Ethtima vulgaris

Skin infections can have different clinical
manifestations. Ecthyma is a pyogenic infection (infection caused by
pyogenic bacteria) that can cause local purulent
tissue inflammation or generative infection (pyemia, sepsis).
The disease has a complicated protracted course and ends
scarring of the skin, which is a serious aesthetic defect,
giving a person psychological discomfort.


  • What is vulgar ecthyma
  • Causes of the disease
  • Symptoms of the disease
  • Diagnosis of the disease
  • Possible complications
  • Ecthyma treatment
  • Prognosis and prevention of ecthyma

What is vulgar ecthyma

Ecthyma – a dermatological disease that manifests itself
streptococcal skin lesions in the form of ulcerative papules with
purulent secretions. Ecthyma is characterized by single or
multiple small ulcers throughout the body.
The diagnosis of ecthyma is based on laboratory tests and
clinical data. There are primary and secondary ecthyma.


  1. Primary ecthyma, which is formed in injured areas
    skin followed by the addition of streptococcal infection.
  2. Secondary ecthyma, which is a chronic consequence
    primary ecthyma and manifested by complications in the form of dermatosis
    (scabies, etc.).

Causes of the disease

The causes of the disease are expressed in injuries of the skin and
infection of wounds with streptococcal infection. Also a prerequisite to
development of the disease is to reduce the body’s resistance,
result of chronic or infectious diseases, such as:
tuberculosis, AIDS, avitaminosis, diabetes, thrombophlebitis. Also
Insect bites can initiate the disease.
infected by scratching.

Symptoms of the disease

The disease begins with a small sore on the skin.
There are two forms of ecthyma:

  • pustular;
  • ulcerative.

The first symptom is the appearance of infiltration, rather dense
consistency, accompanied by severe pain. On
the top of the infiltrate forms a small watery vial with
bloody contents. As the disease progresses, the bladder
may increase up to the size of a hazelnut.

After some time, the contents of the bubble dries out, and in its place
a thick, dark brown crust is formed. With time
there is an independent falling off of the peel and in its place remains
pigmented along the edge of the scar.

If the patient himself separates the crust, then in its place appears
deep ulcer with purulent contents.

With the development of ecthyma, one or several
sores But in severe form of the disease there are multiple
rashes, and on the background of scarring wounds, all new ones can develop
and new education. Also, the patient has a general weakness,
fever, swollen lymph nodes, headache
pain and other symptoms.

Diagnosis of the disease

The first step is to identify the pathogen,
provoked the development of ecthyma. To do this, produce
bacterial culture of the ulcer. Also explore
resistance of the pathogen causing the disease to various
antibiotics. Most often, the disease provoke staphylococcus
or streptococci. Be sure to conduct a differential
diagnosis of ecthyma. Vulgar form has significant
differences from syphilitic, contagious and scabby ecthyma.

It is also necessary to distinguish vulgar ecthyma from trophic ulcers,
scrofuloderma, impetigo and sporotrichosis. To do this, held
additional research. For example, to exclude
syphilitic origin of ecthyma, are diagnosed on
syphilis (Wasserman RW reaction). Blood tests are also performed.
on blood sugar. Mandatory required
refer patients with ecthyma to related specialists for accurate
diagnosis of the disease. Indeed, only in this case, the doctor will be able
choose the right treatment tactics and prevent relapses

Possible complications

It is very important to start timely treatment of ecthyma, since
There is a risk of complications. As in other cases
purulent lesions may occur a number of very serious
diseases: when infection enters the lymph nodes and
lymphatic vessels there is a risk of developing lymphadenitis and
lymphangitis, and there is also a risk of developing erysipelas
skin integument. But the most serious and dangerous condition is
sepsis – blood poisoning.

Weak children and the elderly develop a particular form.
ecthyma, called piercing or boring. With this form
ecthyma inflammation joins the infection
Pseudomonas or Escherichia coli. Localized penetrating
ecthyma, most often, on the back of the thighs or

Ecthyma treatment

In the case of single ulcers without complications, local
treatment, with the appointment of special fortifying agents.
It is advisable to use special dressings with the following
medicinal emulsions: streptocide, furatsilinom, synthomycin.
If the ulcers do not cicatrize for a long time, they burn the silver with nitrate.
(lapis), after which the ulcer must be closed with a bandage or
a plaster. If the disease is severe with multiple
rashes, then in this case carry out system application
antibiotics. Ecthyma also contributes to healing.
physiotherapy treatment – UVS therapy (ultra high pulse
frequency) and ultraviolet irradiation (ultraviolet therapy).

Treatment of severe forms of ecthyma requires complex
therapeutic approach. These include bracing activities:
balanced nutrition, vitamin therapy, compliance
hygiene, good sleep and rest.

Prognosis and prevention of ecthyma

The prognosis of ecthyma is favorable, but there is some
risk of scarring.

Disease prevention is covered in the following activities:

  • if skin injuries should be treated immediately
    wounds and abrasions by septic agents;
  • it is necessary to treat skin diseases in time
  • observance of standards of hygiene and carrying out fortifying

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