Sore rose
General
In the case of the rose, which is technically known as Erysipelas called, it is a bacterial inflammation of the skin. The inflammation only affects the superficial skin and takes an acute, non-purulent course. It occurs mainly in adults. The most common places in the Erysipelas represent that leg and the face (Face rose) represent.
causes
The wound rose is caused by small skin lesions, such as lacerations between the fingers. This lesion is then covered by bacteria colonized, these can be transferred from there to the Lymphatic vessels arrive and spread over them.
Mostly it concerns with the causative bacteria to Streptococci of group A (Streptococcus pyogenes). These bacteria also occur naturally on our skin and serve there as a defense against other pathogens. Since the skin serves as a barrier, they do not lead to infection and are not dangerous. They can only do this if there is a skin lesion penetrate the body and then usually only lead to patients with one weakened immune system to infection.
The infection can also be via insect bites (see also Inflamed insect bite) or Fungal infections occur. Usually the location of the lesion is in the space between the fingers or toes. Patients with a weakened immune system or another underlying disease, such as, are particularly prone to developing erysipelas AIDS-Patients, diabetic, alcoholic, Patients with circulatory disorders or with Disorders of the lymphatic drainage. Also skin diseases like Neurodermatitis favor the emergence. Furthermore, elderly people in particular are affected by a wound rose.
Symptoms
In a very short time, within hours or a few days, it comes to one sharply delimited, shiny, bright redness of the skin. The redness often appears flame-shaped as the inflammation spreads along the lymphatic clefts.
Since the reddening of the skin can resemble a rose blossom, the name rose rose. A feeling of tension with accompanying pain develops on the inflamed skin area. In the further course, the reddening becomes more blurred and paler. Since the body works against the inflammation, it comes into being further disease symptoms.
The surrounding lymph nodes are also partially swollen because they are part of the Immune systemtry to eliminate the pathogen. Often the symptoms are high fever, chills, Exhaustion, Racing heart, joint- and a headache and nausea accompanied. Fever usually occurs when the erysipelas first appears or when larger areas of skin are affected by the inflammation. If a severe progression occurs, it can also be small Skin bleeding, to a Blistering, as well as the formation of dead tissue.
Complications of the sore throat
Complications rarely occur with a wound rose. These can occur if there is insufficient or no therapy. In this case, the inflammation can spread to deeper tissues, which can lead to life-threatening complications.
For example, if you have a sore throat, phlebitis, blood poisoning (sepsis), purulent inflammation (Phlegmon), bacterial heart inflammation (Endocarditis) and acute nephritis (Glomerulonephritis) come. Since the erysipelas cause the formation of antibodies that attack the streptococci causing them, under certain circumstances a kidney inflammation can develop. This is because the antibodies that develop sometimes attack structures in the kidney that are similar to streptococci.
Another complication of the sore is elephantiasis. It can develop if the course is severe or if the erysipelas are not treated properly. In the context of elephantiasis there is massive lymph swelling, which is also interspersed with connective tissue. The result is massively thickened legs. This process is irreversible. If there is a facial rose, it can in very rare cases cause the inflammation to rise to the brain. Signs of a complication are particularly severe pain, impaired consciousness such as drowsiness and confusion, as well as a parallel occurrence of fever, cold sweat and paleness. In these cases the ambulance should be called immediately.
diagnosis
The diagnosis is based on the typical symptoms and on the characteristic appearance of an erysipelas. Important is, to locate the point at which the pathogen has entered the bodyto thoroughly clean and disinfect the area. A minor surgical procedure is also rarely necessary. By a Blood test the inflammation can be defined more precisely and the pathogen can be identified. If there is an inflammation, the CRP value, the Sedimentation rate and the number of white blood cells (Leukocytes) elevated.
At the same time, in the case of a diagnosed erysipelas, further underlying diseases should be considered and an orientating examination should be carried out, as certain diseases promote the development of an erysipelas. It should be examined whether there is a disease that weakens the immune system or whether, for example, a circulatory disorder, as well as a Sugar disease is present.
Sore rose on the leg
The leg is particularly often affected by the wound rose. One of the reasons for this is that one of the most common reasons for erysipelas to develop is the Athlete's foot is. The athlete's foot softens the skin between the toes and small cracks appear through which the bacteria can penetrate. Even with an existing one Sugar disease or Circulatory disorders, the leg is preferably affected by erysipelas, since in an advanced stage of the disease there are usually poorly healing wounds in the spaces between the toes, whereby pathogens can easily penetrate and this can lead to leg erysipelas.
infection
The wound rose is one contagious disease. However, if the bacteria are transmitted, it must be in the newly infected person does not always result in infection because the immune system is usually strong enough to fight the pathogen without causing a disease. The bacteria do not necessarily have to lead to the formation of an erysipelas, but can also trigger other infections / inflammations.
Due to the risk of infection, a adequate hygiene important to avoid the spread of germs. It is important to know, however, that an infection can only take place if the contact person also has skin lesions that can lead to an infection. Otherwise, the skin is a safe barrier against the bacteria.
treatment
The treatment of the wound rose takes place by means of Antibiotics instead, because it is a bacterial infection. Most of the time it is penicillin. Penicillin works well against the mostly causal ones A streptococci. A blood test can be used to find out whether another pathogen is responsible for the infection, so that the antibiotic can be adjusted accordingly.
The antibiotic is initially called Infusion through the vein given so that it leads to a faster and stronger onset of action. This means that the patient usually has to be admitted to the hospital. If the therapy works, the antibiotic can be administered orally in tablet form after two to three days. Overall, the antibiotic should be administered over a period of approximately 14 days. If there is no significant improvement within three days, it should via a differential diagnosis to the Erysipelaslike that Phlegmonto be thought about.
At the same time, there is often a symptomatic therapy insteadlike the gift of antipyretic and pain reliever drugs. If arms or legs are affected, which is usually the case, they usually have to by means of a rail, stored high and cooled become. This is to prevent one Lymph congestion.
Immobilization is also important, so that bed rest should be maintained as far as possible. Every now and then, however, the leg should be moved in order to prevent a thrombosis to prevent. At a Face rose should if possible little talk is given and easily digestible food is eaten become. This will reduce the risk of the infection spreading to the brain.
If the rose was favored by an underlying disease, this should of course also be treated. If the rose is recognized in time and treated, it heals without complications. Typical is the emergence of Relapses. This mostly happens with risk patients. Predisposed people can by taking good care of their skin with Creamsto prevent erysipelas from developing. Thorough cleaning of skin injuries also serves as prophylaxis.
Duration
It usually takes some time for the accompanying general symptoms to develop one to three days. Often those affected go to the doctor only then.
After the diagnosis and the start of antibiotic treatment, it takes time usually only a few days, until the erysipelas heals. The erysipelas can rarely become chronified, this is usually the case with risk patients.
