- Pseuofurunculosis reasons
- Pseuofurunculosis symptoms
- Treatment of a pseuofurunculosis
Pseuofurunculosis (multiple abscesses at children) — the purulent damage of sweat glands developing at penetration in them of stafilokokk or other activators. Infectious process at a pseuofurunculosis takes not only channels of sweat glands, and and their balls. Emergence in hypodermic cellulose of dense small knots over which skin has a healthy appearance is characteristic. Gradually small knots increase and softened, then there is their opening. Diagnosis of a pseuofurunculosis is based on results of the dermatological survey and a bacteriological research separated nodes. Treatment is carried out in a hospital using antibiotics, detoksitsiruyushchy solutions, immunoproofreaders and local means.
Pseuofurunculosis newborns and children about one year are ill generally. The weakened children with a hypotrophy, rickets, immunity disturbances, anemia, hypovitaminoses are predisposed to a disease of a pseuofurunculosis. The disease occurs at adults extremely seldom.
In certain cases infectious process strikes only mouths of output channels of sweat glands with development of a periporitis. At the same time on skin small superficial pustules after which permission there are crusts over time disappearing without formation of hems or hyperpegmentations are formed.
However there is a checkmate of sweat glands more often. There are hypodermic small knots differing in a dense consistence. At the beginning of development of a pseuofurunculosis skin over small knots has a healthy appearance. Gradually small knots increase in sizes, reaching diameter forest (sometimes walnut) nut. Skin over them gains red синюшний color. There is a softening of nodes to a characteristic symptom of fluctuation at their palpation. Skin on tops of such nodes becomes thinner and breaks with the expiration of purulent contents of flavovirent color. Healing happens to formation of a hem.
Usually at a pseuofurunculosis defeat of those sites of skin which directly touch a bed is noted. It is a back, hips, buttocks, a nape and a pilar part of the head. Emergence of ten and more nodes of a pseuofurunculosis speaks about generalized process at which changes in the general condition of the child are possible: temperature increase, intoxication, loss of appetite.
At the exhausted and weakened children the pseuofurunculosis has generalized character and a recurrent current with the advent of new elements in 10-20 days. At such children the pseuofurunculosis can be complicated by development of conjunctivitis, otitis, antritis, phlegmon, pneumonia. In hard cases purulent meningitis, osteomyelitis, sepsis is possible.
Diagnosis of a disease is carried out by the dermatologist. The doctor relies upon characteristic clinical displays of a disease and age of the patient. Dermatological survey reveals a typical picture of a pseuofurunculosis: a fluctuation symptom at a palpation of the largest nodes and lack of visible changes of skin over other elements. Identification of species of the activator is carried out by the bakposev separated nodes.
The differential diagnosis of a pseuofurunculosis is carried out with a furunculosis, a hydradenitis, a scrofuloderma (kollikvativny tuberculosis). Existence of a necrotic core in the center of a furuncle is characteristic of a furunculosis that is not observed at a pseuofurunculosis. The hydradenitis usually does not occur at children of chest age and has typical localization (axillary hollows, inguinal area). With a scrofuloderma children about one year seldom get sick. For it typically slow development of process, opening of nodes with formation of the fistular courses and ulcerations, mostikoobrazny scarring.
Treatment of a pseuofurunculosis:
The pseuofurunculosis demands hospitalization. Performing antibiotic treatment (gentamycin, penicillin, клафоран, Cefamezinum) taking into account data of an antibiotikogramma is obligatory. For prevention of dysbacteriosis along with antibiotics appoint a probiotics. At symptoms of intoxication carry out drop introduction of a reopoliglyukin, albumine, Haemodesum or native plasma. Apply vitamin therapy, fortifying means and immune drugs: staphylococcal anatoxin, gamma-globulin, anti-staphylococcal plasma.
In local therapy use solutions of aniline dyes, ointments with antibiotics, Levomekol, Unguentum Ichthyoli. Leather around nodes is processed camphoric alcohol. Carry out UVCh-therapy. In certain cases at a pseuofurunculosis surgical opening and drainage of fluctuating nodes can be required.
Prevention of a pseuofurunculosis consists in regular change of diapers, their proglazhivaniya after washing, observance of hygienic rules in care of the baby, avoiding of an overheat of the child, the correct feeding.