Axillary lymphadenitis – the inflammation of lymph nodes caused by bacteria of staphylococcus and streptococcus which get to them from phlegmon of soft tissues or felons. Much less often the inflammation is the result of direct hit of bacteria directly in lymph nodes through a travmirovannost of integuments.
The lymph nodes located in armpits are the filter of absorbent vessels of a shoulder girdle, hands, bodies of a stomach (those that are located above a navel) and bodies of a thorax which are sources of the infection extending through them to the area of armpits.
Such sources of infections in an organism as are the main reasons for emergence of axillary lymphadenitis:
Also the inflammation of absorbent vessels can be the reason of an inflammation of lymph nodes. Causative agents of axillary lymphadenitis in most cases are:
Symptoms of axillary lymphadenitis are differently expressed depending on a form of a course of a disease. At acute axillary lymphadenitis symptoms are the strong pain syndrome, the increased body temperature and the lymph nodes increased in sizes. In cases of destructive forms of axillary lymphadenitis (purulent inflammations) intoxication symptoms appear.
At a chronic form of a disease only increase and cohesion among themselves of lymph nodes is observed. The simple form of an inflammation which is not followed by purulent process proceeds with the limited center of an inflammation in education capsule borders. Development of destruction leads to the fact that the inflammation begins to extend to surrounding fabrics.
Severe forms of axillary lymphadenitis lead to development of pyoinflammatory process of cellulose (adenoflegmena) with the softening centers which at inefficient or untimely treatment extend further with development of a septicopyemia or thrombophlebitis. The break of pus on an outside part can lead to formation of lymphatic fistulas as a result.
After confirmation of the diagnosis of axillary lymphadenitis and definition of an origin of an inflammation by the doctor the stage at which there is a disease is defined and the treatment type is chosen.
Axillary lymphadenitis in an initial stage of development it is possible to treat by means of conservative treatment, with parallel holding fortifying procedures, physical therapy and reception of antibiotics of a broad spectrum of activity, and on the inflamed nodes cold compresses are imposed.
At treatment of axillary lymphadenitis with a purulent inflammation surgical intervention is necessary. Operation consists of opening of a lymph node and removal from it the purulent masses then drainage is carried out. After operation the therapeutic treatment based on the principles used at treatment of purulent wounds follows.
At treatment of specific axillary lymphadenitis the doctor considers whether there are inflammation centers in other bodies, and traces the general tubercular process. Treatment of axillary lymphadenitis of this look can last several months and in addition to an antibioticotherapia includes an obkalyvaniye of the struck node and imposing of salve dressings. If there is an accession of a purulent infection, then the doctor appoints additional use of antibiotics of a broad spectrum of activity.
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