Erysipelas (St. Anthony's fire) – an acute, often recurrent infection, which is manifested by fever, symptoms of intoxication and a characteristic skin lesions with the formation of sharply limited the focus inflammation. This widespread streptococcal infection with sporadic disease, increasing in summer and autumn. The prevalence in the present structure of infectious diseases mug is the 4th serovar any beta-hemolytic group A streptococcus, the same serotypes can cause other streptococcal diseases (tonsillitis, pneumonia, sepsis, meningitis, etc.). In addition, streptococci are widely distributed in nature, to environmental conditions it is fairly stable. The source of infection in the mug is the patient from any form of streptococcal infection or streptokokkonositel. There is a special election or susceptibility (Contaminated instruments, dressings), as well as a chronic streptococcal infection foci (eg in patients with chronic tonsillitis). In this crucial state reactivity, conditional on wide variations in susceptibility to infectious pathogens, particularly streptococci.
Distinguish face primary, secondary and recurrent. The inflammatory process can be anywhere on the body, but more often localized on the face and legs. The mucous membranes of erysipelas are rare. The symptoms of erysipelas erysipelas incubation period of 2-7 days (usually 3-5 days), then maybe a few hours. pain, dizziness, weakness, nausea, vomiting, possibly. In severe cases, may be convulsions and delirium. After 10-20 hours of onset of disease symptoms appear local. First, patients experience itching in limited areas, a sense of sweating, tightening of the skin.
Then, in these places appear swelling, pain, development of appropriate regional lymphadenitis. Typical erysipelatous plaque is a site saturated with bright erythema with irregular circuits in the form of 'flames'. The inflammatory process extends to the subcutaneous fat, resulting in edema develops, particularly in the localization in areas of loose subcutaneous tissue (face, genitalia). Plaque is raised above the surrounding skin, as distinguished from the surrounding skin intact marginal ridge, with its center as it sinks. At the touch of a dense plaque, hot, painful on pressure. In some cases this process may limit, and after a few days will leave a fine desquamation. However, most often without treatment process is progressing rapidly, there are the so-called creeping or metastatic forms. At the same time