Erysipela

{{ Infobox - disease }}< /ref> }}< /ref> Disease has propensity to relapse, relapse arise mostly endogenous by reactivation bacteria. It can happen after erysipelas after period latency (1–4 weeks ) to develop acute glomerulonephritis. In the Czech Republic is mandatory for the republic reporting erysipelas. http://www.szu.cz/tema/prevence/erysipel-manual-iv
 * Czech = Rose
 * image = Erysipel.JPG
 * label = Erysipelas on upper limb
 * English = Erysipelas
 * Latin =
 * causative agent = Streptococcus pyogenes{{ Citation
 * type = book
 * isbn = 978-80-7262-644-1
 * surname1 = Beneš
 * name1 = George
 * collective = yes
 * title = Infectious medicine
 * issue = 1
 * publisher = Galen
 * year = 2009
 * range = 651
 * sides = 204, 205, 494
 * transmission = through droplets, contact with an infected person a person whose contaminated subjects
 * incubation time = 2-4 days
 * clinical image = sudden onset, chills , fever , chills , nausea , weakness , redness and swelling at the site disability
 * diagnostics =
 * infectivity =
 * treatment = penicillin  intravenously, at allergy 1st generation cephalosporins or lincosamides
 * complication = disability lymphatic vessel, lymphostasis , phlebothrombosis
 * vaccination =
 * incidence in the Czech Republic = 36.4/100 000 inhabitants (CZ 2014 ) (Streptococcus pyogenes), less often groups C, G and B (Streptococcus agalactiae ), by culture they can be sometimes proven golden staphylococci or G-bacteria . The most common is erysipelas occurs on feet and in the face . Entrance gate the infection is broken cutaneous barrier ( maceration,  leg ulcers , raga , erosion ). It is transmitted from sick person a person or endogenously from the nasopharynx to the injured skin , in newborns  to the umbilical cord . Incubation the time is short , usually 1-3 days .< ref name=" Rozsypal ">{{ Quote
 * type = book
 * corporation = Rozsypal, Hanuš
 * title = Basics infectious medicine
 * subtitle =
 * issue = -
 * publisher = Charles University in Prague, Karolinum Press
 * year = 2015
 * isbn = 8024629321
 * range = 572
 * pages = 293–293

Clinical image
Sharp development total symptoms : Local symptoms : 
 * fever with chills, pain head , sometimes  nausea  and general exhaustion.
 * Mon several hours are created locally entry infection inflammatory to phlegmonous changes ( redness, burning , itching , sensitivity until soreness , swelling ), bearing has irregular shape , can be linguistically to expand ;
 * regional lymphadenitis.

Species

 * Erysipelas bullosum  - in a deposit arise vesicles and bullae
 * Erysipelas migrans  - primary the bearing will heal, but it will appear in the surrounding area new bearings
 * Erysipelas haemorrhagicum  – bleeding into blisters
 * Erysipelas gangrenosum  - dying skin
 * Erysipelas phlegmonosum  - propagation in depth ( possible formation of cellulitis or necrosis fasciitis )
 * Erysipelas recidivans  - recurrent infection

Diagnostics

 * clinical image ;
 * culture from the lesion erysipelas, aspiration from a lesion , biopsy - low interception originator ;
 * ASLO titer ( antistreptolysin O) – skin infection they are very rarely guided increased by the ASLO title because streptolysin O is at local infection inactivated lipids contained in the skin ;
 * can be increased titer antibodies against deoxyribonuclease B.

Therapy

 * crystalline penicillin iv, po improvement status procaine penicillin  im.
 * symptomatic therapy
 * peace on the bed
 * _ older ones persons is necessary track cardiovascular function

Complications
Between complication belongs to : {{ Citation | type = article | surname1 = Drlík | name1 = L| surname2 = Škodová | name2 = H| article = Erysipelas with binding internal complications | magazine = Dermatology for practice | url = http://solen.cz/pdfs/der/2008/03/10.pdf
 * year = 2008| year = 2| bundle = 3| sides = 154-155| issn = -} }< /ref>
 * Myocarditis, endocarditis  or  pericarditis ,
 * glomerulonephritis ,
 * rheumatic disabilities joints ,
 * pyartros ,
 * metastatic pneumonia ,
 * lymphedema ,
 * local devastation tissue, phlebitis  or  phlebothrombosis.

Related articles

 * Impetigo
 * Infection streptococci group A
 * Pyoderma
 * Ecthyma

Used literature


Category :Infectious medicine Category :Dermatovenerology Category :Pathology Category :Microbiology