Cellulitis - Causes, Symptoms and Treatment .MF .
Cellulitis - an acute purulent inflammation of the adipose tissue, which has no clear boundaries.Adipose tissue surrounding the various organs, nerves and blood vessels, has a connection with nearby areas.Therefore purulent process, having arisen in one place can quickly spread to neighboring areas, causing skin lesions, muscles, tendons, bones and internal organs.
Depending on the affected area are distinguished subcutaneous, podfastsialnuyu, axillary, retroperitoneal phlegmon, phlegmon and hand, foot.Inflammation perinephric fiber called paranephritis in the rectum - abscess, the lumbar region - psoit, with purulent process in adipose tissue around the lymph node develops phlegmonous adenitis.
Causes of cellulitis
immediate cause of cellulitis is a rapid multiplication of disease-causing organisms such as staphylococcus, streptococcus, Pseudomonas aeruginosa, and Clostridium, E. coli and other microorganisms.
microbes can penetrate into the fatty tissue in various ways.The most common way - due t
Usually, the body seeks to limit any inflammation arising through the formation of the capsule.In the face of declining immunity, such as low, long-term chronic diseases, alcoholism, formation of a protective capsule does not occur, and purulent process initially it has a tendency to spread.On the other hand, many bacteria and clostridia are often non-clostridial flora during its vital secrete specific substances that dissolve the protective sheath, which also leads to the spread of an inflammation.
symptoms of cellulitis
External displays are fairly typical cellulitis.By location All cellulitis are divided into superficial (affected tissue to the muscle layer) and deep (affected tissue deeper muscle layer, between the muscles and fatty tissue located around the internal organs).
For superficial cellulitis characterized by intense pain in the inflammation, swelling, edema, induration.With involvement in the pathological process of the skin develops redness, local temperature rise.
also revealed an increase in morbidity and closely spaced lymph nodes - regional lymphadenitis.Very quickly there are common symptoms of poisoning of the body - raising the temperature to 38-40 degrees, chills, severe weakness, dry mouth, thirst.
When deep phlegmon , as a rule, common symptoms predominate over local.The body temperature can reach 40-42 degrees, with chills, lethargy, drowsiness.As a result of the toxic action of microorganisms early in the growing violation of the cardiovascular system (blood pressure, cardiac arrhythmias, increased, then with the progression of the disease, slowing heart rate), respiratory (breathing problems, shortness of breath at rest or with little physical exertion), excretorysystem (reduction in amount of urine until its complete absence, nausea, vomiting).The presence of deep cellulitis indicates an increase in the size of a particular area compared with balanced healthy portion tenderness to palpation.
may be determined by dysfunction of adjacent organ, eg, psoas-symptom - painful involuntary flexion and rotation of the hip out when picked straight leg with cellulitis in the iliopsoas muscle.
Inflammation of fat around the internal organs of the body is characterized by severe symptoms of poisoning, possibly a violation of the functions of the authority in the absence of external manifestations.
diagnosis of superficial abscesses, given the pronounced symptoms, does not pose particular difficulties.Deep cellulitis detected, usually with ultrasound, X-ray, computed tomography or magnetic resonance imaging of suspicious areas.In case of doubt, a priority method is a diagnostic puncture (puncture tissue to give the pus from the pathological focus).
As a rule, microorganisms that cause cellulitis, very aggressive, and only timely access to a surgeon to help prevent the spread of infection and poisoning organism development.If you suspect phlegmon needed urgent hospitalization.
the presence of cellulitis is strictly prohibited:
• Sit at home and wait for a favorable process is complete;Use
• hot compress, as it leads to the spread of infection;
• Apply ointments, gels in the area of redness and pain;
• Drink analgesics before the visit to the doctor.Pain is an important feature to determine the location of cellulitis;
• Take aspirin for pain.The analgesic effect is very weak, but significantly increased bleeding, which may complicate the operation;
• uncontrollably use antibiotics without knowing about the nature of the pathogen.
cellulitis Treatment is usually surgical.The basic principle of treatment - removal of the purulent focus.Given the location of the inflammation is one or more cuts, pus is removed by washing this area plenty of antiseptic solution.
Surgical treatment of cellulitis.
If necessary, re-washing are carried out.In the postoperative period prescribed antibiotics and agents that enhance the immune system.
At untimely treatment can such common complications such as sepsis (delivery of microorganisms in the blood and the spread of infection throughout the body), thrombophlebitis (purulent inflammation of the veins with the formation of blood clots and microabscesses), purulent arteritis (destruction of microorganisms artery wall with the development ofmajor bleeding, which is very difficult to stop), secondary purulent streaks in the propagation process.Depending on the location of cellulitis are also isolated and specific complications such as purulent meningitis (inflammation of the meninges) when cellulitis of the orbit, or mediastinitis (inflammation of the organs of the mediastinum) when cellulitis neck.
prevention of abscesses is to provide timely and high-quality primary care in violation of the integrity of the skin (flushing the wound with an antiseptic solution such as chlorhexidine, treatment of the wound edges iodine solution, application of sterile dressings).
therapists Sirotkin EV