Folliculum gramnegativny - causes, symptoms, treatment, photos
- 24 Jun 16:30
- Disease Of The Skin
Folliculitis is called inflammation of the hair follicles - follicles. Various microorganisms - staphylococci( staphylococcal folliculitis), fungi( pitirosporum-folliculitis) and even parasites( skin mites) can accompany the development of folliculitis.
In the event that the cause ofdevelopment of inflammation of the follicles became gram-negative bacteria, it is a gram-negative folliculitis.
- 1 Causes of the disease
- 2 Clinical picture of
- 3 Possible complications of
- 4 Diagnostic methods
- 5 Treatment of
- 5.1 Popular methods of treatment
- 6 Prevention and prognosis
- 7 Photo
Causes of the disease
Gramnegative folliculitis develops, as a rule, in people with reduced immunity. And the decrease in immunity is often due to improper treatment - unreasonable or incorrect use of antibiotics or hormonal drugs.
When taking medications, suppression of the gram-positive flora present on the skin occurs. This leads to the uncontrolled reproduction of gram-negative microorganisms. These may be Escherichia, Klebsiella, Serratia and other gram-negative microorganisms.
Under normal conditions, gram-positive and gram-negative bacteria balance each other. But with the use of antibacterial agents, there is a disturbance of balance, which is the reason for the development of gram-negative folliculitis.
In addition, there are factors that increase the development of folliculitis. This is:
- Insufficiently effective skin hygiene;
- Common injuries;
- For prolonged wear, squeeze bandages;
- Diabetes mellitus and other metabolic disorders.
- Increased sweating.
Due to minor damage to the skin, gram-negative bacteria fall into the follicles, which causes inflammation of the hair sac.
Gram-negative follicles are often a complication of acne or a rosacea if they are treated with antibiotics and hormonal medications.
Depending on the degree of damage, distinguish between superficial and deep folliculitis. With superficial defeat around the hairs, small abscesses are formed, with diameters of 0.1-0.3 cm. Around the purulent head there is a cornea of hyperemic skin. To the touch such pustules are practically painless.
At superficial folliculum, ulcers open or dampen for 2-3 days, in their place first crust forms, and then small peeling or pigmented spots, which eventually descend without a trace.
Deep form of folliculitis proceeds more difficult. With this form, painful nodules are formed up to 1 cm in diameter. On the surface of the node there is a purulent head, the center of which is protruding hair. Squash can open, however, more often it just crumbles with the formation of a crust. Inflammation is resolved in a few days.
In follicles, the patient may feel itching and soreness. Sometimes there is an increase in regional lymph nodes. As a rule, patients with superficial folliculitis mostly complain about a cosmetic defect, since they do not cause special sensations of the disease. However, with multiple rashes, occupy a large area, the expressed infiltration may develop and painful feelings may appear.
Gram-negative folliculitis is characterized by acute flow. Rash, as a rule, appears suddenly and immediately in large numbers. Most often, folliculitis appears on the face, rashes may also appear on the chest and arms.
Possible complications of
In the wrong treatment of gram-negative folliculitis, the development of complications associated with the spread of inflammatory purulent process may develop. On the background of folliculitis, the following complications may develop.
Furuncles. In the development of this complication folliculitis involves the process of sebaceous gland and adjacent tissues. In this case, a painful knot is formed, with softening in the center. In the formation of multiple boils, a general state of affection may be disturbed.
Carbuncles. This complication of folliculitis is characterized by necrotisation of several nearby inflamed hair bags. In the inflamed hearth, a common necrotic rod is formed. Education is very painful, with the appearance of carbuncles often increases the temperature.
Abscesses. The abscess is formed with further spread of the inflammatory process, resulting in melting of tissues with the formation of cavities, limited by a capsule and filled with pus.
Flegmon. The formation of phlegmons is a very serious complication of folliculitis. When phlegmons are formed, the purulent process spreads beyond the capsule with inflammation of adipose tissue. This complication of folliculitis requires urgent surgical treatment.
Diagnosis of Gram-negative folliculitis is based on external examination, anamnesis and laboratory analyzes.
In the process of follicular diagnosis, it is extremely important to identify the type of infectious agent that causes inflammation. Because the result will depend on the appointment of treatment.
For analysis, take the contents of pustules, the type of microorganisms detected in them determines the form of folliculitis. So, gram-negative follicles are usually caused by E. coli, Escherichia, Klebsiella, Proteus and others.
A patient suffering from follicles is necessarily sent for analysis of the blood sugar content. This is necessary to exclude the possibility of having a patient with diabetes, which may be the cause of the disease.
When detecting gram-negative folliculitis, it is necessary to find out what could have led to the development of the disease, since this condition is often a reaction to antibiotic or hormonal drugs.
The main component of the success of the treatment of gram-negative folliculitis is the exclusion of factors that provoke the development of the disease.
If rash is due to the taking of certain medicines, it should be discontinued. In that case, if one of the causes of development is diabetes, then the appointment of corrective treatment is required.
It is recommended to start treatment of folliculitis at the earliest stages of the disease. If the defeat is superficial, it is quite an external treatment. Patients are prescribed:
- Treatment of purulent rash with camphor or salicylic alcohol. For the treatment of folliculitis, you can use other antiseptics - fucorcinum, solution of manganese or brilliant green.
- Applicants for salicylic acid ointments.
Deep folliculitis may require more serious treatment. Assign compresses to ichthyol ointment. Perhaps you will need to open the ulcers and then rinse with antiseptics.
Patients should be aware that it is not necessary to disclose or try to squeeze out the ulcers on the follicle. Such actions can lead to the development of complications, up to the formation of phlegmon.
For the treatment of Gram-negative folliculitis, systemic antibiotics may be required. Antibacterial drugs are selected taking into account the sensitivity of the gram-negative flora. Most often, with gram-negative folliculitis, appoint Ciprofloxacin.
Ointments containing benzoyl peroxide are used for local treatment of gram-negative folliculitis.
Popular methods of treating
With superficial gemoritsatelnom folliculitis can be used to treat phytotherapy.
You can use chamomile broth to remove inflammation and skin irritation.
To treat folliculitis it is necessary to prepare a decoction, raises immunity. For its preparation it is necessary to take the root of burdock, hips and blackcurrant leaves on 2 parts and 1 part of the grass of eleutherococcus. At half a liter of water take two full spoons of a mixture of plants, boil for 10 minutes at low heat or in a water bath. Then allow to cool down. Drink twice a day in 50 ml
In the summer, to use follicular follicles, it is advisable to use compresses from the thistle leaves. It is necessary to take a few freshly cut leaves, chop them and apply to the places of rashes. Keep at least an hour, covered with a film and secured with a bandage or a plaster. To compress each time take freshly ripped leaves, you can not store them.
Helps in treating folliculitis of the root of the prickly root. It is necessary to take 50 grams of crushed feed and cook in 500 ml of water for 40 minutes at low boiling point. A frozen and strained broth can be used for external treatment of baths, damp dressings or compresses.
For the treatment of folliculitis is widely used fragrant vanilla. The stem and leaves of the plant need to be ground and use a green mass for compresses, which need to be changed twice a day.
Prevention and Prognosis
A prognosis with a gram-negative folliculitis is favorable. In the event that the depth of lesions is significant, after the healing of the ulcers, there may be small scars.
Complications with folliculitis occur infrequently. Basically, the cause of complications are attempts to independently open the abscesses. If there is a marked spread of the inflammation on the spot, it is necessary to seek medical advice further.
Prevention of Gram-negative folliculitis involves compliance with hygiene measures. The skin should be kept clean, after shaving and in case of abrasion, it is necessary to immediately disinfect the lesions.
When treating acne or rosacea with antibiotics or hormonal drugs, do not exceed the dosage or continue the course of your medication on your own.