Syn .: Ecthyma.
Def.: Streptococcal-staphylococcal skin infection (pyoderma) with the formation of ulcers covered with a stratified scab.
Epid.: Occurs in children and adults. Predisposing factors are hygiene negligence, poor nutrition, itchy skin diseases, minor injuries and abrasions.
Etiol .: Pyogenic streptococcus (Streptococcus pyogenes) or golden staph (Staphylococcus aureus); both microorganisms often coexist. Less commonly, Klebsiella pneumoniae.
Loc.: Most often the lower limbs and buttocks.
Wedge: Vesic-pustular eruptions on an erythematous basis, followed by ulcerations with a raised edge, covered with a thick yellow-gray scab. Chronic course, healing with scarring. The changes may be accompanied by increased body temperature, inflammation of the local lymphatic vessels or enlargement of the lymph nodes.
DL: Gram stained preparation and cultures for streptococci and staphylococci.
DR: Gangrene induced by Pseudomonas aeruginosa, cutaneous diphtheria, anthrax, erythema induratum, secondary and tertiary syphilis.
Treatment: General and local antibiotic therapy, cleansing of necrotic tissues, compresses with disinfecting solutions.
Year.: Lesions heal leaving a scar. In some cases, cellulitis or glomerulonephritis may develop.
DIG. N-18. Niesztowica.
DIG. N-19. Niesztowica.
Lit .: [1] Rodot S., Lacour J.P., van Elslande L. i wsp.: Ecthyma gangrenosum caused by Klebsiella pneumoniae. Int J Dermatol 1995, 34(3); 216-7.
.
Source: A. Kaszuba, Z. Adamski: “Lexicon of dermatology”; XNUMXst edition, Czelej Publishing House