Symptoms of superficial incision infection

summary

Skin and soft tissue infection (SSTI) is an inflammatory disease caused by pyogenic pathogens invading the epidermis, dermis and subcutaneous tissue. Common superficial soft tissue infections include furuncle, carbuncle, erysipelas, superficial acute lymphangitis and lymphadenitis, wound infection, surgical incision infection, pressure sore and subcutaneous acute cellulitis. Symptoms of superficial incision infection? Let's talk about it

Symptoms of superficial incision infection

The clinical features of the disease are local swelling and pain nodules, and then gradually increase, showing a cone-shaped uplift. Then, there is a pus head in the center of the abscess, which can break itself, discharge pus and heal itself. There is little expansion of inflammation to form surrounding cellulitis or abscess. Generally no obvious systemic symptoms. If the inflammatory reaction is serious, toxemia can appear, which can be manifested as obvious chills, chills, fever, headache, mental depression and other systemic symptoms, as well as increased white blood cell count.

At the beginning, the local area was a slightly raised purplish red infiltrating area with tough texture, unclear boundary and obvious pain. Then there were many miliary pus emboli on the surface of the central part, which were honeycomb like after collapse. Later, the central part had tissue necrosis, dissolution and collapse, like a "crater", which contained pus and a large number of necrotic tissue. Carbuncle easy to all around and deep development, around the infiltration of edema, severe pain. Local lymph node swelling and pain. Most patients have obvious systemic symptoms, such as chills, fever, general discomfort, loss of appetite and so on, which are easy to be complicated with systemic suppurative infection. Lip carbuncle is easy to cause intracranial cavernous sinusitis and acute purulent meningitis.

The disease begins with chills, fever, headache and general discomfort. Most of the lesions were found in lower limbs and face. The local manifestations were red and bright skin (early stage), burning, pain, slight uplift, clear boundary, the color of red area became pale after pressing, and quickly reddened after leaving. The range of lesions expanded rapidly, some of them could blister, and the red color in the center was slightly faded, and the bulge was slightly flattened. The proximal lymph nodes are often swollen and tender. When erysipelas continued to worsen, the symptoms of systemic sepsis worsened, while the lesions of skin and lymph nodes were rare. The disease may recur, repeated attacks can cause lymphatic obstruction and lymph stasis, resulting in thick skin and limb swelling (elephantiasis).

matters needing attention

Rest, nutrition supplement, incision and drainage, antibiotic treatment, proper analgesia and correction of water and electrolyte disorders. Ensure that patients have adequate rest and sleep, and use sedative and analgesic drugs when necessary. High calorie and easy to digest diet, supplement a variety of vitamins, especially vitamin B, C.