is a very unpleasant purulent inflammation of the tissue, which could spread rapidly throughout the cellular space, and in the process may involve muscles and tendons. Despite the closeness, has no connection with the phlegmatic temperament type. The term inflammation comes from the Greek language and means inflammation, fever. Cellulitis is quite unpredictable problem, and it can occur in various places.
Often, the inflammation affects the muscular, subcutaneous or submucosal tissue, for example, phlegmon of the mouth, and sometimes even anatomical areas such as the thigh or the gluteal area. Cellulitis can have a nature independent of pathology or develop as a complication of various purulent processes.
Disease cellulitis is the result of the appearance in the soft tissues of pathogenic microorganisms. As pathogens are staphylococci and streptococci, although often it can be other pyogenic microbes that penetrate the tissue through the blood or randomly appear on the skin and mucous membranes of the damaged area.
Strong and rapid spread of inflammation in the cellular space has a connection with a low immune system, exhaustion, chronic diseases, regular intoxication, and various immunodeficient conditions. Also, the reason cellulitis can become the introduction under the skin of different physical substances, such as kerosene, gasoline, etc.
Kind of cellulitis determine its causative agent. For example, suppurative inflammation caused by Staphylococcus, streptococci, sinegnoyny sticks, and other pyogenic microbes. Putrid abscess develops when the tissue penetrating colon Bacillus or putrefactive aureus. The most severe form of the disease called obligate anaerobes, which can grow. Since the microorganisms are aggressive enough, the development of inflammation is very fast.
The type of course of the disease can be acute or chronic, the type of localization of subcutaneous, intermuscular, retroperitoneal, organ, pelvic, etc. But this list is usually there are three the most frequent type of the disease
- phlegmon of the neck the course of this disease most unpredictable and the consequences can be very severe and even dangerous. In most cases infections are inflammatory processes in the oral cavity and pharynx, such as chronic caries, pharyngitis, laryngitis, etc. Superficial cellulitis of the neck often occurs in the deep cervical fascia. Particularly dangerous it is not, because the abscess is easily. A cellulitis of this kind can be localized under the jaw or under the chin. If the treatment is not made on time, the inflammation is able to hit a major passing through the face of the vein, then may develop purulent meningitis
- the phlegmon of brush is located in the deep subcutaneous space of the brush. Inflammation provokes the ingress of pyogenic organisms through wounds, scratches, cuts. Abscess can appear in any part of the brush and to move it back. The patient suffers severe pain along with throbbing, tissue can swell, there is pain on palpation
- cellulitis of the face. With this type most often the inflammation occurs in the area of the temples, near the under jaw and the chewing muscles. In addition to the General symptoms there is a violation of chewing and swallowing functions. In this case the patient needs immediate hospitalization, because the lack of proper treatment can lead to death.
From such diseases as cellulitis, the symptoms are quite typical. In the inflamed zone is characterized by severe pain, swelling and infiltration of the tissue. If the process extends to the upper layers of the subcutaneous tissue can cause hyperemia of the skin. Often appears local lymphadenitis, and such General symptoms as high fever, weakness, chills, and thirst.
If the abscess is very deep, the symptoms early, is very fast growing and strongly expressed. In such cases, it may be seen headache, decompression, violation of heart rate, bluish discoloration of the skin, reduced urine output, shortness of breath. The chronic form of cellulitis characterized by the appearance of the infiltrate woody density, and over it the skin may acquire a bluish tint.
The main method of treatment of cellulitis of any type is a surgical procedure that is an autopsy cellulitis. In the initial stages of the disease may apply techniques such as physiotherapy, antibiotic therapy, procaine blockade and medication, which enhances the protective functions of the body. If a quick and positive effect is not observed, severe pain does not disappear, the temperature drops, the blood tests not be better and the signs of intoxication are exacerbated by, experts advise to resort to emergency methods of surgery. Early surgery may also reduce the proliferation of septic phenomena and to avoid the development of intoxication.
In the period after the surgery weakens cellulitis, treatment of which should be actively pursued. Its essence is intense action on the process of inflammation. To resolve the latter, in the wound are special drains for long flow washing and active aspiration of fluid. In addition, the patient must be assigned to intensive intravenous fluid therapy, immunomodulatory therapy and treatment with antibiotics.
The essence of the prevention of cellulitis is to prevent possible minor injuries during the production process or domestic environment, as well as immediate provision of adequate medical care for various injuries, microtrauma and contact with foreign bodies.