Erizipeloidny arthritis

pseudoerysipelas (erythema migrans) - an acute infectious disease caused by corynebacteria Erysipelothrix rhusiopathiae and flowing, mainly affecting the joints of the fingers and skin.

source of infection most often pigs and fish, less frequently - poultry, while the animals themselves are not sick, but only are carriers of infection.

human corynebacteria Infection is rare (housewives, cooks, sellers of meat and fish products).But those who by the nature of its activities are constantly in contact with meat, fish (butchers, abattoir workers, veterinarians, cooks, meat and fish industry workers), the disease is much more common.

The disease is seasonal and is more common in summer and autumn months.Corynebacterium Erysipelothrix rhusiopathiae can be stored for long periods in water, soil and rotting.

infection enters the body of the patient through small cuts and skin lesions, which appear within a week of erythema - a little bit infiltrate towering pinkish-purple hue, with wavy edges crisp.Within a

few days the inflammation of the lymph vessels and regional lymph nodes, and erythema covers the whole finger (90-95% is the index finger and / or thumb) and all the brush, and sometimes the forearm.

have 80-85% at the same time or 1-2 days after the onset of erythema appear manifestations of acute arthritis of one or two interphalangeal joints.

disease forms

  • limited and common skin pseudoerysipelas (1/3 of infected skin manifestations are absent) - the most common form of the disease, which flows less than one month;
  • acute and chronic relapsing arthritis is always present in varying degrees of severity;
  • intestinal form most often occurs acutely, with fever, vomiting, diarrhea, abdominal pain, skin rash, is rare;
  • anginal form occurs with intoxication, mucosal lesions of the oral cavity and pharynx, is uncommon;
  • septic form is rare and may end lethally.

main clinical manifestations of arthritis erizipeloidnogo

Common symptoms of intoxication are mild or even absent, the temperature often does not exceed 38 degrees.But in some cases, when hematogenous or lymphatic dissemination process, possibly raising the temperature to 39 degrees and above, as well as the appearance of signs of intoxication and secondary lesions in other joints, lungs, heart, and central nervous system.

Skin changes in the treatment usually disappear by the end of the second week of the disease, but the symptoms of arthritis can be kept for several months, and even lead to joint deformity.

Erizipeloidny arthritis usually occurs with nonspecific clinical manifestations in the form of intense pain, aggravated by movement, swelling expressed in interphalangeal joints of fingers, at least - in other joints of the hand and / or joints of the limbs.In acute arthritis treatment under the influence of effusion, joint contractures, pain completely disappear during 1-1.5 months.

In the chronic form of arthritis process takes more common in nature: it involved soft tissues, ligaments around the affected joints with the development of fibrosis, contractures, osteoporosis occurs and secondary changes in the articular parts of the bones.The disease lasts several months.Since the immune system in this type of infection is not formed, there may be cases of re-infection.

Diagnostics erizipeloidnogo arthritis

diagnosis usually does not cause medical difficulties if the implications for professional activities.

also carried out further:

  • immunological studies to determine the causative agent (Corynebacterium);
  • X-ray and ultrasound examination of the joints of patients;
  • study of fluid obtained by puncture;
  • cytological examination of the skin biopsy.

Treatment erizipeloidnogo arthritis

  • Antimicrobial therapy (oral and topically as an ointment with antibiotics).
  • Physiotherapy (ultraviolet irradiation, phonophoresis).
  • Arthritis - immobilization of the finger or hand using special bandages, clamps or plaster bandage (splint).

Prevention erizipeloidnoy infection

Preventive measures are aimed at preventing occupational injuries, as well as processing of the skin micro traumas immediately after receiving them.

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