Erysipelas on the leg symptoms and folk treatment. The best folk remedies for the treatment of erysipelas of the foot

Erysipelas, or erysipelas, is one of the bacterial skin infections that can affect any part of the body and lead to severe intoxication of the body. The disease has a staged course, resulting in mild form, which does not violate the quality of life, can develop into a severe one. With prolonged erysipelas without proper treatment, the affected tissue eventually dies off and the whole organism suffers.

It is extremely important that if there are characteristic signs of erysipelas, the patient should immediately consult a doctor, and not self-medicate, waiting for the progression of the pathology and the development of complications.

Causes of erysipelas

For the development of erysipelas, three conditions must be met:

The presence of a wound through which bacteria enter the skin does not necessarily have extensive tissue damage. Scratching or cracking the skin of the legs is enough.

Penetration of a specific microbe into the wound - it is generally accepted that erysipelas of the skin can occur only if hemolytic streptococcus A is attached. In addition to local damage to the skin, it is capable of producing strong toxins that disrupt the immune system. This leads to intoxication of the body with the possibility of recurrence of erysipelas (symptoms occur again after some time).

Weakened immunity - this factor is of great importance for the development of infection in the skin. Erysipelas practically does not occur in a healthy population whose immunity is not weakened by other pathologies or harmful conditions life (alcohol, drug addiction, mental and physical overload, stress).

Despite the fact that this disease can occur in any person in the presence of the conditions presented above, it is predominantly people who are in old age. Also at risk are newborns with HIV, diabetes, any oncological pathology or people who are taking cytotoxic/glucocorticosteroids.

Forms of erysipelas

There are several forms of erysipelas, which differ in the severity of symptoms, the severity of the course and the tactics of therapy. It is worth noting that such forms can pass sequentially one into another, so it is important to start treatment of the disease in a timely manner.

It is important to distinguish between the following forms of the disease:

necrotic form - the most severe, which is accompanied by the death of the affected skin;

hemorrhagic (bullous-hemorrhagic) - a feature of this form of erysipelas is damage to small vessels by infection. As a result, blood sweats through the walls and forms small bubbles with hemorrhagic contents;

bullous form - characterized by the formation of blisters on the skin, which are filled with serous contents;

erythematous - manifested by classic symptoms, without additional skin changes.

Depending on the localization, erysipelas can occur on the arm, leg, face. Much less often, the infection begins to form in the perineum or other parts of the body.

The beginning of erysipelas

From the moment of infection of the wound to the development of the first symptoms, on average, about 3-5 days pass. Symptoms of erysipelas of the skin of the leg, arm, face, or other localization begin with a rise in body temperature and pain in the affected area. Usually on the first day of illness there is a fever with a temperature of no more than 38 degrees. In the future, the temperature can rise to 40 degrees. As a result of the action of streptococcus on the body, the patient begins to show characteristic signs of poisoning of the body:

increased sweating;

decrease or loss of appetite;

severe weakness;

hypersensitivity to annoying noise and bright light.

A few hours after the increase in body temperature, the first symptoms of damage to the lymphatic structures and skin begin to appear. They differ slightly depending on the location of the process, but they are united by one sign - severe hyperemia of the skin. Erysipelatous inflammation can spread beyond the affected area or remain only in a certain area. It all depends on the aggressiveness of the microorganism and the resistance of the immune system to infection, as well as on the start of treatment.

Local manifestations of erysipelas

Among the common signs of an inflammatory process on the skin:

pronounced redness of the lesion, which rises somewhat above the surface of healthy skin. From healthy tissues, erythema is limited to a dense roller, but in the case of widespread erysipelas, such a delimitation may be absent;

swelling of the affected area of ​​the body (forearm, face, lower leg, foot);

pain on palpation of the area of ​​redness;

soreness of regional lymph nodes (lymphadenitis);

with a bullous form of erysipelas, the formation of transparent blisters on the skin, which are filled with serous fluid or blood, is possible.

In addition to common signs, erysipelas also has its own localization features in different parts of the body. They must be taken into account in order to suspect the presence of an infection in time and start treatment in a timely manner.

Features of erysipelas of the skin of the face

The face is the most unfavorable site for infection. This part of the body is well supplied with blood, which only contributes to the development of pronounced edema. Blood and lymphatic vessels connect deep and superficial structures, as a result, there is a possibility of developing purulent meningitis. The skin on the face is quite delicate, so it is much more damaged by the infection than in the case of other localization of the inflammatory process.

Given the factors presented, it is possible to distinguish the features of the manifestation of erysipelas on the face:

soreness on palpation of the lateral surfaces under the chin and on the neck is a sign of the presence of inflammation of the lymph nodes;

pronounced swelling not only in the area of ​​​​redness, but also in the surrounding tissues of the face;

soreness in the area of ​​​​attachment of infection increases with chewing (if erysipelas is located on the surface of the cheeks or in the region of the lower jaw).

Symptoms of intoxication in case of infection of the skin on the face are more pronounced in comparison with other localizations of the process. On the first day, body temperature can rise to 39-40 degrees, weakness, sweating, severe headache, nausea appear. Erysipelas on the face is an indication for an immediate visit to the doctor or the emergency room of the surgical department of the hospital.

Features of erysipelas on the leg

Among doctors there is a belief that the erysipelas of the lower limb is closely related to the violation of the rules of personal hygiene. The lack of regular washing of the feet creates optimal conditions for the reproduction of streptococci. In this case, one microtrauma (puncture, small scratch or crack on the feet) is enough to penetrate the skin of infectious agents.

Peculiarities clinical picture erysipelas in the legs are:

The infection is localized on the lower leg or foot. Hip injury is quite rare.

In most cases in the area inguinal folds(on the surface of the body in front, where the thigh passes into the trunk), painful round-shaped formations can be found - inflamed lymph nodes that try to contain the spread of streptococcal infection.

With severe lymphostasis, swelling of the leg can be quite pronounced and spread to the foot, lower leg and ankle joint. Finding such areas is quite simple by pressing the skin against the bones of the lower leg. If there is swelling, after removing the finger for 5-10 seconds, a depression will be observed on the skin.

In most cases, erysipelas of the lower limb is much easier than any other location of the inflammatory process. The exception is the complicated necrotic form pathology.

Features of erysipelas on the arm

Streptococcal infection rarely affects the skin on the hands, since it is rather difficult to collect a large concentration of microorganisms around the wound. Erysipelas of the upper extremities may be the result of a cut or puncture with a contaminated object. The risk group is intravenous drug addicts, children of school and preschool age.

Usually, erysipelas on the arm is common - it covers several segments of the limb (forearm, shoulder, hand). Since on the upper limb, especially in the area armpit the lymphatic system is quite well developed, edema can spread from the fingers to the pectoral muscles.

On palpation of the inner surface of the shoulder or axillary fossae, regional lymphadenitis can be detected. Lymph nodes become painful, smooth, and enlarge.

Diagnostics

The doctor can diagnose the presence of erysipelas after an initial examination and palpation of the affected area. In the absence of patients additional diseases among laboratory methods diagnostics can only be used general analysis blood. The presence of infection will be confirmed by the following indicators:

ESR (erythrocyte sedimentation rate) - more than 20 mm / h. During the height of the disease, this figure can be up to 30-40 mm / h. Normalization is observed closer to 2-3 weeks of therapy (the norm is up to 15 mm / h).

Leukocytes - more than 10.1 * 10 9 / l. An unfavorable sign is a decrease in the level of leukocytes below 4 * 10 9 /l. Such indicators indicate the inability of the body to normally resist infection. A similar situation is observed in the presence of immunodeficiency states (the consequences of radiation therapy, blood cancer, HIV) and in the presence of a generalized infection or sepsis.

Hemoglobin - decreases in the presence of a hemorrhagic form of the disease. The norm of this indicator is from 120 g / l to 180 g / l. If there are indications below the norm, it is worth starting to take iron supplements (after consulting a doctor). A decrease in hemoglobin below 75 g/l is an indication for transfusion of erythromass or whole blood.

Erythrocytes - a decrease below the norm of less than 3.8 * 10 12 / l for women and 4.4 * 10 12 / l for men may indicate the presence of a hemorrhagic form of erysipelas. For any other form this disease this indicator usually remains within the normal range.

Instrumental diagnostics is used in the presence of a violation of blood flow to the extremities or in the development of concomitant diseases, such as thromboangiitis, thrombophlebitis, obliterating atherosclerosis. In this case, the patient may be prescribed dopplerometry of the vessels of the lower extremities, angiography or rheovasography. These methods determine the degree of vascular patency and allow you to find out the cause of ischemia.

Complications of erysipelas

Any erysipelas infection in the absence of adequate timely treatment or in a weakened state of the patient's body, it threatens the development of such complications:

Abscess - purulent cavity, which is limited to a capsule made of connective tissue. It is the least dangerous among the complications.

Phlegmon is a diffuse purulent process in soft tissues (muscles or subcutaneous tissue). It damages the surrounding structures and significantly enhances the manifestations of intoxication.

Purulent phlebitis - inflammation of the wall of the vein of the affected limb, which leads to narrowing and compaction of the latter. Phlebitis is externally manifested by tissue edema and reddening of the skin in the projection of the vein, an increase in local body temperature.

Necrotic erysipelas - necrosis of the skin in the area affected by streptococcus.

Purulent meningitis - can develop with the location of erysipelas on the face. Given serious disease develops as a result of inflammation of the membranes of the brain. A complication appears cerebral symptoms(dizziness, clouding of consciousness, unbearable headache), as well as involuntary tension in certain areas of muscle groups.

Sepsis is the most dangerous among complications, which in almost half of cases (40%) ends in death. This is a generalized infection in which organs are affected, such a complication leads to the formation of purulent foci throughout the body.

It is possible to prevent the development of complications in the case of timely seeking medical help, without resorting to self-medication. Only a doctor is able to determine the optimal tactics and prescribe the appropriate therapy for erysipelas.

Erysipelas treatment

Uncomplicated forms of erysipelas do not require surgical intervention and treated conservatively. Depending on the general condition the patient decides on the issue of hospitalization. There are unequivocal recommendations only regarding the development of erysipelas on the face - such patients should be treated in a hospital.

The classic treatment regimen consists of:

Antibiotics - the combination of protected penicillins (Amoxiclav) and sulfonamides (Sulfanilamide, Sulfadiazine, Sulfalen) gives the optimal effect. Alternatively, ceftriaxone may be used. The recommended course of antibiotic therapy is 10-14 days.

Antihistamines - since streptococcus can compromise the immune system and cause reactions akin to allergic ones, you need to use this group drugs. To date best solution is Desloratadine and Loratadine. If the patient does not have the opportunity to purchase these funds as an alternative, the doctor may advise Klemastine, Dimedrol, Suprastin.

Painkillers - for erysipelas, non-hormonal anti-inflammatory drugs are also used. It is better to give preference to Meloxicam or Nimesulide, since they have the fewest side effects. An alternative to these drugs is Diclofenac, Ibuprofen, Ketorol. The use of this group of drugs should be combined with the intake of "Omeprazole" ("Lapnsoprazole", "Rabeprazole"), which allows to reduce negative impact NSAIDs on the gastric mucosa.

Antiseptic dressings with Chlorhexidine solution (0.005%) - important component treatment. When applied, such a bandage should be thoroughly moistened with a solution and left wet for several hours. A sterile bandage is applied over the bandage.

How to treat erysipelas in case of local complications or with the development of bullous erysipelas? In this case, there is only one way out - hospitalization of the victim in surgery department and performing surgical intervention.

Surgery

As mentioned above, the indication for performing the operation is the formation of abscesses (abscesses, phlegmon), skin necrosis or a bullous form of pathology. Do not be afraid of surgical therapy, in most cases the operation takes no more than 30-40 minutes and is performed under general anesthesia.

During the intervention, the surgeon opens the cavity of the abscess and cleans its contents. The wound is usually not sutured - it remains open, and a bleeder is placed in it to drain fluid from the incision site. In the presence of necrotic tissues, they are removed completely, after which conservative treatment continues.

Surgical therapy of the bullous form of erysipelas is carried out in this way: the doctor opens the blisters, treats their surface with an antiseptic and applies bandages soaked in 0.005% Chlorhexidine. Thus, the prevention of the accession of an extraneous infection is carried out.

Skin after erysipelas

On average, it takes about 2-3 weeks for an erysipelas infection to heal. As the local inflammatory reaction decreases, the amount of streptococcus also decreases, the skin is updated. The redness decreases, and a film begins to form at the site of damage to the skin - thus, the old skin is separated. As soon as her final rejection occurs, she must retire on her own. Under it is an unchanged layer of the epithelium.

During next week peeling of the skin may be present, which is considered a normal response of the body.

In some patients, erysipelas can take on a recurrent character, namely, appear again and again in the same place after some time (from several months to several years). In such cases, the skin is trophic disorders, and there may be chronic edema limbs or fibrosis (pinching of the epithelium with connective tissue).

FAQ

How dangerous is this infection for humans?

Erysipelas is a serious disease that threatens with severe intoxication of the body and the development of a number of dangerous complications. Usually, with timely therapy, the prognosis is favorable. If treatment was started a week or more after the start of the process, the patient's body is weakened by secondary diseases (HIV, heart failure, diabetes mellitus), then erysipelas can cause fatal consequences.

How to restore the affected skin after inflammation?

In almost any form of erysipelas, this process occurs independently without third-party intervention. The main thing is to overcome and eliminate the source of infection and local inflammatory manifestations. An exception is necrotic erysipelas. In this case, the skin can only be restored with the help of surgery.

Why does erysipelas occur several times on the same area of ​​​​skin? How to prevent such relapses?

In this situation, there is a recurrent form of the disease. Group A streptococcus tends to disrupt the body's immune system, which is the reason for re-development inflammatory reactions in the affected areas of the skin. Unfortunately, today effective measures prevention of such a situation has not been developed.

Why is Tetracycline (Doxycycline, Unidox) not mentioned in the list of drugs for the treatment of erysipelas (in the article)?

To date, drugs of the tetracycline group are not used in the treatment of erysipelas. Studies have shown that in most cases hemolytic streptococci are resistant to such agents, therefore, in the presence of erysipelas, it is better to prescribe a combination of penicillin (synthetic) + third-generation cephalosporin or sulfanilamide.

Is physiotherapy effective in the treatment of erysipelas of the skin?

No. Physiotherapeutic techniques in the acute period of the disease will only lead to an increase in the inflammatory process and a greater spread of infection. Such therapy should be postponed until the recovery (rehabilitation) period. Once the infection has been suppressed, UV or magnetotherapy can be used.

Does the treatment of erysipelas differ depending on the location infectious process(on the hand, on the face)?

Treatment of erysipelas of the leg, arm or other parts of the body is carried out according to generally accepted principles.

One of the most common infectious diseases of the skin can be considered erysipelas. Such an ailment is caused by bacteria of hemolytic streptococcus and is accompanied by pronounced intoxication, the presence of inflammatory foci. To start treating erysipelas of the leg with folk remedies, you first need to consult a doctor and make sure that you have this particular disease. First of all, consider what factors provoke erysipelas of the lower leg and other parts of the lower extremities.

Erysipelatous inflammation of the leg has pronounced symptoms that can be seen with the naked eye. Factors that provoke the development of such a pathology can be considered:

• oppressed the immune system body after an infectious disease;
• genetic predisposition;
• The presence of wounds, scratches and other damage on the skin of the lower extremities;
• Strong sunburn and frostbite;
• Frequent stress, depression, changes in psycho-emotional state.

Severe overheating or, conversely, hypothermia of the lower extremities is the first prerequisite for the development of the disease. To protect yourself from erysipelas, try to avoid injuries and bruises. People who are allergic to staphylococcus should be especially careful.

Erysipelatous inflammation of the leg very often occurs in older women or young (20-30 years old) men, who often receive microtraumas of the limbs at work. The risk group includes representatives of the following professions - builders, drivers, loaders, military. Physicians distinguish a number additional reasons, which can also provoke the development of erysipelas. These include:

• Obesity;
• Frequent use of strong alcoholic beverages;
• The presence of trophic ulcers on the skin of the lower extremities.

Erysipelas can occur in a child or a woman who is about to give birth. In this case, it is better to immediately contact a doctor, and not treat the disease yourself with the help of folk remedies.

Forms

Foot with erysipelas

Doctors distinguish several types of pathology, each of which has its own characteristics and localization. each form in more detail:

1. Bullous erysipelas. On the lower limbs puffiness occurs, the skin is covered with small bubbles filled with serous exudate.
2. Hemorrhagic - with such a pathology, the permeability of blood vessels increases significantly. Small internal bruising can be seen on the affected leg.
3. Erythematous erysipelas - always accompanied by severe swelling, significant redness of the skin.

Before starting treatment at home for erysipelas of the leg, it is imperative to consult a doctor and, if necessary, undergo a medical examination to make an accurate diagnosis.

Symptoms

In order to recognize the disease in time and prevent its development, you need to know how the pathology manifests itself at the primary stage. While the streptococcus bacterium passes incubation period, the body can react to it with a manifestation of severe intoxication. To initial signs erysipelas of the leg can be attributed to:

• Increase in body temperature up to 39-40 degrees.
• Migraine, headache;
• Frost on the skin;
• Fatigue, lethargy, loss of energy.

In addition to the above signs, you can find a symptom that directly indicates the development of erysipelas - the legs do not hurt much, but there is a feeling of swelling of the limb from the inside, there is a slight burning sensation.

The appearance of the diseased limb changes already on the second day after infection. Redness or swelling may appear. If you find such alarming symptoms, immediately go to the clinic to see a doctor. So you can stop the development of pathology in time, prevent the appearance serious complications.

Redness and swelling are the main symptoms

Part of the skin on the leg turns red and inflamed. When in contact with clothing, unpleasant sensations occur. With the progression of the disease, the upper layer of the epidermis can gradually exfoliate, small bubbles filled with liquid appear on the skin. When they burst, a crust forms on the leg, which does not come off within 2-3 weeks. If you do not use medicines or folk remedies in a timely manner, erosion or a trophic ulcer may form on the limbs.

A professional physician will examine the patient and prescribe an effective treatment that will help you get rid of the disease in 5-8 days. Even after complete recovery, the patient's skin continues to peel off, pigmentation changes, and pasty epidermis is observed.

Treatment

Modern doctors use several methods of treating erysipelas. The most common ways to deal with the disease include:

• Taking medication. Most often, antibiotics are prescribed in combination with special ointments.
• The use of folk remedies, which you can cook yourself at home from natural herbs and other pharmaceutical components.

To achieve the desired effect faster, combine these two methods, and also stick to special diet. For the first few days of illness, doctors recommend completely abandoning solid food, and taking only purified water or citrus juice.

3 days after infection, intoxication will decrease, body temperature will return to normal. Now you can add any fresh fruit to the menu, as well as carrots, milk and honey. This diet is recommended to stick to no more than 2 weeks.

Folk

Use the recipes below for quick cooking remedy from erysipelas. For this you only need simple ingredients, which can be found in any refrigerator or bought at a pharmacy.

Cottage cheese

Apply a compress of fresh cottage cheese to the inflamed leg with erysipelas. The product must be applied in a small layer and wait for it to dry completely. Then carefully remove the compress, and repeat the procedure. Fermented milk product allows you to quickly restore the health of the epidermis, activate metabolic processes in tissues, saturate cells with micronutrients.

Burnet

Tincture from medicinal plant hemorrhagic. To prepare such a medicine, you need to mix 1 tbsp. dry plant and 1 tbsp. water, bring to a boil, cool and strain. Make compresses from the tincture. Such treatment allows you to quickly improve the patient's condition, reduce inflammation and redness of the limb.

Celery

Using a blender or a regular meat grinder, chop a few leaves of celery. Put the resulting slurry in gauze, and attach to the sore spot. Keep the compress on for at least 30 minutes. If you don't have celery in your fridge, you can replace it with cabbage leaves.

Chalk

Another unusual and slightly strange recipe from erysipelas is chalk combined with red cloth. Chalk should be ground into powder, sprinkled on sore spots on the legs, and wrapped with a red cloth. This compress is best done before bedtime. You can safely leave it on all night. This method of treatment will quickly reduce swelling, inflammation and redness, and reduce the temperature.

If you start the treatment of erysipelas in time with one of the methods listed above, you can get rid of the problem in just 6-7 days. As a rule, the combination of taking medications and applying homemade compresses gives an excellent result. The disease does not progress and does not give complications.

With the help of traditional medicine, erysipelas of the upper and lower extremities can be treated. It is desirable that such a remedy be allowed to be used by your doctor. Do you want to forget about the unpleasant symptoms of erysipelas on your legs forever? Then use the following recipes.

Compress

Combine a few ingredients in a small deep container - 2 tbsp. rye flour, 1 tbsp. honey, 1 tbsp. dried elderberry flowers. We mix everything thoroughly and apply the resulting slurry to the sore leg. After 15-20 minutes, the compress can be removed, and the limb washed in warm water. The procedure can be repeated several times in a row.

Potato

Raw potatoes grated on a fine grater are an excellent folk remedy for erysipelas. Use it as a lotion, and in just a few days you can get rid of the pathology.

Juniper

In folk medicine, a decoction of juniper has proven itself well. 2 tbsp dried bark, pour 500 ml of boiling water, boil for 3-5 minutes, let the liquid brew and cool, and then strain. Dip a small piece of gauze or a clean cloth into the infusion and apply to the sore leg. Repeat the procedure 4-5 times a day.

In order for the treatment of erysipelas to be quick and effective, you need to correctly combine medication and the use of folk remedies. Preliminary consultation with a doctor is mandatory in any case. The sooner you detect the symptoms of erysipelas and go to the hospital, the less likely it is to develop any complications.

About the disease (video)

Streptococci - the true causative agents of erysipelas

Seeing that erysipelas has appeared on the skin of the lower extremities, immediately take up the treatment of this unpleasant disease. After all, if you do not pay attention in time to the fact that you have an erysipelas on your leg, treatment with folk remedies can no longer be considered. Launched severe forms of erysipelas and caused by it accompanying illnesses skin, blood vessels often require only surgical treatment.

What is erysipelas

The word "mug" comes from the French rouge - "red". Erysipelas is an infectious disease caused by streptococci. These bacteria lead to the breakdown of red blood cells. They also act on the walls of blood vessels, making them permeable. The disease is acute and begins suddenly. The patient has a headache, the temperature rises, weakness appears, he is shivering and nauseous. The damaged area infected with bacteria begins to burn, the tissues turn red, swell, the skin in this place becomes hot. The appearance of hemorrhages indicates the beginning of the development of an erythematous-hemorrhagic form of an infectious disease.

If blisters with light contents appear on the skin, which, bursting, form a crust, then here we can talk about bullous erysipelas. It is dangerous because it can lead to the appearance on the legs trophic ulcers. Regardless of the form, any erysipelas also causes disturbances in the functioning of the lymphatic system.

Most often, the lower limbs are affected by recurrent erysipelas. Relapses can occur every six months. They often take place against the background of the development of diseases. blood vessels legs, diseases allergic component and skin ailments different nature. The main entry gate for streptococci, which, as a rule, can be found on the skin of any person, is any tissue damage - abrasion, cut, etc. Absorbed, streptococci begin to cause inflammatory processes, infiltration of subcutaneous tissue, skin, fragility of blood vessels. Therefore, the sooner you take up the treatment of erysipelas, the less likely it is that the disease will acquire severe form and cause life-threatening complications.

Treatment with folk remedies

Many people on a subconscious level are accustomed to trust healers more than graduates, preferring to be treated with folk remedies at home without prompting from outside. Especially often this is done by families in which the rarest secrets of traditional medicine have been passed down for centuries. They not only know how to treat erysipelas on the leg with folk remedies, but also solve much more complex problems.

Do not try to speak infectious diseases

If you also decided to take the side of the adherents folk treatment faces on the leg, then nevertheless, before doing something, be sure to consult with a specialist and undergo an examination. This will partially exclude the possibility of causing irreparable harm to health by home treatment. And remember that the use of ill-conceived methods of treating erysipelas with folk remedies in most cases leads to the formation of a recurrent form of the disease.

Folk decoction for erysipelas

With erysipelas on the leg, not only ointments that are applied to the swollen area will help, but also antiseptic decoctions for internal use. To prepare a decoction of erysipelas on the leg, take:

roots of calamus and burnet; eucalyptus leaves; nettle; yarrow; licorice; cottonweed.

Inflammation will remove the root of the drug burnet

Important: crushed dry ingredients should be taken in equal quantities.

Pour a tablespoon of this collection with 450 ml of boiling water. After the antiseptic broth is infused, strain it. Drink the decoction one hour before meals four times a day. At a time you need to drink 100-110 ml of broth.

Attention: to prevent the development of infectious diseases caused by streptococci, keep your skin clean and treat wounds with antiseptics in time.

Compress with plantain

Look for an anti-inflammatory - take psyllium

Folk remedies for erysipelas on the leg, prepared from plantain, have proven themselves very well. This plant has an excellent wound healing and anti-inflammatory effect. It disinfects damaged areas of the skin, contributing to the fastest healing wounds. For its preparation, we do not need anything other than plantain. In order for the plant to cope with erysipelas faster, before applying a large medicinal plantain to the swollen skin, it must be crushed. Better yet, grind about five to six sheets of disinfectant herb in a blender.

For one compress you need about six sheets of plantain. Apply the gruel obtained with a blender or meat grinder to the inflamed area and bandage the leg. Compresses should be changed three times a day.

Raisins against erysipelas

Raisins can be used not only for baking Easter cakes and muffins. It will also make a good folk remedy for erysipelas.

Take 200 g of light raisins and wash them in cold water. Drain the dirty water and, pouring new water, leave the raisins in it for 10 minutes. Let the berries dry. Pound the washed and dried raisins in a mortar, turning it into a homogeneous mass.

Now you should divide the gruel from raisins into two parts. Both parts should be laid out on a gauze napkin and attached to the face with an interval of half an hour. Do the procedure three times a day. Duration - up to complete cure lower limbs from erysipelas.

Stock up on saving bright raisins

Attention: you do not need to wrap the gauze to the leg!

We scare the face with chalk

If you pour chalk on erysipelas, as well as on the tissues surrounding the affected area, then it will begin to absorb moisture, thereby killing microbes. There is nothing unnatural here, because we all know that microorganisms for normal life a moist environment is required. It is logical that by excessively drying the skin, we will create unfavorable conditions for life and reproduction for streptococci.

Ordinary chalk will get rid of harmful microorganisms

Chalk, plantain and various decoctions are good old-fashioned remedies for streptococci, but better for a quick and effective treatment faces apply antibiotic therapy. Of course, no one can forbid you to use folk remedies for erysipelas on your leg. But since we live in modern society, then archaic home methods of treating erysipelas should be replaced with adequate drug therapy (antibiotics, antihistamines and non-steroidal anti-inflammatory drugs). But with a severe form of erysipelas, the patient may need chemotherapy, blood transfusion, and the appointment of biostimulants. Patients are often prescribed vitamin complexes, spend ultraviolet irradiation(with erythematous erysipelas). In the case of the correct complex treatment, you can count on quick deliverance from erysipelas and full restoration of the body's working capacity.

erysipelas, or erysipelas, is called an acute disease, accompanied by inflammation of the skin, fever and intoxication.

The cause of the disease is streptococci, penetrating through microtraumas of the skin into the lymphatic vessels, thus causing inflammation.

Erysipelas is an infectious disease that mainly affects the skin. Its course is accompanied by symptoms of general intoxication and frequent relapses. The source of infection with this disease is a person carrying streptococcus, the causative agent of erysipelas. An infection can enter the body through minor damage to the skin and mucous membrane, for example, with scratches, cracks, etc.

The main condition for the onset of the disease is a decrease in the body's immune forces under the influence of adverse factors.

Most often, the disease affects women and the elderly. After past illness immunity does not occur.

The onset of the disease is characterized by an increase in body temperature up to 39-40 ° C, chills, symptoms of general intoxication. In this case, the patient complains of weakness, headache, muscle pain, nausea, vomiting. A few hours after the onset of the disease, pain, itching, burning sensation, swelling and redness of the skin are noted in the affected area. The red spot in the area of ​​the affected area quickly increases in size.

The main areas of damage in erysipelas are the face (nasolabial folds, back of the nose, cheeks, corners of the mouth) and the area of ​​the scalp. Very rarely, inflammation can occur on the legs and in other areas. In some cases, the formation of blisters filled with liquid contents may be noted at the site of the red spot, which burst, followed by the formation of crusts. Skin changes stored for 5-15 days.

Symptoms: the disease usually begins acutely and proceeds at high temperature with chills and fever, which are accompanied by headache, severe weakness and muscle pain, nausea and vomiting. On the skin at the site of the lesion, a slight reddish or pink spot, which then spreads over the surface of the skin.

What's happening? The spot rises above the rest of the skin, has clearly defined borders with jagged edges. The spot is hot and painful to the touch. When the skin is detached, blisters can form. The disease is accompanied by edema. Inflammation persists from a week to two, gradually decreases and flakes off. Bubbles burst, crusts form in their place.

Immunity after the disease does not develop, erysipelas often recur.

Complications of erysipelas are abscesses, phlegmon and ulcers, thrombophlebitis, myocarditis, nephritis and rheumatism.

What to do? Treatment of erysipelas is prescribed by a doctor.

Recipes. Traditional medicine for the treatment of erysipelas recommends:

Do not wash with water and do not wet the affected skin area at all;

Drink milk;

Lubricate the affected areas of the skin with pork fat or propolis;

Apply cherry bark to the affected areas. Prevention of erysipelas - prevention of skin injuries, careful observance of hygiene rules.

The disease is expressed in bright reddening of the skin with a slight swelling. It usually begins with severe chills and fever, redness may appear near a contaminated wound and even in a clean place. The spot burns, itches and, as it were, creeps, gradually expanding.

If an erysipelas has formed near the wound, then it is usually treated with ichthyol. The wound itself must be washed daily with a solution of manganese, and the reddened place should be lubricated with ointment, and another 2 to 5 centimeters of unaffected skin should be taken to stop the spread of the disease.

Sprinkle a face on the face with a thick mixture of pure chalk and rice starch. They must be finely crushed, sifted, so that large particles do not irritate sore spots. Over the powder, you need to put on a mask of blue thick paper with holes for the eyes to protect your face from the sun's rays. Of course you can't wash.

On the fifth day, the disease reaches its higher development after which recovery begins.

With erysipelas on the face, it is imperative to draw water with manganese into the nose or boric acid, and lubricate abrasions in the nose with lapis, since streptococci gather and remain most of all there.

Folk remedies for erysipelas

1. Chalk, red cloth.

In the morning, before sunrise, sprinkle the place affected by erysipelas on top with clean, finely sifted chalk. Put a clean woolen red cloth on top and bandage it all. The next morning, repeat the same procedure again, changing the chalk. After a few days, the erysipelas disappears. The procedure is carried out once a day and always before sunrise.

2. Natural bee honey, a flap of natural red silk, the size of a palm. Grind into small pieces. Mix with natural bee honey, divide this mixture into 3 parts. In the morning, an hour before sunrise, apply this mixture to the area affected by erysipelas and bandage it. Repeat the procedure the next morning. Do this every day until recovery.

3. Chalk, powder - 1 part. Sage, leaf powder - 1 part.

Mix everything well. Pour the mixture onto a cotton cloth and tie it to the affected area. Change 4 times a day in a semi-dark place so that direct sunlight does not fall.

4. Rye flour.

Finely sifted rye flour is sprinkled on a sore spot. From above it is lined with blue wrapping paper from under sugar and everything is bandaged. Do it in the morning an hour before sunrise. Change the bandage once a day before sunrise.

5. Frog caviar.

In the spring, collect frog caviar, spread it thin layer on a clean cloth, dry in the shade. When howling with erysipelas, slightly soak the caviar and apply on the sore spot for the night. From 3 such procedures, erysipelas passes. radical means at erysipelas. Store caviar in a cool dry place for 6 months, no more.

6 Apply fresh plantain leaves to the sore spot.

7. Lubricate the skin area affected by erysipelas with a cloth in kerosene, wipe off the kerosene after ten minutes, do this for 2-3 days.

Inflammation of the eyes with erysipelas

8. Datura (leaves and seeds).

20 g of seeds or leaves of dope in a glass of boiling water. Insist, wrapped, 30 minutes, strain. Dilute in half with water. Make lotions for inflammation of the eyes. Vodka tincture of seeds or leaves. Dilute 1 teaspoon of tincture in 0.5 cup boiled water. Apply for lotions.

Honey treatment

A flap of natural red silk, the size of a palm, grind into small lumps. Mix with natural bee honey, divide this mixture into 3 parts. In the morning, an hour before sunrise, apply this mixture to the area affected by erysipelas and bandage it. Repeat the procedure the next morning. Do this every day until recovery.

Conspiracies

Mix rye flour with honey and elderberry leaves. Apply the resulting mass in the form of a compress, saying:

For the first time, for the first hour, the face was planted, the face was watered, the face did not rise, it went to nothing! The second time, the second hour ... And so on up to twelve times, up to twelve hours.

- “God walked through the pig log and carried three faces. One dries, the other fades, the third drives off the body. Erysipelas in childbirth, red maiden, do not walk on white legs, do not walk on blue veins, do not make wounds on white legs, do not make wounds on blue veins. I am the word, and God is the help. Amen".

Treatment with ultraviolet light

The affected area is irradiated with light.

Prevention of the disease: compliance with the rules of personal hygiene, treatment of fungal skin diseases, treatment of streptococcal diseases, prevention of injuries and scuffs of the legs.

Clay treatment of erysipelas

Apply cold clay to the inflamed area. It is impossible to warm the clay, because when warmed, it loses its healing properties.

Treatment with rye flour

Finely sifted rye flour is sprinkled on the affected area, blue wrapping paper is applied on top, everything is bandaged. The procedure is carried out early in the morning before sunrise.

Recipe #1

2 tbsp. spoons of dope seeds, 250 ml of water.

Cooking method.

Semenya dope pour boiling water, leave for 30 minutes, strain, then dilute with water in a ratio of 1:1.

Mode of application.

Use in the form of lotions.

Recipe number 2

1 st. a spoonful of sage leaves, chalk (powder).

Cooking method.

Mix the ingredients, pour the mixture on a cotton rag.

Mode of application.

Put a cloth on the affected area, bandage. The procedure should be carried out 4 times a day.

Treatment with bee products

Cut a flap of silk into small pieces, mix with honey. The resulting mixture is divided into 3 parts.

In the morning, before sunrise, apply the mixture to the area affected by erysipelas, bandage it. Do 1 time per day for 3 days.

Chalk treatment

pure chalk, woolen red cloth.

Mode of application.

In the morning, sprinkle the affected area with clean chalk, then put a red wool cloth on top, bandage everything. The next day, repeat the procedure, changing the chalk. The procedure is carried out once a day before sunrise. Through 5 6 days an ugly face passes or takes place.

Hunger treatment

With complete starvation, erysipelas passes on average in 3 days.

Erysipelas or erysipelas (from Polish roza) is an infectious, fairly common disease of the skin and mucous membranes. In Latin - erysipelas(erythros translated from Greek - red, pellis - skin). Among all erysipelas takes fourth place and today is one of actual problems in healthcare. 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 skin or mucous membranes of areas of inflammation of a bright red color.

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 of 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 humans - 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 have round 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 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 zones of hemolysis (light halos) that are 2–4 times larger than the diameter of the colonies themselves.

Rice. 4. When growing on nutrient media, streptococcal colonies are shiny, shaped like a drop, or gray, dull and granular with uneven 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 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 gateway 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, a local hemorrhagic syndrome. 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 active substances, including histamine, which is involved in the development of hemorrhagic forms of erysipelas, enter the bloodstream in large quantities.
• Insufficiency of lymphatic circulation is manifested by edema of the 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 number 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 defensive reactions organism - non-specific factors, humoral, cellular and local immunity.
• Disorders of the neuroendocrine system and imbalance of biologically active substances.

Erysipelas classification

1. 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.
2. According to the severity of the course, erysipelas is divided into mild, moderate and severe.
3. According to the multiplicity of manifestations, erysipelas is divided into primary, repeated and recurrent.
4. 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 spreading by 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 severe symptoms intoxication, which is typical for 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 are the main signs and symptoms of erysipelas during this period. Intoxication with erysipelas develops as a result of release into bloodstream streptococcal toxins.

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 is desquamated and thickened, sometimes appear dark spots. 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 a light transparent 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 develop 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 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 forms of erysipelas of the skin are regarded as complications of the disease.

When inflammation spreads 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, it 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 the upper extremities 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, 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, followed by the 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, scalp, neck and neck. 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 streptococcal infection sinuses and boils. The source of infection in erysipelas of the orbit is streptococcal conjunctivitis.

With streptococcal otitis media, erysipelas of the auricle sometimes develops, often the inflammatory process spreads 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

Erysipelatous inflammation sometimes develops in the area of ​​​​surgical sutures if the rules of asepsis are not followed. Erysipelas is severe when streptococci penetrate into umbilical wound 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. 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.

Contribute to the recurrence of chronic venous insufficiency, lymphostasis, diabetes mellitus and improper treatment of the disease. 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 may 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. With the phlegmonous form of the disease, sepsis may develop, 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.

Most popular

erysipelas is an infectious disease of the skin. At improper treatment can lead to a number of serious complications. There are many factors that can cause the disease.

On the stage early diagnosis treatment of erysipelas is easier. A neglected disease eventually passes into more complex forms. Erysipelas completely curable disease but there are relapses. If erysipelas manifests itself repeatedly, then each subsequent time the disease takes on a more severe form.

Causes of erysipelas on the leg

The main cause of erysipelas is Streptococcus bacterial infection. Streptococci are gram positive aerobic bacteria that live in the human body. Pathogenic microbes enter through open wounds that result from cuts, scratches, cracks or burns. Sometimes carriers of streptococci are not even aware of its existence.

Out of 100% of carriers, only 15% remain unaware, as their bacteria do not manifest themselves in any way throughout their lives. The remaining 85% of carriers suffer from various diseases that are caused by the multiplication of pathogens.

Erysipelas on the leg may occur in different ages. There is a tendency: in youth, erysipelas are mainly affected by men, and in old age, erysipelas is more common in women.

Causes of erysipelas:

• First of all, the disease occurs in people who, due to their profession or lifestyle, are always in unsanitary conditions.
• Erysipelas sometimes appears as a consequence sedentary image life in older people. Trophic ulcers, bedsores and circulatory disorders are a favorable environment for the penetration and development of streptococcus bacteria.
• Erysipelas occurs in people with reduced immunity, this may be due to previous diseases, severe stress and nervous exhaustion.
• Another reason for the occurrence of erysipelas on the human body is the systematic exposure of the skin to UV rays, which leads to burns.
• Often erysipelas occurs in patients with diabetes, obesity and varicose veins veins. And also in people who suffer from alcoholism.

The disease manifests itself in the form of redness on the skin. Most often, erysipelas affects the limbs. In more rare cases inflammation occurs on the human body and in the genital area. At the initial stage of the disease, the body develops red shiny spots, which spread rapidly, forming extensive foci.

A photo

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Erysipelas classification

There are several classifications on the legs:

1. First stage classified according to the severity of the disease. There are light, medium and heavy.
2. Second stage classification, due to the scale of the affected areas. There is a localized, limited and extensive form.
3. Third stage determined depending on the nature of the manifestation. There is a primary, recurrent and repeated form of the disease.

IT'S IMPORTANT TO KNOW!

The first symptom of erysipelas is a general malaise in the patient, which is accompanied by:

• headache;
• chills;
• weakness in the whole body;
• painful sensations in the muscles;
• a sharp increase in body temperature up to 40 degrees;
• sometimes vomiting and diarrhea;

The next symptom of the disease is a rash on the skin in the form of redness and swelling. Often the appearance of spots is accompanied by a burning sensation of the affected areas of the skin with characteristic pain. Erysipelatous inflammation manifests itself in the form of erythema of a bright red color with jagged edges that resemble flames. From healthy skin, erythema is separated by a skin roller with clear limited edges.

Further symptoms depend on the form of the disease.

Forms of the disease

In total, there are four forms of erysipelas on the legs.

All forms are similar, however, there are significant distinguishing features:

• Erythematous. With this form, red erythema appears on the skin, which has clear boundaries with a uniform color. After some time, peeling occurs on the foci. The erythematous form is also characteristic of.
• Erythematous bullous. A form in which erythema becomes blistered after a few days clear liquid. If the patient was given medical care on time, then after the blisters pass, healthy areas of the skin can be seen under them. If the treatment was not carried out, then the bursting blister can lead to the appearance of trophic ulcers and rotting wounds.
• Bullous-hemorrhagic. A form similar to erythematous bullous, however, in this case, the blisters are filled with blood.
• Erythematous-hemorrhagic. This form manifests itself in the form of subcutaneous hemorrhages in the area of ​​erythema.

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Erysipelas treatment

Treatment of erysipelas on the leg is prescribed depending on the form of manifestation of the disease. Erysipelas should be treated immediately at the first symptoms, the sooner therapy is started, the faster and more effective the treatment will be.

Treatment methods for erysipelas:

1. Antibacterial drugs. After diagnosing the form and classification of the disease, the attending physician prescribes a medicine that is more suitable for the treatment of this particular type of erysipelas. For therapy, antibiotics are used that are active in the fight against streptococci:
   • Penicillin, ampicillin and cephalosporin antibiotics. Active substances medicines are effective against bacteria. The drugs are administered intramuscularly up to 5 times a day, depending on the severity of the disease.
   • For milder forms, antibiotics can be taken orally. The course of treatment with these drugs is prescribed by the attending physician. For such therapy often use:
     1. Cephalexin.
     2. Fadroxil.
     3. Cefixime.
     4. Cefuroxime.
2. Complex treatment. Add to antibiotic preparations ointments, creams and topical tinctures:
   • Naftalan ointment.
   • Iruxol.
   • Erythromycin.
   • Furacilin solution in the form of lotions.
3. AT medical practice There are several physiotherapy procedures that are prescribed for patients with erysipelas:
   • Ultraviolet radiation;
   • Laser therapy;
   • Exposure to infrared radiation.
4. To all the above types of treatment, it is imperative to add the intake of vitamin complexes of groups A, B and C.

Folk remedies

Like any disease, erysipelas can be treated with folk methods.

Traditional medicine recipes:

1. It is necessary to apply compresses soaked in herbal decoctions to the affected areas of the skin. Such procedures can be done no more than 2 times a day, since prolonged moisturizing of the affected areas of the skin can lead to ulcers and purulent wounds. For a decoction, you need to mix 100 g of coltsfoot and 10 g of calendula, motherwort, chamomile and licorice root. Pour the mixture with one liter of water and cook over low heat for 15 minutes. The decoction is ready.
2. You can make a mixture of crushed coltsfoot leaves and chamomile flowers in a ratio of 1: 1, add honey to the resulting mass. Use as an erysipelas cream.
3. Suitable for the treatment of propolis, it relieves inflammation of the skin well.
4. You can wipe the affected areas of the body alcohol tincture eucalyptus.
5. A very common and proven method of traditional medicine is chalk and red fabric made from natural fibers. For treatment, it is necessary to sprinkle the leg with chalk and bandage it with a red rag. After 3-4 days, the erysipelas disappears.
6. They also use dry compresses from potato broth and dry cotton wool.

You should not completely abandon the medical treatment of erysipelas. All folk remedies will give greater results in combination with medical therapy. You can easily combine the adoption of antibiotics with herbal lotions. Moreover, almost all folk remedies are intended for external use.

Complications of erysipelas on the leg

There are a number of complications that occur with erysipelas on the leg. Even after treatment of erysipelas, the skin on the leg does not recover for a long time.

Possible complications:

• Skin areas after erythema remain red and swollen for a long time. In the future, peeling of dead epithelium appears. Such symptoms do not require additional medical treatment, it is enough just to treat the skin of the foot with soothing tinctures and moisturizing creams.
• If the patient had a bullous form of erysipelas, then in places of blisters as a complication may arise festering wounds that don't last long. In this case, it is necessary to use anti-inflammatory drugs and ointments that fight pyogenic bacteria.
• Complications include the formation of a secondary disease such as lymphedema or elephantiasis. The disease is associated with prolonged stagnation of lymph in the lower extremities. The leg is swollen and deformed. Self-treatment of such diseases is prohibited. You must immediately consult a doctor for qualified help.

Stories from our readers!
"The cream was used in complex therapy from nail and toe fungus. The debilitating itching went away and stopped bothering me altogether. Rubs into toes easily. The key is to keep your skin dry.

Nails after a month of use became lighter, disappeared yellow and the stratification that had already begun has passed. I am very pleased with the result. The fungus didn't even exist."