Main symptoms of phlegmon of the hand, diagnosis, treatment
Phlegmon is a purulent process in adipose tissue, which is characterized by the absence of clear boundaries. Inflammation can quickly and unimpededly spread to soft tissues, presenting a real danger to the patient's health and life. How phlegmon of the neck is treated and what are the causes of the disease - read about it below.
The main cause of phlegmon is the pathogenic activity of microorganisms that have penetrated into the subcutaneous tissue through injured skin or mucous membranes. Pancreonecrosis and a purulent process in the kidneys can be the cause of intra-abdominal phlegmon.
Provocative factors:
- presence of chronic diseases;
- chronic intoxication of the body;
- reduced immunity;
- allergization of the body;
- immunodeficiency states.
Classification
Depending on the mechanism of phlegmon occurrence, it can be:
- an independent form;
- complication – result of surgical diseases or operation;
- that appeared due to damage to any part of the body.
Classification by type of pathogen: fungal, streptococcal, staphylococcal, pneumococcal, clostridial, mixed.
Classification by localization of purulent process:
- neck phlegmon;
- phlegmon of the hand (there are separate symptoms of phlegmon of the hand);
- phlegmon of the eyelids;
- Fournier's phlegmon;
- phlegmon of the soft tissues of the thigh.
Forms of pathology
Serous - the initial stage, which is characterized by the formation of an infiltrate and the formation of exudate. Without proper treatment, the stage will turn into a more severe form.
Purulent is characterized by the beginning of tissue necrosis and the formation of purulent secretion. If treatment is not started, the inflammation will spread to the bones and muscles.
Rotten. A distinctive feature is an unpleasant smell. Affected tissues acquire a greenish color.
Necrotic. A characteristic feature is the formation of areas of tissue necrosis with clear boundaries. Complications of necrotic phlegmon of the toe are purulent arteritis, purulent arthritis.
Anaerobic is characterized by the release of specific bubbles from necrotic areas.
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Dissection of foot phlegmon
Phlegmon of the foot is called a diffuse inflammation of tissues, the causative agents of which are pathogenic microorganisms. Most often these are streptococci and staphylococci. The main symptoms of the inflammatory process are swelling and redness of the skin in the area of the foot, high temperature, inflammation of regional lymph nodes, and excruciating pain that worsens when pressed. The only method of treatment is dissection of phlegmon of the foot, performed under local anesthesia. In the postoperative period, the patient is prescribed antibiotic therapy, detoxification therapy, and analgesics.
Complications of phlegmon of the orbit
Phlegmon of the eyeball is a diffuse purulent inflammation, characterized by a severe general condition of the patient and serious complications. Symptoms of the disease: nausea, headache, increased temperature, decreased visual acuity, throbbing pain in the orbit, restriction of mobility of the eyeball. The diagnosis is based on the results of ultrasound, CT scan of the orbit and sinuses, orthopantomogram and X-ray.
The main causes: purulent diseases of the eyes, skin, sinuses, facial injuries.
A complication of orbital phlegmon is irreversible visual impairment.
Phlegmon of the floor of the mouth
The disease is widespread and is characterized by a purulent-septic process that takes over several cellular spaces located above (or below) the diaphragm of the floor of the mouth. Phlegmon of the floor of the mouth can be provoked by osteomyelitis, tonsillitis, injuries of the mucous membrane, carious teeth. People with weakened immunity are most prone to the disease.
Complications of the disease: septic shock, odontogenic sepsis, purulent-resorptive fever.
Phlegmon of newborns
Phlegmon of newborns is a severe purulent-necrotic inflammation of the skin and subcutaneous fat. Staphylococcus aureus provokes. In some cases, the disease may be the result of poor care for the baby.
Symptoms: vomiting, high fever, lethargy, rejection of breast, "marble" tongue, frequent breathing. Diagnosis of phlegmon in newborns - history taking, visual examination of the baby, laboratory tests. It is very important to differentiate phlegmon of newborns from pyelonephritis, scleremia and aseptic necrosis of subcutaneous fat.
Purulent phlegmon of the leg
Phlegmon of the lower leg is an acute diffuse inflammation of soft tissues, characterized by the release of pus. Doctors consider damage to the integrity of tissues (cut, trauma, animal bite) to be the main cause of the disease. There is also secondary phlegmon of the lower leg, which develops against the background of the main disease (purulent arthritis, osteomyelitis).
Symptoms: severe pain, redness of the inflamed area, chills, weakness, low-grade fever. Surgical removal of purulent phlegmon of the lower leg with subsequent drainage is the only method of treating the pathology. Conservative therapy is used exclusively at the initial stage of development, and even then not always. After surgery, the doctor will prescribe antibiotics, immunomodulators, vitamins and physical therapy. This recovery course is also justified after surgery for phlegmon of the lower jaw.
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