Pseudofurunculosis: causes, treatment, prevention, complications, prognosis

August 19, 2017 23:00 | Pyoderma

One of the diseases of the dermis that is manifested in children is pseudofurunculosis.We will now consider it in more detail.This peculiar infection of the sweat glands is purulent in nature.

Often the pathology is manifested after the entry of staphylococci into the sweat glands.Infection can cover the ducts, glomeruli.Treatment, features, etiology of pseudofurunculosis will be described in this article.

Features of the disease

Diseases are inherent in the appearance of nodules within the subcutaneous tissue, which are characterized by a peculiar density.Above such nodes, the dermis looks absolutely healthy.Opening of the formed nodes is noted after their growth, softening.

This disease is usually fixed in newborns, toddlers( up to a year). The following categories of children are included in the risk group:

  • with rickets;
  • with hypovitaminosis;
  • attenuated;
  • having a pathology such as anemia;
  • preterm;
  • patients with hypotrophy;
  • having impaired immunity.

As for adults, this pathology is ve

ry rare.The name "pseudofurunculosis", which dermatologists are accustomed to using in practice, the disease got for the reason that its signs are similar to furunculosis.The main difference between pseudofurunculosis is the absence of necrotic stem( this characteristic is characteristic of furunculosis).

Pseudofurunculosis in newborns( photo)

Causes of

In the medical community, this lesion of the dermis is usually attributed to the group of purulent inflammatory skin diseases( pyoderma). Usually, Staphylococcus aureus acts as a causative agent.Sometimes it can be provoked by such microbes as:

  • hemolytic staphylococcus;
  • E. coli;
  • protey.

Infection can trigger the following factors:

  • overheating;
  • improper care of the baby;
  • diarrhea;
  • intense sweating, it causes maceration of the dermis;
  • dirty clothes, baby's underwear;
  • power failure, it can provoke enteritis;
  • presence of infections.

Pseudofurunculosis develops a purulent inflammation, and there are other symptoms, which we will talk about below.

Symptoms of

Sometimes bacteria are affected only by the mouth of the excretory ducts, and periportitis may develop.Pathology is characterized by the appearance of superficial pustules, insignificant in size.After opening, crusts appear, they will disappear with time, leaving no scarring, hyperpigmentation.

In most cases, infection of the entire sweat gland is observed.In the formed nodules, a peculiar dense consistency is noted, the dermis on top of them looks healthy.Having reached a large diameter( forest, walnut), softening of the nodule begins.The dermis covering this seal becomes red-cyanotic.When probing the formation, the specialist will recognize the symptom of fluctuations.When the skin ruptures at the top of the blister, after its thinning, pus follows( its color is usually yellow-green).Scarring after healing is not present.

Pathology affects more often those areas of the dermis that come in contact with linens( bedding):

  • buttocks;
  • of the nape;
  • back;
  • the scalp.

If there are 10 or more nodes on the dermis, then this is a generalized process.It proceeds with the presence of such signs:

  • intoxication;
  • high temperature;
  • loss of appetite.

If the child is weakened, the pathology acquires a generalized character, it is characterized by a recurrent course.In this case, new elements of the rash are formed after 10 - 20 days.

Diagnosis of pseudofuruniculosis

After finding an unusual rash on the dermis of the baby, you should consult a dermatologist. He will see the baby.The doctor will study the clinical manifestations of the disease, specify the age of the patient.When dermatologically examined, he will detect a typical pseudofurunculosis pattern, which consists in the presence of a symptom of fluctuations during palpation of large nodes.To clarify the type of causative agent of pathology, it will be necessary to carry out bapsoseva, withdrawn from the nodes separated.

In addition, the dermatologist will need to conduct a diffodiagnosis.It is needed to distinguish this lesion of the dermis from such ailments:

  • hydradenite;
  • furunculosis;
  • scrofulloderm.

The uniqueness of pseudofurunculosis is:

  • absence of a necrotic stem( for furunculosis it is present);
  • localization, affection of infants( in case of hydradenitis, the groin, axillary cavities are affected, it does not occur in infants);
  • of the age category( scrofululoma rarely affects children under the age of one year).

Treatment of pseudofuruniculosis is described below.

Treatment

This pathology is usually treated permanently.Therapy is usually appointed local, drug. Specialists direct therapy for the following tasks:

  • strengthening the baby's body;
  • elimination of abscesses.

Therapeutic method

For the treatment of the patient area, specialists are appointed:

  • solutions of aniline dyes;
  • camphor alcohol( it is used to treat the dermis around the lesion);
  • ointments containing antibiotics;
  • "Ichthyol ointment";
  • "Levomekol".

Physiotherapeutic procedures are performed by UHF therapy.

Medication

Specialists prescribe antibiotics:

  • "Cefotaxime".
  • Penicillin.
  • "Cefazolin".
  • "Gentamicin".

The drug is usually prescribed by a physician, based on their choice of antibioticogram data.Probiotics will also be required.They are needed to prevent dysbacteriosis in the infant due to the use of antibiotics.

If the baby has signs of intoxication, he injects such drugs:

  • "Albumin".
  • "Dextran".
  • "Sodium Plasma".
  • "Saline solutions".

Also the baby will be prescribed vitamin therapy, taking fortified, immune medications:

  • "Staphylococcal anatoxin".
  • "Gamma globulin".
  • "Antistaphylococcal plasma".

Operation

In isolated cases, it may be necessary for specialists to perform surgical opening of the nodes, drainage of the fluctuating nodes.

Prevention of the disease

Prevention of the disease in question is simple. She just assumes the right care for the baby in the first year of his life. It consists in:

  • frequent change of clothes;
  • regular bathing;
  • respecting personal hygiene;
  • treatment of diaper rash by means of special baby oils, powders, creams;
  • preventing overheating;
  • the proper nutrition of the baby.

Complications

Weakened babies usually develop a generalized form of the disease.Its danger lies in the development of additional lesions:

  • sinusitis;
  • otitis media;
  • conjunctivitis;
  • pneumonia;
  • phlegmon.

If the case is very severe, the disease can be complicated by the following pathologies:

  • sepsis;
  • osteomyelitis;
  • purulent meningitis.

What is the prognosis, if pseudofurunculosis is listed in the case history, we will tell below.

Forecast

Specialists give different predictions, which are based on various factors:

  • state of the organism( takes into account the one that was before infection);
  • complications, provoked by the disease.