SURGICAL DISEASES, TRAUMATOLOGY, ORTHOPEDICS, UROLOGY : - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention



What is the LYMPHADENITIS (LYMPHADENITIS) and how it is treated?


Etiology and pathogenesis LYMPHADENITIS (LYMPHADENITIS)

Etiology. The ingress of bacteria (streptococci, staphylococci), toxins and products of tissue destruction and the development of acute, subacute and chronic inflammatory process.

The pathogenesis. When released into the lymphatic vessels, the infection spreads to the lymph nodes. Usually affects the nodes nearest to the place of purulent diseases. The disease usually follows limfangoita (see), sometimes starts and no visible inflammation of the lymph vessels. Depending on the nature of the receiving node products, virulence of microbes and reactivity, inflammation may occur as serous, purulent purulent-flegmonozna with necrosis of nodes and their fusion. In milder forms there has been a swelling of the lymph nodes (swelling, ceropegieae soaking). Severe forms are accompanied by necrosis of nodes and flegmonoznami process in circumference (lymphoplasma).



Symptoms. In milder forms of the lymph nodes, proschupyvayutsya as separate various sizes of painful swelling. A feverish state. In more severe cases, you may receive permadent, the fusion of the host tissue and skin, diffuse swelling, cellulitis. The high temperature, chills, quickens the pulse, appear severe pain and dysfunction of the patient's body (limbs).

The disease vary depending on the nature of the process, the reactivity of the organism and type of infection. With the elimination of local infection sites quickly decrease in size, the pain disappears, and the process is 2 to 3 days. In other cases, the increase of nodes can be kept long term. The process even after significant reduction of the nodes and the complete disappearance of pain may be exacerbated (purulent fusion). When streptococcal lymphadenitis, especially with scarlet fever, fast progression of the process and spread into the surrounding tissues, complicated by phlebitis and sepsis.


Chronic lymphadenitis weak current and indurativnyy the process difficult to differentsirovat from tuberculosis of the lymph nodes, from lymphosarcoma and granulomatosis.


Proper local treatment of purulent processes, timely opening the abscess and phlegmon, rest the injured body part.


Should be liquidated or wide open the site of infection. The rest of the patient body (tire dressing, bed rest), penicillin intramuscularly, sulfonamides, dry heat (heating pad, Solux). Chronic lymphadenitis restorative treatment and intense local heat treatment (UHF, diathermy, dirt).