Impetigo

Description:

Impetigo  (Latin impetigo a skin disease, crusts) - the contagious disease of skin caused by streptococci and stafilokokka.

Impetigo symptoms:

Distinguish impetigo staphylococcal, streptococcal and streptostafilokokkovy.

Streptococcal impetigo begins with education few phlyctenas, towering, inclined to peripheral growth, - band elements like bubbles from 2 to 10 mm in size and more in the diameter. Rashes are disseminated or acervate groups, are surrounded with a narrow rim of a hyperemia. Contents of phlyctenas at first transparent, then grow turbid and quickly shrink in the light yellow crusts disappearing in 5-7 days then there is a depigmentation.

Idle time belongs to kinds of streptococcal impetigo deprive persons or a dry pyoderma - the centers of a melkoplastinchaty peeling with insignificant erubescence.

Other kind of streptococcal impetigo - streptococcal perleches which meet at children more often. They begin with emergence in a bubble mouth corner with a sluggish thin tire, on its place the slit-like erosion after which removal, the red wet easily bleeding surface with a crack in the center is found is quickly formed. 1-2 hours later the perleche crusts again. Process can be followed by small morbidity when opening a mouth. Process often extends to a mucous membrane of an oral cavity. Sometimes impetigo arises separately in a mouth where on site quickly opened phlyctenas the painful erosion which are becoming covered by a purulent plaque are formed.

Kind of vesical impetigo is also the superficial felon at which the phlyctena arises on the nail roller dugoobrazno around a nail on site of agnails at injuries (for example, during manicure), a prick a needle, etc. When traumatizing such phlyctena is opened and the becoming wet erosion in a large number of streptococci in separated is formed.

Staphylococcal impetigo (folliculitis).
The mixed (streptostafilokokkovy) impetigo.
At a combination of a streptococcal and staphylococcal infection the mixed (vulgar) impetigo at which contents of phlyctenas happen purulent, and crusts - massive develops. At removal of crusts the wet erozirovanny surface is bared.
Vulgar impetigo usually on a face and other open sites of skin is located. To a disease inclined children, teenagers and young women. Without treatment near the former rashes or on the remote sites of skin there are new phlyctenas, process quite often accepts widespread character. Transmission of infection on new sites through hands and linen matters.

Impetigo complications:
Most often the disease comes to an end without effects, but there can be also complications. One of the most unpleasant complications are complications on kidneys (nephrites) and on heart (myocardites).

Staphylococcal impetigo can be complicated by widespread purulent processes - abscesses and phlegmons.

Impetigo reasons:

The important role in developing of impetigo belongs to microtraumas, maceration of skin, and also hit on it pathogenic strains of cocci. Also can be primary and secondary (as a complication of various dermatosis, for example eczemas, itches, the pediculosis which are followed by an itch). At a histologic research reveal a pustule (basic element) which develops under a corneous layer of epidermis; the malpigiyevy layer (basal and acanthceous layers of epidermis) is edematous and инфильтрирован leukocytes.

Treatment of Impetigo:

Treatment of impetigo is usually carried out on an outpatient basis. The sites of healthy skin struck and adjoining to them cannot be washed with water, them it is necessary to wipe 2 times a day 2% with salicyl or camphoric alcohol. Separate phlyctenas open and process spirit solution of aniline dyes, fukortsiny, use also disinfecting ointments (erythromycin, geliomitsinovy, levomitsetinovy linimentum, etc.) 3-4 times a day without bandage within 5-10 days to full epithelization of erosion. During treatment and then during 1-2 weeks the area of defeat is wiped with alcohol. In case of widespread vulgar And. at the small weakened children carry out an antibioticotherapia, at fervescence and existence of toxicosis usually in the conditions of a children's hospital.

To avoid a disease, it is necessary to follow rules of personal hygiene, sick children should not be driven in kindergarten.

The forecast is usually favorable, at children process can sometimes be complicated by development of nephrite.