Coxitis Purulent

In recent years, suppurative skin inflammation has been identified as a serious problem in clinical practice. Despite various treatment options, relapse and remission rates remain high. In this regard, doctors are faced with many questions related to correct diagnosis and effective treatment. This set of problems indicates the need for continuous improvement of approaches to the diagnosis and treatment of this disease.

Purulent coxitis (hair brush syndrome) is a chronic inflammatory skin disease that mainly affects the fingertips. It develops due to bacterial infection on the skin of the fingertips. As a result of infection of the cuticle, inflammation and suppuration occur.

The most common cause of purulent coxitis is Staphylococcus aureus. In addition, many other bacteria can cause this inflammation. These are mainly gram-negative bacteria, such as Escherichia coli, Pseudomonas aeruginosa. Some of them may live in a latent form, making diagnosis and treatment difficult.

Symptoms of purulent coctitis begin to appear after infection. There are problems with the skin of the fingertips and surrounding tissues, such as swelling, redness, heat. Patients complain of pain in the finger, pain when touching or moving the fingers, and an itchy sensation.

The first stage of purulent caxitis is painless and can most often be detected only with a careful examination. During the next stage, the inflammation worsens and severe symptoms appear. As the process progresses, the inflamed areas may ulcerate and become painful when touched with fingers. The affected area is mainly on the pads of the fingers, but can spread to the interphalangeal joints. Skin manifestations are usually accompanied by swelling of the fingers, redness, raised itching or painful sensations. The development of an abscess on or near a joint is manifested by widening of the joint, shortening of the fingers, and painful movements of the joint. Among the complications is the transition of inflammation to other areas of the skin of the fingers and hands with the formation of numerous ulcers.

In the absence of treatment for purulent coke, an increase in body temperature, general weakness, increased fatigue, nausea, and loss of appetite are observed. This is more common in severe forms of the disease and can have important consequences for the patient's health. Purulent inflammation can be complicated by the development of sepsis, osteomyelitis, i.e. inflammation of the bones of the upper limb and its joints. In some cases, involvement of the lower extremities and upper respiratory tract is also possible.

Diagnosis of purulent inflammation of the lower extremity requires medical experience, skills and knowledge. Gathering the patient's history and symptoms is important. It is necessary to pay attention to the presence of wounds in the hand area. To make an accurate diagnosis, an analysis of the local status is necessary, including clinical and bacteriological analysis from the wound with the determination of microorganisms and their sensitivity to antibiotics. It is also recommended to assess the patient’s general condition, including the condition of the body and the presence of general diseases.

Treatment of purulent cooxyt has two main directions - etiotropic and pathogenetic therapy. This basis of treatment is based on eliminating the causes and factors