Venereology / / April 26, 2016
Streptococcal skin lesions
name "carbuncle" is derived from the Latin word carbo - coal.Otherwise, it is called Ugljevik or ognevik.
Called staphylococci (gold, white), is characterized by necrotic inflammation of the subcutaneous tissue and skin, ending the slow rejection of necrotic tissue.On a relatively small area of the skin, a number of boils seem to merge, the number of which depends on the magnitude of the defeat;sometimes carbuncle reach very large sizes - the value of fist and more.Clinically, when sickness phenomena, weakness and high temperature on the skin there is a tumor, a very painful infiltration of pink, red or purple-red color with significant reactive inflammation in a circle.In the next few days after the onset of the disease at this infiltration occurs more or fewer pustules, which then, after a discharge rods become deep ulcers.In severe cases, large areas of necrotic tissue between follicles, resulting in a long scarring very large hearth necrosis.
most frequent localization carbuncle - the lumbar region and the back of the neck.In mild cases, as well as timely rational treatment for carbuncle takes 2-3 weeks, but in other cases it can be significantly delayed.Because of complications should be aware of the possibility of lymphangitis, lymphadenitis, thrombophlebitis, sepsis.
Carbuncle is usually diagnosed without difficulty, but in some cases it is necessary to differentiate it from anthrax, which is sometimes called "anthrax carbuncle."The similarity of the clinical picture may cause developing in some cases carbuncle necrotic crust, as well as a small jet phenomenon in a circle, that still is very rare;in such cases it is necessary to make direct microscopic study.
It basically does not differ from abrasions prevention, as here, the emergence of the disease contributes to the lack of adequate measures for hygiene skin care products, some common diseases (eg diabetes), and others.
To cut carbuncle resort onlyin severe and advanced cases, usually it is recommended to treat with antibiotics.