ERIZIPELBID (erysipeloidum; Greek erysipelas ugly face + eidos look; synonym: an ugly face of pigs, a creeping erythema of Baker, erizipeloid A. J. F. Ro-senbach) — an infectious rozhistopodobny disease of skin.
For the first time E. under the name «creeping erythema» Baker described (W. M of Baker) in 1873. The Erysipelothrix rhusiopathiae activator from an organism of sick people was allocated in 1884 by A. J. F. Ro-senbach, to-ry described a wedge, a picture of a disease and in 1887 suggested to consider it an independent nosological form. In 1909 A. J. F. Ro-senbach established relationship between the activator E allocated to them. and the activators of a bacillar ugly face and mouse septicaemia allocated earlier.
Activator E. represents a thin motionless stick; it does not form a dispute and capsules, is painted across Gram positively. Depending on time of stay in an organism and localization length of the activator can vary from 0,5 to 1,5 microns, and width from 0,2 to 0,3 microns. Erysipelothrix rhusiopathiae pure growth is emitted from meat of sick animals (more often than pigs), objects of the environment, from an organism of people, rodents and insects. The infestant gets into an organism through the injured skin (preferential at a cut or a prick an acute bone), is more rare with foodstuff.
At an erizipeloida in epidermis the acanthosis (see), in a derma — hypostasis, lymphocytic infiltrates around vessels is observed.
After an incubation interval (from several hours to several days) on site penetrations of the activator (on skin of brushes, is more often than fingers, stop is much more rare) arise a limited swelling, an erythema of 15 in size — 20 mm, the burning sensation, pains is noted. Further against the background of increasing at a rate of an erythema, usually bright red color, small knots, bubbles, sometimes bubbles are observed. Depending on a wedge, manifestations E. distinguish a skin form; the most often meeting skin and joint (a swelling of joints, hypostasis of the affected extremity, sharp morbidity and increase in regional lymph nodes, fever); and also rare atypical forms: anginous, the cut is the reason consumption of the products infected erizipelotriksy (a bright hyperemia of a soft palate, language, palatal handles and almonds, increase cervical limf, nodes and fever); intestinal, arising also after reception of the infected food (abdominal pains, vomiting, a diarrhea) and generalized (heart, blood vessels of a brain and other bodies are surprised), the wedge, a picture at the same time reminds hron. sepsis (see).
The diagnosis is established on the basis by a wedge, pictures and the anamnesis (the instruction on injury of skin during the processing of meat and fish). The diagnosis is confirmed by identification of the activator in crops on a beef-extract agar. For immunological diagnosis use an agglutination test and passive hemagglutination, allergy tests.
Apply antibiotics to treatment (inside), on sites of defeat — At F-about spearing in suberitem-ny and erythema doses, Las-sar's paste with addition the EXPERT of D-3 or 5% of Russia oil, Oxyzonum, Dermosolonum and ointments with antibiotics.
The forecast at timely treatment favorable.
Prevention consists in a dignity. supervision of slaughters, destruction of rodents on meat-processing plants and food objects, carrying out inoculations to pigs (after cases of an ugly face), respect for personal hygiene of workers, timely treatment of microtraumas. Bibliography: Antonyev A. A. and
Tchaikovsky of V. T. Klinik, diagnosis, treatment and prevention of Erie-zipeloida, M., 1980; Mashkille ft-dream of JI. H. Infectious and parasitic diseases of skin, M., 1960; Skrip-kin Yu. K. Skin and venereal diseases, M., 1979. Bake r W. M of Erythema serpens, St. Barth. Hosp. Rep., v. 9. p. 198, 1873. Yu. K. Skripkin.