Abscess

An abscess is a localized collection of pus in tissues, organs, or closed cavities, usually caused by a bacterial infection. The causative agents of soft tissue abscesses are often staphylococci, less often streptococci; in abscesses of other localizations, the nature of the flora depends on the cause of its occurrence and is often of a mixed nature.

A feature of the abscess is the presence of a pyogenic membrane - the inner wall of the cavity, lined in the early stages with granulation tissue, delimiting the cavity from the surrounding tissues, and during subsequent flow, a connective tissue membrane is formed around the granulation tissue.

The presence of a pyogenic membrane sharply impairs the penetration of antibiotics from the bloodstream into the abscess cavity, however, intoxication of the body due to the absorption of toxic products from the site of decay remains. When the pyogenic membrane is disrupted (melting of pus by lysing enzymes or a sharp increase in pressure in the abscess cavity) or a decrease in general and local immune mechanisms, the infection spreads from the abscess, accompanied by sepsis and purulent leaks.

Pathogenesis. Pyogenic microorganisms can enter tissues by exogenous (in case of an infected injury - a penetrating wound with a non-sterile object) or endogenous (directly spreading from neighboring infected areas, with blood or lymph flow from distant parts of the body) ways. Predisposition to the formation of an abscess is: a violation of the body’s defense mechanisms, the presence of foreign bodies, deterioration of the patency of the biliary, urinary or respiratory tract; tissue ischemia or necrosis, accumulation of blood or exudate in tissues; tissue injury. Formed tissue necrosis leads to the accumulation of exudate, the formation of a cavity in which leukocytes accumulate, causing an abscess.

Clinical picture and complications. General symptoms of abscesses correspond to manifestations of intoxication with a characteristic temperature curve. Daily fluctuations in body temperature have an amplitude of 1.5-3 °C, often with stunning chills and heavy sweating. Local symptoms are determined by the location of the abscess. Characteristic are: local pain syndrome and dysfunction of organs and tissues involved in the inflammatory process. With deep abscesses, local symptoms are not pronounced.

Additional research methods help in diagnosis: ultrasound, x-ray, computed tomography, diagnostic puncture. Complications of abscesses: bacteremia and spread of infection to distant areas; breakthrough into adjacent tissues and cavities; arrosive bleeding due to inflammation, dysfunction of vital organs, exhaustion associated with the general effects of anorexia and tissue breakdown.

The rupture of an abscess can lead to its spontaneous drainage into adjacent tissues or cavities or into the external environment. Treatment is mainly surgical: opening the abscess, excision of necrotic tissue and drainage in combination with general antibacterial therapy. Small abscesses can be completely excised within healthy tissue, with a primary suture.

Appendiceal abscess is a complication of destructive forms of acute appendicitis (found in approximately 2% of all types of acute appendicitis). Initially, an appendiceal infiltrate is formed, which then either resolves under the influence of conservative therapy, or, despite appropriate treatment, abscesses.

Symptoms, course. At the onset of the disease, a more or less pronounced typical pain syndrome of acute appendicitis is noted. As a result of late presentation or incorrect prehospital diagnosis of acute appendicitis, the disease can follow two paths: progression of peritonitis and delimitation of the inflammatory process. In the latter case, after 2-3 days the pain decreases and the temperature drops.

Palpation of the abdomen does not reveal muscle tension or other symptoms

An abscess is a disease characterized by the formation of a purulent focus in tissues or organs. It can occur in any part of the body, but is most often localized in the skin and subcutaneous tissue.

An abscess can be caused by various reasons, such as infections, injuries, allergic reactions, etc. It is manifested by pain, swelling and redness at the site of formation. As the disease progresses, fever, weakness and other symptoms of intoxication may occur.

To treat an abscess, it is necessary to perform surgery, remove pus and wash the wound with antiseptics. Antibiotics and other medications may also be used to fight the infection.

However, it is important to remember that an abscess is a serious condition that can lead to serious complications. Therefore, when the first symptoms appear, you should consult a doctor for diagnosis and treatment.

Abscesses are a type of tissue inflammation. They can occur in any organ or tissue of the human body, including the skin, liver, lungs, and even the brain. This process may occur differently in different people, but an abscess still requires immediate medical attention, as it can lead to serious complications and even death. So, let's take a closer look at what abscesses are and how to treat them.

Abscesses form due to the spread of infection in tissues or organs. This usually occurs after bacteria or other microorganisms enter the body. They can cause various symptoms such as fever, pain and discomfort in the affected area, swelling and redness. In most cases, an abscess is the result of other diseases, such as furunculosis or carbuncle. If left untreated, it can lead to serious ill health and potential loss of a limb or life.

The most common causes of abs