What are the common symptoms of staph infections on legs. How can staph infections be transmitted. What treatment options are available for staph rashes. When should you seek medical attention for a staph infection.

What is a Staph Infection and How Does it Affect the Legs?

Staphylococcus bacteria, commonly known as staph, are a group of germs frequently found on the skin or in the nasal passages of healthy individuals. While these bacteria often cause no issues, they can lead to infections ranging from minor skin problems to severe, life-threatening conditions. When staph bacteria infect the skin on the legs, they can cause a distinctive rash and other symptoms.

Staph infections on the legs typically manifest as:

• Small red bumps that may resemble pimples
• Painful, swollen areas that feel warm to the touch
• Pus-filled blisters or boils
• Areas of redness and inflammation

These infections can quickly progress from minor skin irritations to deep, painful abscesses if left untreated. In some cases, the bacteria may penetrate deeper into the body, leading to more severe complications.

Common Types of Staph Skin Infections Affecting the Legs

Staph bacteria can cause various types of skin infections on the legs, each with its own set of characteristics and symptoms. Understanding these different manifestations can help in early identification and prompt treatment.

Boils: The Most Frequent Staph Skin Infection

Boils are the most common type of staph infection affecting the skin. They appear as painful, pus-filled lumps that develop in hair follicles or oil glands. On the legs, boils often occur in areas where there’s friction or increased sweating, such as the thighs or behind the knees.

Impetigo: A Highly Contagious Staph Rash

Impetigo is a contagious skin infection that can be caused by staph bacteria. It presents as large blisters that may ooze fluid and develop a characteristic honey-colored crust. This infection can spread rapidly, especially in warm and humid conditions.

Cellulitis: A Deeper Skin Infection

Cellulitis occurs when staph bacteria infect the deeper layers of skin. It causes redness, swelling, and warmth in the affected area. On the legs, cellulitis can be particularly concerning as it may lead to serious complications if left untreated.

How Do Staph Infections Spread to the Legs?

Staph infections can spread to the legs through various means:

1. Direct contact with an infected person
2. Touching contaminated objects or surfaces
3. Through openings in the skin, such as cuts, scrapes, or insect bites
4. Poor hygiene practices
5. Sharing personal items like towels or razors

It’s important to note that many people carry staph bacteria on their skin or in their nose without developing infections. However, if the bacteria enter the body through a break in the skin, an infection can occur.

Recognizing the Signs and Symptoms of Staph Infections on Legs

Identifying a staph infection on the legs early is crucial for prompt treatment and prevention of complications. The signs and symptoms can vary depending on the type and severity of the infection, but common indicators include:

• Redness and swelling around the affected area
• Warm skin to the touch
• Pain or tenderness
• Pus or fluid drainage
• Fever (in more severe cases)
• Skin peeling or scaling

If you notice any of these symptoms, especially if they worsen or spread rapidly, it’s essential to seek medical attention promptly.

Treatment Options for Staph Rashes on Legs

The treatment for staph infections on the legs depends on the severity and type of infection. In many cases, a combination of approaches may be necessary for effective healing.

Topical Treatments

For minor staph infections, topical antibiotics may be prescribed. These can help eliminate the bacteria and promote healing of the affected skin. Common topical treatments include mupirocin or fusidic acid creams.

Oral Antibiotics

More severe or widespread infections often require oral antibiotics. The choice of antibiotic depends on the strain of staph bacteria and its antibiotic resistance profile. Common options include cephalexin, dicloxacillin, or trimethoprim-sulfamethoxazole.

Drainage of Abscesses

In cases where boils or abscesses have formed, drainage may be necessary. This procedure involves making a small incision to allow the pus to drain, which can provide immediate relief and promote faster healing.

Wound Care

Proper wound care is essential for preventing the spread of infection and promoting healing. This may involve cleaning the affected area regularly, applying antiseptic solutions, and using appropriate dressings.

Preventing Staph Infections on Legs: Practical Tips

While it’s not always possible to prevent staph infections entirely, there are several steps you can take to reduce your risk:

• Practice good hygiene, including regular handwashing
• Keep cuts, scrapes, and wounds clean and covered
• Avoid sharing personal items like towels, razors, or clothing
• Shower after participating in sports or using shared equipment
• Clean and disinfect frequently touched surfaces
• Boost your immune system through a healthy diet and lifestyle

By implementing these preventive measures, you can significantly reduce your risk of developing staph infections on your legs and other parts of your body.

When to Seek Medical Attention for a Staph Rash on Legs

While some minor staph infections may resolve on their own, it’s important to know when to seek medical attention. You should consult a healthcare provider if:

• The rash or infection is spreading rapidly
• You develop a fever or other systemic symptoms
• The affected area is extremely painful or swollen
• You have a weakened immune system
• Home treatments haven’t improved the condition after a few days
• You suspect the infection may be MRSA (Methicillin-resistant Staphylococcus aureus)

Early intervention can prevent the infection from worsening and reduce the risk of complications.

Complications of Untreated Staph Infections on Legs

If left untreated, staph infections on the legs can lead to several serious complications:

Bacteremia: When Staph Enters the Bloodstream

Bacteremia occurs when staph bacteria enter the bloodstream. This can lead to a systemic infection that affects multiple organs and tissues throughout the body. Symptoms may include high fever, chills, and low blood pressure.

Septic Arthritis: Joint Infections

Staph bacteria can sometimes spread to the joints, causing septic arthritis. This condition is characterized by severe joint pain, swelling, and fever. It can cause permanent damage to the affected joint if not treated promptly.

Osteomyelitis: Bone Infections

In some cases, staph infections can spread to the bones, causing osteomyelitis. This serious condition can lead to chronic pain, bone deformities, and impaired mobility if not addressed quickly.

Endocarditis: Heart Valve Infection

Although rare, staph infections can sometimes affect the heart valves, leading to endocarditis. This life-threatening condition requires immediate medical attention and often necessitates long-term antibiotic treatment.

Given these potential complications, it’s crucial to take staph infections seriously and seek medical care when necessary.

Living with Recurrent Staph Infections: Management Strategies

Some individuals may experience recurrent staph infections on their legs or other parts of their body. Managing these recurring infections requires a comprehensive approach:

Identifying and Addressing Risk Factors

Work with your healthcare provider to identify any underlying conditions or risk factors that may be contributing to recurrent infections. This may include conditions like diabetes, eczema, or immune system disorders.

Decolonization Procedures

In some cases, healthcare providers may recommend decolonization procedures to reduce the presence of staph bacteria on the skin or in the nasal passages. This may involve using special antiseptic washes or nasal ointments.

Long-term Preventive Measures

Implementing long-term preventive strategies is crucial for managing recurrent staph infections. This may include:

• Regular use of antibacterial soaps or washes
• Frequent changing and washing of clothing, especially after sweating
• Maintaining a clean living environment
• Avoiding shared personal items
• Managing underlying skin conditions effectively

Regular Medical Follow-ups

Regular check-ups with your healthcare provider can help monitor your condition and adjust treatment strategies as needed. This is particularly important if you’re prone to recurrent infections.

By implementing these management strategies and working closely with your healthcare team, you can effectively reduce the frequency and severity of staph infections on your legs and improve your overall quality of life.

Staph infections – Symptoms & causes

Overview

Staph infections are caused by staphylococcus bacteria. These types of germs are commonly found on the skin or in the nose of many healthy people. Most of the time, these bacteria cause no problems or cause relatively minor skin infections.

But staph infections can turn deadly if the bacteria invade deeper into your body, entering your bloodstream, joints, bones, lungs or heart. A growing number of otherwise healthy people are developing life-threatening staph infections.

Treatment usually involves antibiotics and cleaning of the infected area. However, some staph infections no longer respond, or become resistant, to common antibiotics. To treat antibiotic-resistant staph infections, health care providers may need to use antibiotics that can cause more side effects.

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Symptoms

Staph infections can range from minor skin problems to life-threatening illness. For example, endocarditis, a serious infection of the inner lining of your heart (endocardium) can be caused by staph bacteria. Signs and symptoms of staph infections vary widely, depending on the location and severity of the infection.

Staph infection

infections start out as small red bumps that can quickly turn into deep, painful abscesses.

Skin infections

Skin infections caused by staph bacteria include:

• Boils. The most common type of staph infection is the boil. This is a pocket of pus that develops in a hair follicle or oil gland. The skin over the infected area usually becomes red and swollen.

  If a boil breaks open, it will probably drain pus. Boils occur most often under the arms or around the groin or buttocks.

• Impetigo. This contagious, often painful rash can be caused by staph bacteria. Impetigo usually has large blisters that may ooze fluid and develop a honey-colored crust.
• Cellulitis. Cellulitis is an infection of the deeper layers of skin. It causes redness and swelling on the surface of your skin. Sores or areas of oozing discharge may develop, too.
• Staphylococcal scalded skin syndrome. Toxins produced by the staph bacteria may cause staphylococcal scalded skin syndrome. Affecting mostly babies and children, this condition includes a fever, a rash and sometimes blisters. When the blisters break, the top layer of skin comes off. This leaves a red, raw surface that looks like a burn.

Food poisoning

Staph bacteria are one of the most common causes of food poisoning. The bacteria multiply in food and produce toxins that make you sick. Symptoms come on quickly, usually within hours of eating a contaminated food. Symptoms usually disappear quickly, too, often lasting just half a day.

A staph infection in food usually doesn’t cause a fever. Signs and symptoms you can expect with this type of staph infection include:

• Nausea and vomiting
• Diarrhea
• Dehydration
• Low blood pressure

Bacteremia

Also known as a bloodstream infection, bacteremia occurs when staph bacteria enter the bloodstream. A fever and low blood pressure are signs of bacteremia. The bacteria can travel to locations deep within your body to cause infections that affect:

• Internal organs, such as your brain (meningitis), heart (endocarditis) or lungs (pneumonia)
• Bones and muscles
• Surgically implanted devices, such as artificial joints or cardiac pacemakers

Toxic shock syndrome

This life-threatening condition results from toxins produced by some strains of staph bacteria. The condition has been linked to certain types of tampons, skin wounds and surgery. It usually develops suddenly with:

• A high fever
• Nausea and vomiting
• A rash on your palms and soles that looks like a sunburn
• Confusion
• Muscle aches
• Diarrhea
• Stomach pain

Septic arthritis

Septic arthritis is often caused by a staph infection. The bacteria often target the knees, shoulders, hips, and fingers or toes. Artificial joints may also be at risk of infection. Signs and symptoms may include:

• Joint swelling
• Severe pain in the affected joint
• Fever

When to see a doctor

Go to your health care provider if you or your child has:

• An area of red, irritated or painful skin
• Pus-filled blisters
• Fever

You may also want to talk to your provider if:

• Skin infections are being passed from one family member to another
• Two or more family members have skin infections at the same time

Causes

Many people carry staph bacteria on their skin or in their nose and never develop staph infections. However, if you develop a staph infection, there’s a good chance that it’s from bacteria you’ve been carrying around for some time.

Staph bacteria can also be spread from person to person. Because staph bacteria are so hardy, they can live on objects such as pillowcases or towels long enough to transfer to the next person who touches them.

Staph bacteria can make you sick by causing an infection. You can also become sick from the toxins produced by the bacteria.

Staph bacteria can survive:

• Drying
• Extremes of temperature
• Stomach acid

Risk factors

Many factors — including the health of your immune system or the types of sports you play — can increase your risk of developing staph infections.

Underlying health conditions

Certain disorders or the medications used to treat them can make you more likely to get staph infections. People who may be more likely to get a staph infection include those with:

• Diabetes who use insulin
• HIV/AIDS
• Kidney failure requiring dialysis
• Weakened immune systems — either from a disease or medications that suppress the immune system
• A transplant
• Cancer, especially those who are being treated with chemotherapy or radiation
• Skin damage from conditions such as eczema, insect bites or minor trauma that opens the skin
• Lung (respiratory) illness, such as cystic fibrosis or emphysema

Current or recent hospitalization

Despite strong attempts to get rid of them, staph bacteria stay present in hospitals, where they can infect people who are most at risk of infection. This can include people with:

• Weakened immune systems
• Burns
• Surgical wounds

Sometimes people admitted to the hospital may be screened to see if they’re carrying staph bacteria. Screening is done using a nasal swab. Treatment to get rid of the bacteria may be given to help prevent infection and decrease the spread to others.

Invasive and implanted devices

Staph bacteria can get into the body by traveling along medical tubing. These devices make a connection between the outside and the inside of your body. Examples are:

• Urinary catheters
• Tubing placed in a vein (intravenous catheters)

Also, staph bacteria are attracted to implanted devices, where they grow on the surface and cause infection. These include surgically implanted devices such as:

• Artificial joints
• Cardiac pacemakers

Contact sports

Staph bacteria can spread easily through cuts, scrapes and skin-to-skin contact. Staph infections may also spread in the locker room through shared razors, towels, uniforms or equipment.

Unsanitary food preparation

Food handlers who don’t properly wash their hands can transfer staph bacteria from their skin to the food they’re preparing. The bacteria multiply in the food and produce toxins that make you sick. Cooking can kill the bacteria. But the toxins are still in the food. Foods that are contaminated with staph bacteria do not look or taste differently.

Complications

If staph bacteria invade your bloodstream, you may develop a type of infection that affects your entire body. Called sepsis, this infection can lead to septic shock. This is a life-threatening episode when your blood pressure drops to an extremely low level.

Staph infections can also turn deadly if the bacteria invade deep into your body, entering your bloodstream, joints, bones, lungs or heart.

Prevention

These commonsense precautions can help lower your risk of getting staph infections:

• Wash your hands. Thorough hand washing is your best defense against germs. Wash your hands with soap and water briskly for at least 20 seconds. Then dry them with a disposable towel and use the towel to turn off the faucet. If your hands aren’t visibly dirty or you aren’t able to wash your hands, you can use an alcohol-based hand sanitizer.

  Wash your hands with soap and water regularly, such as before, during and after making food; after handling raw meat or poultry; before eating; after using the bathroom; and after touching an animal or animal waste.

• Keep wounds covered. Keep cuts and scrapes clean and covered with sterile, dry bandages until they heal. The pus from infected sores often contains staph bacteria. Keeping wounds covered will help keep the bacteria from spreading.
• Reduce tampon risks. Toxic shock syndrome is caused by staph bacteria. Tampons left in for long periods can grow staph bacteria. You can reduce your chances of getting toxic shock syndrome by changing your tampon frequently — at least every 4 to 8 hours. Use the lowest absorbency tampon you can. Try to alternate tampons with sanitary napkins whenever possible.
• Keep personal items personal. Avoid sharing personal items such as towels, sheets, razors, clothing and athletic equipment. Staph infections can spread on objects, as well as from person to person.
• Wash clothing and bedding. Staph bacteria can spread on clothing, towels and bedding. To remove bacteria, wash and dry items at the warmest temperature recommended by the items’ labels. It’s OK if you can’t use hot water, as using detergent in your wash is enough to make items clean and safe for use. You can use bleach on any bleach-safe materials.
• Take food safety precautions. Wash your hands before handling food. If food will be out for a while, make sure that hot foods stay hot — above 140 F (60 C). Make sure that cold foods stay at 40 F (4.4 C) or below. Refrigerate leftovers as soon as possible. Wash cutting boards and counters with soap and water.

Staph infections – Symptoms & causes

Overview

Staph infections are caused by staphylococcus bacteria. These types of germs are commonly found on the skin or in the nose of many healthy people. Most of the time, these bacteria cause no problems or cause relatively minor skin infections.

But staph infections can turn deadly if the bacteria invade deeper into your body, entering your bloodstream, joints, bones, lungs or heart. A growing number of otherwise healthy people are developing life-threatening staph infections.

Treatment usually involves antibiotics and cleaning of the infected area. However, some staph infections no longer respond, or become resistant, to common antibiotics. To treat antibiotic-resistant staph infections, health care providers may need to use antibiotics that can cause more side effects.

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Symptoms

Staph infections can range from minor skin problems to life-threatening illness. For example, endocarditis, a serious infection of the inner lining of your heart (endocardium) can be caused by staph bacteria. Signs and symptoms of staph infections vary widely, depending on the location and severity of the infection.

Staph infection

infections start out as small red bumps that can quickly turn into deep, painful abscesses.

Skin infections

Skin infections caused by staph bacteria include:

• Boils. The most common type of staph infection is the boil. This is a pocket of pus that develops in a hair follicle or oil gland. The skin over the infected area usually becomes red and swollen.

  If a boil breaks open, it will probably drain pus. Boils occur most often under the arms or around the groin or buttocks.

• Impetigo. This contagious, often painful rash can be caused by staph bacteria. Impetigo usually has large blisters that may ooze fluid and develop a honey-colored crust.
• Cellulitis. Cellulitis is an infection of the deeper layers of skin. It causes redness and swelling on the surface of your skin. Sores or areas of oozing discharge may develop, too.
• Staphylococcal scalded skin syndrome. Toxins produced by the staph bacteria may cause staphylococcal scalded skin syndrome. Affecting mostly babies and children, this condition includes a fever, a rash and sometimes blisters. When the blisters break, the top layer of skin comes off. This leaves a red, raw surface that looks like a burn.

Food poisoning

Staph bacteria are one of the most common causes of food poisoning. The bacteria multiply in food and produce toxins that make you sick. Symptoms come on quickly, usually within hours of eating a contaminated food. Symptoms usually disappear quickly, too, often lasting just half a day.

A staph infection in food usually doesn’t cause a fever. Signs and symptoms you can expect with this type of staph infection include:

• Nausea and vomiting
• Diarrhea
• Dehydration
• Low blood pressure

Bacteremia

Also known as a bloodstream infection, bacteremia occurs when staph bacteria enter the bloodstream. A fever and low blood pressure are signs of bacteremia. The bacteria can travel to locations deep within your body to cause infections that affect:

• Internal organs, such as your brain (meningitis), heart (endocarditis) or lungs (pneumonia)
• Bones and muscles
• Surgically implanted devices, such as artificial joints or cardiac pacemakers

Toxic shock syndrome

This life-threatening condition results from toxins produced by some strains of staph bacteria. The condition has been linked to certain types of tampons, skin wounds and surgery. It usually develops suddenly with:

• A high fever
• Nausea and vomiting
• A rash on your palms and soles that looks like a sunburn
• Confusion
• Muscle aches
• Diarrhea
• Stomach pain

Septic arthritis

Septic arthritis is often caused by a staph infection. The bacteria often target the knees, shoulders, hips, and fingers or toes. Artificial joints may also be at risk of infection. Signs and symptoms may include:

• Joint swelling
• Severe pain in the affected joint
• Fever

When to see a doctor

Go to your health care provider if you or your child has:

• An area of red, irritated or painful skin
• Pus-filled blisters
• Fever

You may also want to talk to your provider if:

• Skin infections are being passed from one family member to another
• Two or more family members have skin infections at the same time

Causes

Many people carry staph bacteria on their skin or in their nose and never develop staph infections. However, if you develop a staph infection, there’s a good chance that it’s from bacteria you’ve been carrying around for some time.

Staph bacteria can also be spread from person to person. Because staph bacteria are so hardy, they can live on objects such as pillowcases or towels long enough to transfer to the next person who touches them.

Staph bacteria can make you sick by causing an infection. You can also become sick from the toxins produced by the bacteria.

Staph bacteria can survive:

• Drying
• Extremes of temperature
• Stomach acid

Risk factors

Many factors — including the health of your immune system or the types of sports you play — can increase your risk of developing staph infections.

Underlying health conditions

Certain disorders or the medications used to treat them can make you more likely to get staph infections. People who may be more likely to get a staph infection include those with:

• Diabetes who use insulin
• HIV/AIDS
• Kidney failure requiring dialysis
• Weakened immune systems — either from a disease or medications that suppress the immune system
• A transplant
• Cancer, especially those who are being treated with chemotherapy or radiation
• Skin damage from conditions such as eczema, insect bites or minor trauma that opens the skin
• Lung (respiratory) illness, such as cystic fibrosis or emphysema

Current or recent hospitalization

Despite strong attempts to get rid of them, staph bacteria stay present in hospitals, where they can infect people who are most at risk of infection. This can include people with:

• Weakened immune systems
• Burns
• Surgical wounds

Sometimes people admitted to the hospital may be screened to see if they’re carrying staph bacteria. Screening is done using a nasal swab. Treatment to get rid of the bacteria may be given to help prevent infection and decrease the spread to others.

Invasive and implanted devices

Staph bacteria can get into the body by traveling along medical tubing. These devices make a connection between the outside and the inside of your body. Examples are:

• Urinary catheters
• Tubing placed in a vein (intravenous catheters)

Also, staph bacteria are attracted to implanted devices, where they grow on the surface and cause infection. These include surgically implanted devices such as:

• Artificial joints
• Cardiac pacemakers

Contact sports

Staph bacteria can spread easily through cuts, scrapes and skin-to-skin contact. Staph infections may also spread in the locker room through shared razors, towels, uniforms or equipment.

Unsanitary food preparation

Food handlers who don’t properly wash their hands can transfer staph bacteria from their skin to the food they’re preparing. The bacteria multiply in the food and produce toxins that make you sick. Cooking can kill the bacteria. But the toxins are still in the food. Foods that are contaminated with staph bacteria do not look or taste differently.

Complications

If staph bacteria invade your bloodstream, you may develop a type of infection that affects your entire body. Called sepsis, this infection can lead to septic shock. This is a life-threatening episode when your blood pressure drops to an extremely low level.

Staph infections can also turn deadly if the bacteria invade deep into your body, entering your bloodstream, joints, bones, lungs or heart.

Prevention

These commonsense precautions can help lower your risk of getting staph infections:

• Wash your hands. Thorough hand washing is your best defense against germs. Wash your hands with soap and water briskly for at least 20 seconds. Then dry them with a disposable towel and use the towel to turn off the faucet. If your hands aren’t visibly dirty or you aren’t able to wash your hands, you can use an alcohol-based hand sanitizer.

  Wash your hands with soap and water regularly, such as before, during and after making food; after handling raw meat or poultry; before eating; after using the bathroom; and after touching an animal or animal waste.

• Keep wounds covered. Keep cuts and scrapes clean and covered with sterile, dry bandages until they heal. The pus from infected sores often contains staph bacteria. Keeping wounds covered will help keep the bacteria from spreading.
• Reduce tampon risks. Toxic shock syndrome is caused by staph bacteria. Tampons left in for long periods can grow staph bacteria. You can reduce your chances of getting toxic shock syndrome by changing your tampon frequently — at least every 4 to 8 hours. Use the lowest absorbency tampon you can. Try to alternate tampons with sanitary napkins whenever possible.
• Keep personal items personal. Avoid sharing personal items such as towels, sheets, razors, clothing and athletic equipment. Staph infections can spread on objects, as well as from person to person.
• Wash clothing and bedding. Staph bacteria can spread on clothing, towels and bedding. To remove bacteria, wash and dry items at the warmest temperature recommended by the items’ labels. It’s OK if you can’t use hot water, as using detergent in your wash is enough to make items clean and safe for use. You can use bleach on any bleach-safe materials.
• Take food safety precautions. Wash your hands before handling food. If food will be out for a while, make sure that hot foods stay hot — above 140 F (60 C). Make sure that cold foods stay at 40 F (4.4 C) or below. Refrigerate leftovers as soon as possible. Wash cutting boards and counters with soap and water.

Ulcers on the skin as a symptom of diseases

March 27, 2019

An abscess or pustule is a cavity element filled with pus. Rashes in the form of ulcers on the skin can be observed in various diseases. Pustular lesions of the skin (pyoderma) belong to the group of infectious and inflammatory diseases. The most common pathogens are staphylococci and streptococci.

Ulcers on the skin: causes

Depending on the pathogen, pyoderma is divided into streptoderma and staphyloderma. The appearance of abscesses on the skin is due to the presence of the entrance gate of infection and a decrease in the protective forces of the body’s immune system. The source of pathogenic microorganisms is the bacterial flora of the skin, respiratory organs, and the environment.

Factors predisposing to skin ulcers:

• overwork;
• hypothermia/overheating of the body;
• diseases of the gastrointestinal tract and liver;
• malnutrition;
• chronic intoxication.

Ulcers on the skin as a symptom of diseases

Staphyloderma combines the following diseases:

• Folliculitis and ostiofolliculitis. Ulcers on the skin are concentrated in the face, neck, forearm, lower leg, thigh. A pustule with a yellowish apex gradually increases in diameter, then dries up and becomes covered with a crust.
• Staphylococcal sycosis. Recurrent rashes in the form of folliculitis and ostiofolliculitis, concentrated in the area of ​​the mustache, beard, wings of the nose.
• Epidemic pemphigus of the newborn. Ulcers on the skin causes Staphylococcus aureus. Numerous bubbles of different sizes have cloudy or transparent contents. Then they open up and turn into crusted erosions.
• Furuncle. Hard, purulent protrusion surrounded by reddened and inflamed skin. The inflammatory process grows and is accompanied by pain, fever. The furuncle erupts with an outpouring of pus and blood.
• Carbuncle. Several tubercles-infiltrates merge into one with the formation of a pustule, this is accompanied by fever and symptoms of intoxication. When the pustules are opened, necrotic masses and pus with blood impurities depart.
• Hydradenitis. Ulcers on the skin are localized in the area of ​​apocrine sweat glands. At the initial stage, itchy nodules appear, painful when pressed. The ripening stage is accompanied by an increase in temperature and intoxication.

Streptoderma includes diseases such as:

• Streptococcal impetigo. Ulcers on the skin of the face, trunk, lateral surfaces of the arms and legs look like bubbles filled with a clear liquid. Soon it becomes cloudy and turns into pus, then the pustules dry up and become covered with crusts.
• Bullous impetigo. Blisters are spherical, up to 2 cm in diameter. The skin swells, probably the development of lymphadenitis, lymphangitis and weakness.
• Ecthyma vulgaris. A large and deeply located conflict with purulent or purulent-hemorrhagic contents, dries up over time and forms a thick crust.

Treatment of skin ulcers

Therapy of pyoderma is etiological, pathogenetic and symptomatic. Antibacterial and vitamin preparations can be prescribed, immunotherapy and physiotherapy are used, disinfectants are locally prescribed.

When abscesses appear on the skin, do not squeeze them out, open them, comb them yourself. This can lead to the spread of infection and secondary infection, as well as the formation of visible scars at the site of the rash.

You can undergo genetic testing to determine your susceptibility to dermatological diseases at the medical genetic center “Genomed”.

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Exudative epidermitis (inflammation of the epidermis) from staphylococci – Articles

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Read this article in: Pig health

A specific case of this disease occurred with farrowing litter on a large farm in southwestern Ontario, Canada.

June 6, 2014

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1

Introduction

Exudative epidermitis (EE) or porcine parakeratosis is a bacterial skin disease that occurs in animals of all ages, but most commonly in small piglets that are breastfed or recently weaned. The disease has been identified in most swine-producing countries of the world and will occur on most farms from time to time. Staphylococcus hyicus, the bacterial cause of EE, can be found on the tissue lining of the nose, eyes, and skin of healthy piglets, as well as the vagina of healthy sows. The organism can survive for several weeks in a barn where animals are kept.

The disease is most dramatic in piglets born to sows that have not been immunized, ie. not vaccinated. Impact skin trauma from sharp teeth, abrasive bunk surfaces and paddocks can result in perforation of the protective skin layers. EE lesions are associated with heat-labile exfoliative toxins produced by the bacteria S. hyicus . Skin changes are accompanied by increased secretion of the sebaceous glands and serous exudate. Mortality associated with EE is initially attributed to dehydration, although septicemia and arthritis may also occur.

History

This particular case occurred with farrowed litter on a large farm in southwestern Ontario, Canada. Throughout the course of the disease, there were no clinical symptoms of EE at the place where the pigs were kept. There were also no clinical symptoms in gilts raised to replace sows kept in a kennel and nursery barn located on the farm. The disease originated initially in one of the farm’s two active nurseries. A few months later, clinical problems arose in the second nursery.

Photo 1. Acute localized lesion of EE

Piglets were breastfed once a week at three weeks of age. According to the initial history, there were no clinical symptoms of the disease until approximately 10-14 days after the end of breastfeeding. Upon closer observation, it was noted that a few days after the end of breastfeeding, the piglets began to develop localized lesions in the form of cuts and scrapes, which were associated with physical collisions of animals. Cutting off the teeth of small piglets was not practiced on this farm. Some piglets showed only localized lesions (Photo 1). Other piglets showed clinical symptoms of lethargy, drowsiness and the rapid development of a general reddening of the skin. The skin was hot to touch. Thin, pale brown scales of exudate developed in the armpits, groin, abdomen, and behind the ears. This exudate then spread throughout the skin (Photo 2). After a few days, the skin became dark in color and greasy in texture. Severely affected piglets experienced rapid weight loss and death occurred within a few days. There was no noticeable itching. The number of seriously affected animals increased, and some of them, in a painful condition, had to be euthanized. Typically, mortality after the end of breastfeeding was reduced to 2.0%. It increased to 4.0%, and in some pens it reached 9%. This problem has existed for approximately 13 months. Almost all indicators of increased mortality in this case were attributed to EE.

Photo 2. Acute generalized (general) lesion of EE

Diagnostics

Swabs from clinically affected piglets initially showed high levels of S. hyicus. Subsequent smears identified Staphylococcus chromogenes chromogens. This organism is genetically very similar to S. hyicus and is also capable of producing exfoliative toxins. An antimicrobial susceptibility test showed that there was no resistance to penicillin, but the body was sensitive to trimethoprim/sulfa and tiamulin. The detection of penicillin resistance was consistent with a recent study in Ontario that found penicillin resistance in S. hyicus isolates (Figure 1). Further analysis at the University of Guelph revealed that this particular isolate was also resistant to zinc. Additional autopsies and diagnostics were also carried out in order to identify the presence of other underlying diseases that exacerbated the problem. But no other diseases could be found.

Fig. 1. Percentage of isolates resistant to antimicrobial

Interference

EE is a classic multifactorial disease. Although the identification and correction of a single factor may lead to random results, the main focus in this case was to improve both passively acquired maternal immunity and the local immune barrier provided by intact skin. At the same time, it was considered important to reduce the level of bacterial attack.

A review of feed composition and budgeted per piglet found no abnormalities. More attention, however, needed to be given to considering the correct distribution of budgeted feed to piglets at certain stages of their growth. The food was kept fresh, easy to swallow, and all available feeding space was organized to minimize collisions during feeding. Once zinc resistance was identified, the supplemental zinc complex was eliminated from the diet.

A common procedure for these small piglet pens has been to remove the front gate in order to allow as many “little bugs” as possible into the growing stock for mixing and early colonization of sow-fed piglets. These “little bugs” typically included the bacteria Streptococcus suis, Haemophilus parasuis, and Actinobacillus suis. In this case, the solution was to close the front gate in order to prevent the spread of EE. The pens were kept closed for 4 weeks after the sows finished feeding the piglets, and then opened in larger groups. As soon as the piglets reached 4 weeks after the end of breastfeeding, the most recent outbreaks of EE broke out.

Considerable discussion has arisen about how much aggravation the bites on the teeth of small piglets increase the number of cuts and scratches that are associated with a collision. The nursery operators were adamant that teeth should be removed if that would solve the problem. Some batches of piglets had their teeth cut off on an experimental basis. All agreed that, at least in this situation, tooth clipping did not reduce the incidence and severity of EE. Teeth cutting was stopped.

Estimated the flow of drinking water. Some drinkers did not work properly. Drinkers have been repaired and adjusted to provide a minimum water flow rate of 0.5 liters per minute. Here, the goal was to avoid splashing and moisturizing the skin, while still providing adequate flow and sips in such a way as to minimize aggression around the water nipple.

Relative humidity has been reduced to 70% for autumn, winter and spring, and additional heating has been added in order to maintain minimal air exchange. The rooms were heated to 28ºC upon entry. The insulation levels in the attic were checked. The pigs were kept dry and free to move.

The premises were first populated with a 10% flow of animals, with a separate pen for sick piglets, which were immediately separated from healthy ones in the presence of clinical symptoms of the disease. Piglets with red and inflamed skin were sent to the sick pen to prevent the spread of the disease. When the house was closed, the recovered piglets were sent to another room, not returning to the younger piglets.

Sanitary procedures have been revised. Soaking was suggested the next day immediately after bathing the piglets. Increased attention has been paid to the details of washing. An alkaline cleaner was used to degrease and remove the biofilm. Acidic cleaners were originally used to remove certain minerals. Disinfectants in the form of applicators have been calibrated. Several disinfectants have been tried to find the best one. A minimum drying time of 24 hours has been reached prior to arrival.

Specifically affected piglets were injected with trimethoprim sulfanilamide for 4 days. An aqueous solution of trimethoprim sulfanilamide as a prophylactic drug was used from the day of admission to 21 days. This procedure was reduced to the main program, according to which the treatment lasted 3 days with breaks of 4 days for 3 weeks. Gradually, this treatment began to be used only when necessary.

The starting dose was 110 ppm chlorotetracycline, sulphmethazine and procaine-penicillin 55 ppm vaccines. The final dose in nurseries was procaine-penicillin at 110 ppm. No other drugs were used.

A topical spray containing a mixture of sulfuric trimethoprim and mineral oils was used prophylactically every 4 days. In addition, a topical spray was applied at the first sign of an increase in new outbreaks. In a room where there were 500 heads, if 3 of them fell ill in the morning and 3 in the evening, this spray was applied throughout the room.

Prior to the outbreak, a S. hyicus isolate was added to specific autogenous vaccines in pig farms prior to farrowing. This familiar vaccine was made using bacteria that were isolated from a special stream of sows, nurseries and the last hog finishers. By vaccinating sows before farrowing, piglets develop colostral (acquired with sows’ milk) passive immunity. Isolates of S. hyicus and S. chromogenes chromogens from nurseries were sequentially added to pre-farrowing autogenous vaccines. No rapid improvement was observed when piglets from vaccinated sows were brought to nurseries. This autogenous vaccine given before farrowing is still in use. Sows are vaccinated twice before farrowing and sows receive a one-time booster vaccine before each subsequent farrowing.

Talk

Nursery operations have returned to normal levels, but not without increasing management measures beyond what was previously required to maintain control. Initially, severe clinical symptoms were present in one of the two nurseries, and the movement of piglets and people apparently explains how the disease spread to the second nursery.