine must be crushed and sprinkled with the resulting powder on the diseased area of \u200b\u200bone of the limbs. Thanks to such manipulations, the bacteria die, while the risk of other dangerous microorganisms joining this disease is reduced.

Dressings based on Furacilin and Microcid also have antimicrobial properties. The advantage of such solutions is that they are able to penetrate into the deep layers of the epidermis and eliminate the pathogenic environment there. Dressings moistened with these preparations are kept on the skin for about three hours twice a day.

It is possible to treat an erysipelas formed on the leg with the help of an aerosol of Oxycyclozol. This remedy is simply sprayed onto the affected area twice a day. The composition of the drug creates a protective film on the skin, which has anti-inflammatory, antibacterial and anti-allergic effects.

But it is forbidden to use Vishnevsky's ointment for the treatment of such a disease as erysipelas of the limbs. It will contribute to the development of inflammation and can provoke the formation of an abscess. The same applies to ichthyol ointment.

Physiotherapy for erysipelas

You can treat erysipelas on the arm or leg with antibiotics in conjunction with physiotherapy. In this case, the recovery process will be faster and more efficient. With this disease, the following methods are used:

UV and UHF;
magnetotherapy;
electrophoresis;
laser therapy;
paraffin applications.

Ultraviolet irradiation is connected to therapy from the very first days when antibacterial drugs are prescribed. The course of such treatment can consist of 12 sessions. With a small lesion, procedures can be significantly less.

Also, the patient is recommended to take a course of UHF (ten sessions). Thanks to this procedure, the tissues are warmed up, the focus of inflammation is reduced and the disturbed blood supply is restored. But before treating an unpleasant disease in this way, a course of antibiotics is first prescribed.

High-frequency magnetic therapy affects the area of the adrenal glands. Their activity is stimulated, and they contribute to the formation of more steroid hormones. Due to this, inflammation is eliminated, pain and swelling of the affected area is reduced. Eliminated allergic reaction skin. This technique is used at the very beginning of treatment, but only if autoantibodies have been detected in the blood.

Magnetotherapy blocks inflammation and relieves swelling in erysipelas

A procedure such as electrophoresis can be carried out using potassium iodide, Ronidase or Lidase. Under this influence, the outflow of lymphatic fluid occurs. The entire course consists of seven procedures. Electrophoresis is prescribed on the fifth day of therapy.

Laser therapy with infrared radiation activates protective properties cells, improves nutrition of inflamed tissue, removes puffiness. The procedure is already at the stage of recovery. It is she who helps to accelerate the healing of wounds from ulcers that form during the complicated stage of erysipelas. And after a full course of laser exposure, the question of how long you can live with such a skin lesion will not arise.

Applications with paraffin contribute to the disappearance of all residual effects. They are usually prescribed for prevention and risk reduction. possible relapses. But they can also be used on the seventh day of the main treatment.

ethnoscience

You can get rid of such a disease as an erysipelas on an arm or leg, you can use folk remedies. But it is better to resort to such treatment if the disease occurs in its initial stage. The most effective may be such recipes:

chalk compress;
applications with burdock;
elderberry decoction.

To make a chalk compress, a small piece of this component must be thoroughly crushed and sprinkled with the resulting powder on the lesion. A gauze bandage is applied on top, and the compress is left all night.

At home, fresh burdock can be used against erysipelas. The leaves of this plant are thoroughly washed, beaten off a little and applied to the affected area with the side where the burdock has released the juice most of all. The plant is fixed with a bandage or bandage and also left all night.

A decoction of elderberry, which is taken orally, helps to reduce the symptoms of inflammation and relieve general intoxication of the body. For the preparation of a healing drink, young twigs and elderberry leaves are used. These components are crushed and poured with hot water, after which they are simmered for another 15 minutes. The finished broth is infused for two hours, and then filtered and taken 50 ml twice a day.

Folk recipes have some effectiveness and are able to give a therapeutic result in erysipelas. But to completely eliminate this serious illness they can't. Asking the question of whether it is possible to cure such an ailment only with home remedies, you need to understand that without drug therapy can't get by.

Erysipelas or erysipelas (from Polish roza) is an infectious, fairly common disease of the skin and mucous membranes. On the Latin — erysipelas(erythros translated from Greek - red, pellis - skin). Among all erysipelas takes the fourth place and today is one of the urgent problems in health care. The cause of erysipelas is group A beta-hemolytic streptococcus. Sick individuals and healthy carriers are sources of infection. The disease is characterized by severe fever, symptoms of intoxication, and the appearance of bright red areas of inflammation on the skin or mucous membranes.

Complicated forms of erysipelas are the most severe soft tissue infections. They are characterized by rapid onset, rapid progression, and severe intoxication.

A patient with erysipelas is not contagious. Women get sick more often during the period of extinction reproductive function. In a third of patients, the disease acquires a relapsing course.

Rozha has been known since ancient times. Its description was found in the works of ancient authors. pure culture the causative agent of erysipelas was isolated in 1882 by F. Felleisen. A huge contribution to the study of the disease was made by Russian scientists E. A. Galperin and V. L. Cherkasov.

Rice. 1. Erysipelas (erysipelas) on the leg (erysipelas of the lower leg).

Pathogen erysipelas

There are 20 types (serogroups) of streptococci. The most significant of these are serogroup A, B, C, D and G streptococci. Group A beta-hemolytic streptococci (Streptococcus pyogenes) are the cause of many dangerous diseases in man - pustular diseases skin and soft tissues (abscesses, cellulitis, boils and osteomyelitis), tonsillitis and pharyngitis, bronchitis, rheumatism, scarlet fever and toxic shock. Erysipelas can be caused by any type of group A streptococcus.

Bacteria are round in shape. Arranged more often in chains, less often in pairs. They reproduce by dividing in two.

In external environment, including sputum and pus, bacteria persist for months and survive in low temperatures and freezing.
Heat, sunlight and disinfectant solutions have a detrimental effect on microbes.
Streptococci show high sensitivity to antibiotics, to which resistance develops slowly.

Streptococci secrete whole line endo- and exotoxins and enzymes that cause their damaging effect.

Rice. 2. Streptococci are round in shape. Arranged more often in chains, less often in pairs.

Rice. 3. Group A beta-hemolytic streptococci, when growing on blood agar, form hemolysis zones (light halos) that are 2–4 times larger than the diameter of the colonies themselves.

Rice. 4. With growth on nutrient media streptococcal colonies are shiny, drop-shaped, or gray, dull and granular with jagged edges, or convex and transparent.

Epidemiology of the disease

reservoir and source beta are sick and "healthy" bacteria carriers. Bacteria penetrate the skin from outside or from foci of chronic infection. Erysipelas in individuals with manifestations ( chronic tonsillitis, caries, diseases of the upper respiratory tract, etc.) occurs 5-6 times more often. Long-term use of steroid hormones is a predisposing factor in the development of the disease.

Minor injuries, cracks, abrasions, abrasions and wounds on the skin and mucous membranes of the nose, genitals, etc. are entrance gate for infection. Contact and airborne - the main ways of infection.

Group A streptococci often live on human skin and mucous membranes and do not cause disease. Such persons are called bacteria carriers. Erysipelas is more often recorded in women during the period of extinction of reproductive function. In some patients, erysipelas is recurrent, which, apparently, is associated with a genetic predisposition.

The disease often develops with lymphostasis and venous insufficiency, edema different origin, trophic ulcers and.

Rice. 5. Phlegmon and gangrene - formidable complications erysipelas.

How does erysipelas occur (pathogenesis of erysipelas)

Inflammation in erysipelas is most often localized on the face and legs, less often on the arms, trunk, scrotum, perineum and mucous membranes. The inflammatory process during the disease affects the main layer of the skin, its frame - the dermis. It performs supporting and trophic functions. The dermis contains many capillaries and fibers.

Inflammation in erysipelas is infectious and allergic in nature.

Waste products and substances released during the death of bacteria cause the development of toxicosis and fever.
The reason for the development of the inflammatory process is the effect on tissues of toxins, enzymes and antigens of hemolytic streptococci, as well as biologically active substances. Small arteries, veins and lymphatic vessels are damaged. Inflammation is serous or serous-hemorrhagic in nature.
Human skin antigens are similar in structure to streptococcal polysaccharides, which leads to the development of autoimmune processes when the patient's antibodies begin to attack their tissues. Immune and autoimmune complexes cause damage to the skin and blood vessels. Intravascular coagulation develops, the integrity of the capillary walls is disturbed, and a local hemorrhagic syndrome is formed. As a result of vasodilation, a focus of hyperemia and vesicles appear on the skin, the contents of which are serous or hemorrhagic in nature.
Biologically enter the bloodstream in large quantities active substances, including histamine, which is involved in the development of hemorrhagic forms of erysipelas.
Insufficiency of lymphatic circulation is manifested by edema lower extremities. Over time, damaged lymphatic vessels are replaced by fibrous tissue, leading to the development of elephantiasis.
The focus of infectious-allergic inflammation consumes a large amount of glucocorticoids. This leads to the development of extra-adrenal insufficiency. Protein and water-salt metabolism are disturbed.

Rice. 6. The inflammatory process during the disease affects the main layer of the skin, its frame - the dermis.

Factors affecting the development of erysipelas

The following factors influence the development of erysipelas:

Individual predisposition to the disease, which is due to a genetic predisposition or hypersensitivity to allergens of streptococci and staphylococci.
Decreased activity of the body's defense reactions - non-specific factors, humoral, cellular and local immunity.
Disorders of the neuroendocrine system and imbalance of biologically active substances.

Erysipelas classification

There are erythematous, erythematous-bullous, erythematous-hemorrhagic and bullous-hemorrhagic (uncomplicated) and abscessing, phlegmonous and necrotic (complicated) forms of erysipelas. This classification of erysipelas is based on the nature of local lesions.
According to the severity of the course, erysipelas is divided into mild, moderate and severe.
According to the multiplicity of manifestations, erysipelas is divided into primary, repeated and recurrent.
There are localized, widespread, migratory and metastatic forms of erysipelas.

By prevalence

When a limited area of the lesion appears on the skin, they speak of localized face shape.
The exit of the focus outside the anatomical region is regarded as common the form.
When one or more new areas appear near the primary lesion, connected by "bridges", they speak of migratory form of erysipelas.
When new foci of inflammation appear far from the primary focus, they speak of metastatic form of the disease. Streptococci are spread by the hematogenous route. The disease is severe and prolonged, often complicated by the development of sepsis.

By frequency of occurrence

Erysipelas that occurs for the first time is called primary.
If a repeated case of the disease occurs in the same place, but not earlier than 2 years after the first case or if re-disease that arose elsewhere earlier than this period, they talk about repeated erysipelas.
Erysipelatous inflammation that occurs repeatedly in the same place is recurrent character.

By severity

mild severity the disease is characterized by a short fever and mild symptoms of intoxication, which is characteristic of the erythematous form of erysipelas.
Moderate severity characterized by a longer (up to 5 days) fever and more pronounced symptoms of intoxication, which is typical for the erythematous and erythematous-bullous forms of the disease.
Severe course erysipelas is typical for hemorrhagic and complicated forms of the disease, which occur with high (up to 40 0 C) body temperature, severe intoxication, the development in some cases of infectious-toxic shock and sepsis. A severe course is observed in migratory and metastatic forms of the disease.

Erased or abortive forms of the disease are noted with adequate, timely treatment. Rarely seen.

Rice. 7. In the photo, erysipelas of the skin.

Signs and symptoms of erysipelas in various forms of the disease

Signs and symptoms of erysipelas during the incubation period

The incubation period for erysipelas in case of infection from outside is from 3 to 5 days. As a rule, the disease begins acutely, with a precise indication of the hour of onset of the first symptoms and signs. Headache, general weakness, fever up to 39 - 40 ° C, chills, muscle and joint pain, often nausea and vomiting, less often convulsions and disorders of consciousness - the main signs and symptoms of erysipelas during this period. Intoxication with erysipelas develops as a result of the release of streptococcal toxins into the bloodstream.

At the same time, the first signs of local damage appear. Sometimes local symptoms develop after 6-10 hours from the onset of the disease.

Streptococci have a tropism for lymphatic system, where they multiply rapidly and spread to the regional lymph nodes, which, as a result of developed inflammation, increase. Fever and toxicosis persist up to 7 days, less often - longer.

All forms of erysipelas are accompanied by inflammation lymphatic vessels and lymph nodes.

Rice. 8. In the photo, erysipelas (erysipelas) in children (erysipelas of the face).

Signs and symptoms of erysipelas of the skin in the erythematous form of the disease

A burning sensation and bursting pain at the site of the lesion are the first symptoms of erysipelas. Redness and swelling are the first signs of the disease. In the affected area, the skin is hot to the touch and tense. The inflammatory focus rapidly increases in size. The erysipelatous plaque is delimited from the surrounding tissues by a roller, has jagged edges and resembles flames. There are many streptococci in the tissues and capillaries of the affected area, which can be detected with a simple smear microscopy. The process continues up to 1 - 2 weeks. Redness disappears gradually, the edges of erythema are blurred, swelling subsides. The upper layer of the epidermis sloughs off and thickens, sometimes pigment spots appear. Persistent edema indicates the development of lymphostasis.

Rice. 9. In the photo, the erythematous form of erysipelas on the leg.

Signs and symptoms of erysipelatous inflammation of the skin in the erythematous-bullous form of the disease

The erythematous-bullous form of the disease is characterized by the appearance of vesicles and blisters on the affected area of the skin. Bullous elements contain light clear liquid(exudate). Sometimes the exudate becomes cloudy, and the bubbles turn into pustules. Over time, the blisters subside, in their place, brown crusts form, dense to the touch. After 2-3 weeks, the crusts are torn off, exposing the erosive surface. Some patients have trophic ulcers. Epithelialization of the affected surface occurs slowly.

Rice. 10. In the erythematous-bullous form of erysipelas, brown or black crusts form at the site of collapsed vesicles.

Signs and symptoms of erysipelas in the erythematous-hemorrhagic form of the disease

This form of erysipelas is becoming more common in recent times, and in some regions of our country it ranks first among all forms of this disease.

Burning sensation and bursting pain, redness, swelling and small punctate (up to 3 mm) hemorrhages (petechiae) are the main signs and symptoms in the erythematous-hemorrhagic form of the disease. Hemorrhages at the site of the lesion are the result of the release of blood from damaged small blood vessels into the intercellular space.

The disease is characterized by a longer (up to 2 weeks) fever and slow reverse development. Skin necrosis is sometimes noted as a complication.

Rice. 11. Erysipelas of the arm. Petechial hemorrhages (petechiae) are the main symptom of the erythematous-hemorrhagic form of erysipelas.

Signs and symptoms of erysipelas with bullous-hemorrhagic form of the disease

The bullous-hemorrhagic form of erysipelas of the skin is characterized by the appearance of blisters with serous-hemorrhagic contents against the background of hyperemia. The outflow of blood is associated with deep damage to the capillaries. After the bubbles subside, an erosive surface is exposed, on which black crusts are located. Healing is slow. The disease is often complicated by skin necrosis and inflammation of the subcutaneous adipose tissue. After healing, scars and pigmentation remain.

Rice. 12. In the photo, gangrene of the lower limb, as a result of a complication of the bullous-hemorrhagic form of erysipelas.

Bullous and hemorrhagic forms of the disease lead to the development of lymphostasis.

Signs and symptoms of complicated forms of erysipelas

Phlegmonous and necrotic form erysipelas of the skin are regarded as complications of the disease.

With the spread of inflammation to the subcutaneous adipose tissue and connective tissue develops phlegmonous inflammation. Bubbles filled with pus appear on the affected area of the skin. The disease is severe, with severe intoxication. The affected area of the skin is often infected with staphylococci. The phlegmonous form of erysipelas often causes sepsis.

Necrotic (gangrenous) form erysipelas develops in people with low immunity. soft tissues undergo necrosis (complete destruction). The disease begins rapidly, proceeds with severe intoxication, and progresses rapidly. After healing, disinfecting scars remain.

The recovery period for severe and complicated forms of erysipelas is slow. Asthenic syndrome after recovery persists for many months.

Rice. 13. In the photo erysipelas (erysipelas), phlegmonous-necrotic form of the disease.

Features of erysipelas in certain parts of the body

Most often, erysipelas is recorded on the skin of the lower extremities, somewhat less often on upper limbs and face, rarely - on the trunk, mucous membranes, mammary gland, scrotum and perineum.

Erysipelas on the leg

Erysipelas on the leg develops as a result of a violation of the integrity of the skin, the occurrence of which is associated with injuries and bruises. Often the disease develops in patients with fungal infections of the feet and toenails, circulatory disorders in the lower extremities, which developed as a result of diabetes mellitus, varicose veins, smoking and overweight. The source of infection is also the foci of chronic infection in the patient's body.

A burning sensation, bursting pain at the site of the lesion, redness and swelling are the first signs and symptoms of erysipelas on the legs.

Erysipelas on the legs is often recurrent. Improper treatment and the presence of foci of chronic infection contribute to the development of a relapsing form of the disease.

Frequent relapses lead to the development of fibrotic changes in the dermis and subcutaneous tissue with the subsequent development of lymphostasis and elephantiasis.

Rice. 14. In the photo, erysipelas of the legs.

Erysipelas on the arm

Erysipelas on the hands often develops in drug addicts due to intravenous administration drugs and in women against the background of lymphatic stagnation, as a result of a radical mastectomy.

Rice. 15. Erysipelas on the hands.

Rice. 16. In the photo, erysipelas of the hand.

Erysipelas on the face

Most often, the primary erythematous form of erysipelas occurs on the face. Redness often captures the area of the cheeks and nose (like a butterfly) and, in addition to swelling and itching, is often accompanied by severe pain. Sometimes the focus of inflammation spreads to the entire face, hairy part head, occiput and neck region. In some patients, the disease is complicated by the development of abscesses in the thickness of the eyelids and the accumulation of pus under hairy part heads. With the spread of infection in the subcutaneous fatty tissue, phlegmon develops. Weakened persons and the elderly may develop gangrene.

The source of infection in erysipelas on the face is often strep infection sinuses and boils. The source of infection in erysipelas of the orbit is streptococcal conjunctivitis.

Streptococcal otitis media sometimes develops erysipelas auricle, often the inflammatory process extends to the scalp and neck.

Rice. 17. An erythematous form of erysipelas occurs more often on the face.

Rice. 18. Erysipelas on the face. Redness often captures the area of the cheeks and nose (like a butterfly).

Rice. 19. Sometimes the focus of inflammation spreads to the entire face, scalp, neck and neck.

Rice. 20. In the photo, erysipelas of the hand.

Erysipelas of the trunk

Erysipelas sometimes develops in the area surgical sutures in case of non-compliance with the rules of asepsis. Erysipelas is severe when streptococci penetrate into the umbilical wound of a newborn. Erysipelatous inflammation of the mammary gland develops against the background of mastitis. The development of gangrene can lead to scarring with subsequent dysfunction of the organ.

Erysipelas of genital organs and perineum

With erysipelas of the scrotum, penis, female genital organs and perineum, the erythematous form of the disease most often develops with a pronounced edema of the underlying tissues. Developed tissue necrosis followed by scarring leads to testicular atrophy. Erysipelas in parturient women is extremely difficult. The inflammatory process often affects the internal genital organs.

Erysipelatous inflammation of the mucous membranes

With erysipelas of the mucous membranes, the pharynx, larynx, oral cavity and nasal mucosa are more often affected. With the defeat of the mucous membranes, the erythematous form of the disease develops. Hyperemia and significant edema develop in the area of inflammation, often with foci of necrosis.

Rice. 21. The photo shows erysipelas of the oral mucosa.

Relapses of the disease

Erysipelatous inflammation that occurs repeatedly in the same place is recurrent in nature. Relapses are divided into early and late. Early relapses are considered repeated episodes of the disease that occur before 6 months, late - more than 6 months.

Promote recurrence of chronic venous insufficiency, lymphostasis, diabetes and wrong treatment diseases. Relapses are often observed in patients working in adverse conditions and in the elderly.

When multiplying in the lymphatic capillaries of the skin, streptococci form an inflammatory focus in the dermis. Frequent relapses occur with small temperature body and moderate symptoms of intoxication. Oily erythema and edema appear on the skin. The delimitation from healthy areas is poorly expressed.

Frequent relapses lead to the development of fibrotic changes in the dermis and subcutaneous tissue, followed by the development of elephantiasis.

Rice. 22. In the photo erysipelas (erysipelas) of rare localization.

Erysipelas in the elderly

Erysipelas in older people often occurs on the face. The disease is accompanied by severe pain. Sometimes gangrene develops. Erysipelatous inflammation has a protracted course and slowly regresses.

Rice. 23. Erysipelatous inflammation of the face in the elderly.

Erysipelas in children

Erysipelas is rare in children. In older children, the disease progresses mild form. The focus of erysipelas can occur in different places. The erythematous form develops more often. The prognosis is favorable.

In children under one year old, erysipelas is more severe. Foci of inflammation often appear in places of diaper rash and on the face, sometimes spreading to other parts of the body. At phlegmonous form diseases can develop sepsis, with erysipelas of the face - meningitis.

Erysipelas is severe when streptococci enter the umbilical wound in newborns. The process quickly spreads to the back, buttocks and limbs of the child. Intoxication increases, body temperature rises significantly, convulsions appear. Some patients develop sepsis. Mortality in erysipelas in newborns is extremely high.

Rice. 24. In the photo, erysipelas in children.

Complications of erysipelas

Complications of erysipelas occur in 4 - 8% of cases. A decrease in the activity of the body's defense reactions and inadequate treatment lead to the development of:

lymphorrhea - leakage of lymph from damaged lymphatic vessels,
ulcers - deep skin defects,
abscess - an abscess surrounded by a dense capsule,
phlegmon, when inflammation spreads to subcutaneous adipose tissue and connective tissue,
gangrene - total destruction tissue affected by inflammation
thrombophlebitis - inflammation of the venous walls with the formation of blood clots,
pneumonia in older people
lymphostasis (lymphedema), which has developed as a result of a violation of the outflow of lymph and elephantiasis (fibreedema),
infectious psychosis,
at the site of inflammation, often with a prolonged or recurrent course, hyperkeratosis, eczema develops, and pigmentation appears.

Immunity after suffering erysipelas does not develop.

Causes of the disease

The presence of staphylococcus in the human body does not always lead to disease, bacteria begin to actively develop only under certain conditions.

Factors contributing to infection:

Diseases that cause damage and malnutrition of the skin: foot fungus, diabetes mellitus, overweight, vein problems, alcoholism, tropical ulcers, immunodeficiency.
Permanent injuries caused by occupational causes: work activities associated with permanent contamination of the skin, wearing rubber or uncomfortable shoes for a long time, etc.
Weakening of the body and a decrease in the functions of the immune system as a result surgical intervention, prolonged illness, hypovitaminosis, hypothermia, as well as in old age.
Presence in the body chronic infections(tonsillitis, otitis, caries).

Symptoms of erysipelas

The period from infection with streptococcus to the appearance of the first signs of the disease can take up to ten days.

At the initial stage, you feel:

general weakness
loss of energy, lethargy
headache
chills
muscle pain
poor appetite, nausea
digestive problems (vomiting, diarrhea)
high body temperature

Inflammation is rapidly progressing, which requires surgical drug treatment, which is considered the most effective in this disease.

A day after the onset of the first symptoms of the disease, the affected area turns red, the skin becomes painful.

There is swelling, a feeling of tightness of the skin, burning. Fluid-filled blisters (clear or bloody), peeling and peeling of the top layer of the skin may also appear.

In especially severe cases, patients experience: convulsions, fainting, loss of orientation, indicating impaired activity central nerve systems.

How to treat erysipelas on legs

It is unpleasant and painful, many are treated at home. Use of medications, drugs traditional medicine, various ointments.

Visit to the doctor - required condition Successfully get rid of this infectious disease! Acute course disease leads to compulsory hospitalization of the patient.

Therapeutic treatment with antibiotics

Conduct a course of antibiotic therapy, prescribe injections. In especially severe and neglected cases medications are administered intravenously. Minimum exchange rate therapeutic treatment- 7 days, with complications, treatment - two weeks or more.

Patients may be prescribed erythromycin, penicillin, tetracycline, chloramphenicol, or lincomycin. Which antibiotic is suitable in a particular case, only the doctor will determine based on the results of the tests. Good results are obtained by an integrated approach when complex treatment: drugs that improve immunity and anti-inflammatory drugs are prescribed with antibiotics. Vitamins are also recommended.

A good effect and relief in the treatment of erysipelas gives physiotherapy: electrophoresis and ultraviolet irradiation. In case of damage to the lower extremities, applications of ozocerite or dressings with hot naftalan ointment are indicated.

Bactericidal ointments and solutions

The use of the ointment gives a good result if it is necessary to destroy the foci of bacteria on the skin, reduce itching, and reduce the pain that occurs with erysipelas. Erythromycin ointment is used to treat erysipelas.

In the bullous form of the disease, the surgeon dissects the blisters, removes their contents. After the operation, a bandage is applied, which is impregnated with a solution of furacilin or rivanol.

In case of erythematous-hemorrhagic form, dibunol liniment is applied twice a day, which actively stimulates skin regeneration processes.

Homemade ointments are used to treat erysipelas. For getting medicinal ointment chamomile or yarrow juice is mixed with fresh butter in a ratio of 1:4. The ointment is applied to the affected areas of the skin three times a day.

In the absence of complications, Vishnevsky ointment (balm) can be used to treat erysipelas on the leg. It is applied to a gauze bandage (bandage), and then applied to the infected area of \u200b\u200bthe leg, bandaged. The bandage should be changed every 12 hours. In severe forms of erysipelas, this balm is not used.

streptocide

Streptocide is used in the form of a powder (powder), tablets, ointment. He is able to destroy streptococcus. Used orally as directed by a physician.
You can also use streptocid ointment (10%).

Ointment for erysipelas is applied to the affected skin of the leg or to a gauze bandage, which is applied to the inflamed area. Very effective wound dressings with sterile streptocide powder.

Conclusion

Now you know how to treat erysipelas on your leg at home, but I want to say that conspiracies will not help. But don't forget: erysipelas are pretty insidious disease which requires expert advice. If medical care is not provided on time or treatment is not correct, the infection can cause serious complications that can lead to health problems, disability and even death.

Doctors warn! Shocking statistics - it has been established that more than 74% of skin diseases are a sign of infection with parasites (Ascaris, Giardia, Toxocara). Worms cause colossal harm to the body, and our immune system is the first to suffer, which should protect the body from various diseases. The head of the Institute of Parasitology shared the secret of how to quickly get rid of them and cleanse your skin, it turns out to be enough ...

Under the mug understand infectious disease, which is a lesion of human skin in the genital area, torso, but most often on the legs. How to get rid of this disease: with the help of medical preparations Or using home remedies? Each person chooses his own way. However, today we will learn how, thanks to chalk, propolis, plantain and other means, to overcome this disease.

Causes

Erysipelas is an infectious disease caused by streptococcus. But healthy skin under the influence of this bacterium cannot become inflamed. The development of infection implies the presence of certain conditions, due to which a disease called folk remedies for this disease may develop. However, the result is home therapy not always successful. Therefore, before starting treatment, it is necessary to go for a consultation with a doctor, find out the cause of inflammation, the stage of the disease, as well as possible ways to get rid of this disease.

And the factors due to which a person may have an erysipelas on his leg can be:

Scratches, cuts, rashes.

Sudden change in temperature (hypothermia, overheating).

Bruises, injuries, thermal burns.

The presence of sunburn.

Foot fungus.

Obesity.

Diabetes.

Alcoholism.

Phlebeurysm.

Trophic ulcers on the legs.

Reduced immunity, especially in old age.

Work associated with dirty conditions (for example, builders, loaders, workers in the metallurgical and coke production).

Signs of the disease

Symptoms of this ailment on the leg appear immediately after infection. Signs of the presence of erysipelas on the leg are:

General weakness.

Headache.

Increase in body temperature.

Redness of the affected area.

Pain at the site of the outbreak.

Chalk treatment

Many patients, disappointed in conventional medicine, resort to home methods of getting rid of this inflammation and trying to treat erysipelas with folk remedies. With a red rag and chalk, most often people try to overcome this disease. And some of the patients, in their opinion, manage to get rid of this disease. So, for the treatment you need ordinary chalk. It should be crushed well to make a powder. Then you need to sprinkle the affected area with it, wrap a red rag, and bandage it with a towel on top. This compress can be left overnight. And the next morning, according to the patients themselves, such treatment of erysipelas on the leg with folk remedies will give the first results: the inflammation will subside, the temperature will subside, there will be no swelling, and the skin color will become paler. In a week, a person will completely forget about this disease.

Some patients are also advised to use dry crushed chamomile flowers and sage leaves in equal proportions along with chalk.

Getting rid of the disease with the help of prayers

Various means are trying to defeat erysipelas of the leg. Treatment with folk remedies (a conspiracy and prayers among them) was described by the great Hippocrates. In European countries, the face is called "the fire of St. Anthony." This disease got its name due to the fact that the disease manifests itself on the skin in the form of uneven red spots that look like fire. In the time of Hippocrates, it was believed that it was a conspiracy that could stop erysipelas. To this day, some healers, healers use this method to get rid of the disease. First, they speak a red cloth, which is subsequently wrapped around the affected area of the body. Some use rye flour with honey. They apply the resulting mixture in the form of a compress to a sore spot and begin to read a prayer. You can find a lot various texts conspiracies, but not all of them are effective. Therefore, it is better to go to an experienced healer who knows the correct prayer to get rid of erysipelas.

Plantain treatment

Everyone knows about this grass: both adults and children. Indeed, often, if one of the children, walking on the street, cuts himself, friends begin to look for plantain to attach it to a bleeding wound. Therefore, the treatment of erysipelas with folk remedies suggests this method. Not only cuts can heal plantain, but also infection skin caused by streptococcus. To do this, take a plantain leaf growing in a favorable climate zone(away from road junctions and industrial enterprises), sprinkle it with chalk (in powder form) and apply to the sore leg. If the lesion is large, then, accordingly, several leaves of this plant should be picked. You need to do such compresses until the erysipelas of the leg goes away.

Treatment with folk remedies: propolis

This resinous substance produced by bees is used in therapeutic purposes from ancient times. Propolis has a bactericidal, analgesic effect. Many can be treated with this substance, including erysipelas. To do this, you should buy a 30-40% propolis ointment in a pharmacy and apply it to the affected area twice a day. This should be done by rubbing or heating with

Burdock therapy

Treatment of erysipelas on the leg with folk remedies also involves the use of a plant such as burdock. Its leaves are needed, which must be fresh and clean. They need to be poured over with boiling water, then spread with butter or sour cream. After that, the leaves should be applied to the sore leg. It is better to put such compresses 3 times a day.

Salvation in sage

If at the reception the doctor established the cause of the disease - the defeat of the skin area by streptococcus - then the person should immediately begin treatment for erysipelas. You can try to heal from this disease with folk remedies, but doctors often prescribe drug therapy. But be that as it may, it is possible to combine two types of treatment: with the help of drugs from a pharmacy, as well as folk remedies. Many say that they helped to cope with this skin problem sage. This plant, according to patients, for a short time saved them from erysipelas on the leg. To do this, grind the sage to a powder state, then mix it with chalk in equal amounts. The resulting composition must be applied to the affected area of \u200b\u200bthe skin and fix this mixture with a bandage. This therapeutic bandage must be changed every 6 hours.

Yarrow compress

This plant is able to relieve itching and cure erysipelas of the leg. Treatment with folk remedies does not always justify the results, but in the case of yarrow, the effect is always positive. Need to collect fresh leaves plants. Rinse them, pour boiling water. When the water has cooled, you should take out the leaves and apply them to the sore spot. Then you need to wrap your leg or a bag, fix it with a bandage. When the leaves dry, they will begin to act on the skin, and a tingling sensation will be felt. In this case, you need to remove the bandage and attach another portion of steamed yarrow. The compress should be changed about 6-7 times a day. Already 3 days after such procedures, the itching will pass. BUT complete cure coming in about a week.

Recipe with a plant of the buckwheat family

With the help, you can also get rid of a disease such as erysipelas of the leg. Treatment with folk remedies will help a person not to poison himself with drugs from a pharmacy. The main thing is that home methods are effective. So, for this method, you need to wash the root horse sorrel under running water, clean, grind and pour it with fresh cow's milk. Then put the mixture on a small fire and boil it for 1 hour. The resulting softened root should be applied to the affected area, covered with a towel on top, then with a warm cloth. As the compress dries, it must be changed to a fresh one.

Recipe using berries

With the help, you can also overcome such an infectious disease as erysipelas of the leg. Treatment of this problem with folk remedies is effective only if the person correctly observes the proportions according to the prescription and changes the bandage in time. This method will require 2 kg of blackberry leaves, which must first be washed and chopped with a blender until gruel is formed. With the resulting mixture, it is necessary to lubricate the affected area on the body, bandage the leg and leave for 3 hours. The first 2 days of illness should be treated especially intensively: it is important to change compresses every 3 hours. From the third day, you can apply two dressings a day. Often, all symptoms of the disease disappear within a week.

Daily ration

Erysipelatous inflammation of the leg, the symptoms and treatment of folk remedies of which were described above, for effective and speedy elimination involves compliance with patients special diet. The affected person in the first week of the disease should drink only water and juices (lemon and orange are suitable). Then, when the temperature returns to normal, you can transfer the patient to a fruit diet. Three times a day he should be given fresh apples, pears, oranges, apricots, peaches. A diet designed specifically for a disease such as erysipelas should be strict. One should not eat anything but fruits. During treatment, you can not eat bread, animal products. If the disease caught a person in winter, when there is no fruit to be found, the sick should eat dried fruits, which are supplemented with grated carrots and honey. This diet should be followed for about 2 weeks. During this time, a person will feel how the ailment will begin to recede, and soon soreness and redness of the skin will disappear altogether.

Now you know what is erysipelas of the leg. Treatment, folk remedies that can overcome the disease and prevent it from reappearing are also described in the article. We determined that with the help of chalk, plantain, blackberry, horse sorrel, yarrow, you can get rid of this disease. But if no method helps a person, then he should consult a doctor.

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