vulvar furuncle
Introduction
Introduction to vulvar rickets Vulvar rickets are acute suppurative infections of the individual hair follicles and their sebaceous glands caused by invading the hair follicles or sweat glands of the vulva skin, such as Staphylococcus aureus or Staphylococcus aureus. Multiple sputum infections occur at the same time or repeatedly, and they are called rickets. The vulva and vulvar rickets are the same as the pathogens of vulvar folliculitis. basic knowledge The proportion of illness: 0.0003% Susceptible people: women Mode of infection: non-infectious Complications: abscess sepsis
Cause
Causes of vulvar rickets
Pathogen infection (50%):
Because the genital area is damp and sweaty, the skin is susceptible to friction and damage, and the bacteria will invade and become bloated. In addition, vitamin deficiency and vulvovaginitis patients, diabetes, nephritis and long-term use of glucocorticoids and low immunity are all easy. Onset; patients with genital pruritus, who do not pay attention to clean the vulva, are also prone to infection.
Pathogenesis:
Most Staphylococcus aureus can produce coagulase, hemolysin, enterotoxin and epidermal exfoliative toxin, which has strong external resistance. It can survive for several months under dry conditions and can be killed by heating at 80 °C for 30 minutes. Staphylococcus aureus Strong virulence, often forming abscesses locally, inflammation can also extend to subcutaneous tissue.
Prevention
Vulvar rickets prevention
Prevention of recurrence of rickets is mainly to prevent self-inoculation. Nasal bacterium is an important factor in the recurrence of rickets, followed by bacteria in the perianal and adjacent areas. Therefore, these parts should be cleaned with antibacterial soap every day, and often change underwear. Wash hands, apply nasal spray with antibiotic ointment, 2 times / d; intranasal bacillus or mupirocin ointment, 2 times / d, systemic oral antibiotics, rifampicin 0.5g combined with cloxacillin sodium 0.5g, 4 times /d, a total of 10 days.
In addition, multivalent Staphylococcus or self-vaccination can be used for subcutaneous or intramuscular injection. Patients with rickets often have low serum zinc levels. After taking zinc sulfate oral solution, the serum zinc value returns to normal, which helps prevent rickets.
Complication
Vulvar rickets complications Complications abscess sepsis
Treatment is not timely, often with metastatic abscess, invading the blood can cause sepsis, and can also leave scars.
Symptom
Symptoms of vulvar rickets Common symptoms Perineal ulcers Swollen skin pain Skin lumps inguinal lymphadenopathy
Vulvar rickets often occur on the outside of the labia majora. In severe cases, the inguinal lymph nodes may be enlarged or the whole body may be fever. At the beginning, red spots, pain, and hardness occur in the hair follicles of the vulva, which are slightly higher than the surrounding skin, and then gradually increase into a round purple. Red induration, swelling and pain in the skin, unclear edge of the induration, swollen inguinal lymph nodes, obvious tenderness, increased pain later, the center of the induration becomes soft, the surface of the skin becomes thin and fluctuating, and then the central top appears yellow White spots, soon ruptured, the pain immediately relieved after the pus discharge, the surrounding redness also subsided, and finally healed to form scar tissue, multiple vulvar rickets, causing severe pain in the affected area, affecting work and rest.
Examine
Examination of vulvar rickets
Increased white blood cells and neutrophils in the blood, pus pathogen culture and drug susceptibility test.
Diagnosis
Diagnosis and diagnosis of vulvar rickets
According to the medical history and clinical manifestations, the diagnosis can be made: the infiltrates are deep and large, local red, swollen, hot, painful, and there is a pus in the center, which is easy to diagnose.
It should be differentiated from vulvar folliculitis, and should be differentiated from sputum and sputum: there are multiple honeycomb pustules on the surface of sputum, local redness and swelling are more significant, pain is severe, and systemic symptoms are obvious; also known as pseudo rickets, Sweat glandular purulent infection, often accompanied by red sputum, seems to be bloated, infiltration is more limited, and local pain and peripheral inflammation are not as obvious as carbuncles.
