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Furuncle nose

A boil of the nose is an acute inflammation of the hair bag or sebaceous gland.

Et and about l about d and I. Of primary importance is a local decrease in the resistance of the skin and the whole organism to staphylococcal and streptococcal infections. Under these conditions, the microflora, getting into the hair bags and sebaceous glands of the skin, more often the lower third of the nose and its vestibule (often inserted by hand), usually causes acute purulent inflammation. The appearance of a nasal boil is facilitated by diabetes, impaired general metabolism, hypovitaminosis, as well as hypothermia. In childhood, boils are more likely to occur in weakened children. Sometimes a boil of the nose as a purulent disease is the first manifestation of diabetes. Often there are several boils, not only in the nose, but also on other parts of the body (furunculosis). If two boils or more merge and a carbuncle forms, the local and general inflammatory reaction increases dramatically.

In the pathogenesis of the boil, it should be noted that in the inflammatory infiltrate surrounding the hair bag, thrombosis of small venous vessels occurs, therefore, an increase in infiltrate (especially with carbuncle) threatens the spread of thrombosis along the venous tracts (v.facialis ant., V.angularis, v.ophtalmica) in the region of sinus cavernosus or other vessels of the skull and the development of severe (possibly fatal) intracranial complications or sepsis.

K l and n and with to and to kartin and. The constant symptoms of a nasal boil are sharp pain in the area of ​​the inflammatory focus, limited conical infiltrate, covered with hyperemic skin, on the top of which usually a yellowish-white head - abscess appears after 3-4 days. Within 4-5 subsequent days, the abscess ripens and the inflammation resolves. The general reaction of the body in mild cases of the course of the boil is absent or insignificant. An unfavorable local course of the boil, the development of the carbuncle, as a rule, is accompanied by subfebrile or febrile temperature, increased ESR, leukocytosis, an increase and soreness of regional lymph nodes.

D and a g n about with t and to and is based on the local picture and the course of the disease. In differential diagnosis, it is necessary to take into account the possibility of localization in the anterior sections of the nasal septum of the abscess or, in rare cases, rhinoscleromas. In patients with severe or prolonged course of the nose boil, as well as with furunculosis, it is necessary to examine blood and daily urine for sugar to exclude diabetes. At the time of a high rise in temperature, blood should be examined for sterility with the aim of early detection of sepsis. A smear is taken from the abscess to determine the microflora and its sensitivity to antibiotics. In severe cases of a boil of the nose, neurological symptoms, the blood formula, its coagulation system are systematically examined, the fundus is examined, the temperature is measured after 3 hours, etc.

In mild cases of the course of the nasal boil, when the local reaction is insignificant, and the general condition remains normal, the treatment is carried out on an outpatient basis; as a rule, it is conservative. Prescribe an antibacterial drug inside (erythromycin, tetracycline, augmentin, sulfanilamides, etc.), multivitamins, topically quartz and UHF, the skin around the boil is treated with boron alcohol. Before the period of maturation of the boil, topically apply ichthyol or balsamic ointment. The tactics of treatment change significantly when an infiltrate appears around the boil, spreading to the surrounding areas of the nose and face, with a deterioration in the general condition or the appearance of some other aggravating signs. Given the possibility of serious complications, such a patient is hospitalized. The basis of therapeutic tactics in such cases is the appointment of large doses of antibiotics: penicillin 1 LLC OOO ED 6 times per 1 day, at the same time inside nystatin 500 LLC ED 3-4 times per 1 day or other antimicrobial agents. After obtaining data on the sensitivity of the microflora of the boil to the antibiotic, the appropriate drug is selected.

It is contraindicated in case of an infiltrate expressed around a furuncle (carbuncle), physiotherapy, since its local warming and vasodilating effect can cause the progression of thrombosis and the spread of blood clots along venous paths into the cranial cavity. In severe cases (the development of sepsis, etc.), intravenous laser therapy is advisable.

Often the formation of extensive infiltrates of the soft tissues of the face is associated with the development in the depths of tissues at the base of the abscess boil. The deep occurrence of such a process can interfere with a quick diagnosis, however, a detailed study of local changes, in particular palpation of the infiltrate, probing through the top of the boil, taking into account all clinical data, makes it possible to recognize the accumulation of pus. In such cases, an autopsy is indicated with the removal of dead tissue and the establishment of good drainage.

The operation is performed under anesthesia (short-term) or under local anesthesia. With a prolonged course of a boil and furunculosis, autohemotherapy and general strengthening treatment give a good effect.

The following autohemotherapy regimen is used. In the usual way, blood is taken daily from the patient's ulnar vein and is immediately injected into the muscle in the posterior quadrant of the buttock. On the 1st day, take from a vein and inject 2 ml of blood into the muscle; on the 2nd —4 ml; on the 3rd - 6 ml and so every day 2 ml is added. On the 5th day, the blood volume will be 10 ml. Then, over the next 5 days, the volume of each injection is reduced by 2 ml.
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Furuncle nose

  1. Furuncle nose
    Boil - purulent-necrotic inflammation of the hair follicle, adjacent sebaceous gland and fiber. The wide involvement of surrounding tissues in the inflammatory process is a qualitative difference between the boil and the one close to it in etiology and pathogenesis of ostiofolliculitis. The ability to unlimited spread of inflammation, with features of the venous system of the face and the likelihood of rapid development
  2. Furuncle of the nose, features of the clinic, therapeutic tactics
    A boil of the nose is most often the result of scratching in the nose with infection in the sebaceous and hair sacs located on the threshold of the nose; less commonly, one of the manifestations of general furunculosis. Clinic. Hyperemia of the skin, tension and soreness of the tissues appear on the tip or on the wings of the nose. Inflammatory phenomena in the form of redness and swelling often capture the neighboring parts of the face. At
  3. Abscess, boil and carbuncle of the nose. U-34.0
    {foto26} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, difficulty breathing, purulent discharge from
  4. Deformations of the nasal septum, synechia and atresia of the nasal cavity
    The etiologic deformation of the nasal septum may be due to physiological, traumatic, and compensatory factors. Physiological curvature occurs when there is a mismatch in the growth of the nasal septum and the bone frame into which it is inserted. The growth of the septum is slightly ahead of the growth of the facial skeleton, so its curvature occurs. In childhood, physiological
  5. Boils
    Clinical picture of the boils of the external auditory canal The furuncle of the external auditory canal is a limited inflammation in the cartilaginous part of the external auditory canal. With minor skin damage, the infection enters the hair sacs and sebaceous glands, where inflammation begins. There is a sharp pain in the ear, often giving to the teeth, worse when chewing, sharp pain with
  6. Furuncle
    A boil, or BOIL, is an infectious, painful subcutaneous inflammation that results in an abscess with lots of pus. A boil occurs around a hair sac. See the article ABCESS, with the addition that some situation poisons a person’s life, causing him great anger, anxiety and fear. These negative emotions are so intense that they prevent the body from getting rid of
    A boil is an acute painful perifocal inflammation of the hair follicle, most often occurring on the face, neck, chest and buttocks. Recurrent infection turns into a disease of furunculosis. Carbuncle is a conglomerate of furuncles resulting from subcutaneous infection, leading to purulent-necrotic inflammation of the deep layers of the skin, often with local rejection of necrotic
  8. Staphylococcal piloderma. Furuncle
    Furunculosis is an acute purulent-necrotic inflammation of the hair follicle and perifollicular connective tissue. The furuncle refers to the deep form of staphyloderma. The primary eruptive element of the furuncle is an inflammatory node that forms around the hair follicle infected with staphylococci. The onset of the disease is associated with the formation of inflammatory purulent around the hair sac
  9. Boil and furunculosis
    Acute staphylococcal purulent-necrotic inflammation of the hairs. follicle and surrounding junction. tissue. Etiology. The causative agent is golden, less often white staphylococcus. Pathogenesis. It can form on unchanged skin, be a complication of the existing surface. or deep staphyloderma. The virulence and pathogenicity of the pathogen strain, exogenous and endogenous predisposal affect the occurrence.
  10. Boil of the external auditory meatus
    Furuncle (otitis externa circumscripta) - acute purulent inflammation of the hair sac, sebaceous gland with limited inflammation of the skin and subcutaneous tissue of the membrano-cartilaginous part of the external auditory canal. Et and about l about d and I. The disease occurs as a result of infection, more often staphylococci, entering the sebaceous and hair sacs when irritated skin is irritated by manipulations in the ear.
  11. Auditory meatus furuncle
    Cause Microtrauma of the skin of the external auditory canal when picking in the ears, hypothermia, impaired carbohydrate metabolism, hypovitaminosis. Symptoms Strong shooting pain in the ear, if you pull off the earlobe or press on the tragus - the pain in the ear increases. Increased pain also occurs with chewing and yawning. The skin of the external auditory meatus is reddened, swollen. The disease may be accompanied.
  12. Nose injuries
    Clinical picture Damage to the external nose is very common. The degree of damage to soft tissues, bone and cartilage skeleton depends on the nature of the injury, the direction and strength of the impact. The nasal bones and septum are most often damaged, and fractures of the frontal processes of the upper jaw and the walls of the paranasal sinuses are less common. Sometimes there is damage to the nose with a break in its tip or edge. Injuries
  13. Anatomy of the nose
    In clinical and anatomical terms, the nose is divided into external and internal departments. The external nose, nasus externus, is an important anatomical component of the face, largely determining its individual characteristics. The external shape of the nose is compared with a trihedral pyramid. In the outer nose, there are: 1) the root located between both eye sockets, 2) the tip (tip) of the nose, 3) the back
  14. Clinical anatomy of the external nose
    The nose (nasus) consists of the external nose and nasal cavity. The external nasus (nasus externus) is represented by a bone-cartilaginous skeleton in the form of a pyramid (Fig. 1.1), covered with skin. It distinguishes the tip, root (bridge of the nose), back, slopes and wings. Fig. 1.1. Outer nose. a - front view: 1 - nasal bone; 2 - frontal process of the upper jaw; 3 - triangular lateral
  15. Nose injuries
    Damage to the external nose and walls of the nasal cavity are more often observed in men and in children. Injuries to the skin of the nose are found in the form of a bruise, bruising, abrasion, and injury. During the examination, it must be borne in mind that damage often only appears to be superficial in appearance, but actually penetrates more deeply; in such a wound there may be a hardly detectable foreign body;
    The nasal cavity (cavitas nasi) is the initial section of the respiratory tract and, at the same time, the organ of smell. Passing through the nasal cavity, the air either cools, or warms up, moisturizes and purifies. The nasal cavity is formed by the outer nose and bones of the facial skull, divided by a septum into two symmetrical halves. The nostrils are the front openings in the nasal cavity, and through the choanas are the back openings
  17. Syphilis of the nose
    Syphilitic lesions of the nose are currently extremely rare. Primary syphilis of the nose develops when pale treponema penetrates through microscopic lesions of the skin or mucous membrane of the nose (the so-called extragenital route of infection). This is possible as a result of infection by poorly disinfected instruments used in the examination of patients with syphilis, or
  18. Polyps of the nose
    Polyps of the nose is one of the complications of year-round allergic rhinitis. Usually they are localized on the middle nasal concha, around the holes of the maxillary sinuses and ethmoid labyrinth. Polyps are observed in both allergic and infectious rhinitis. Polyps that occur with allergic rhinitis look like whitish or gray, shiny, gelatinous formations. Polyps in chronic
  19. Tuberculosis of the nose
    Tuberculosis of the nose, according to the clinical classification of tuberculosis (1973), is included in the group of tuberculosis of the respiratory system and a subgroup of tuberculosis of the upper respiratory tract. It usually develops in the presence of a tuberculous focus (most often in the lungs). Mycobacterium tuberculosis (Koch's bacillus) penetrate the nasal cavity and its external integument endogenously through the blood and lymph vessels.
  20. Anterior Tamponade
    Purpose: stop bleeding from the middle sections of the nose. Equipment: rubber gloves, tray, napkin, turundo, bandage, bottle with 3% hydrogen peroxide solution, a container with 3% chloramine solution, forceps or tweezers. Prerequisite: the procedure is performed if nosebleeds do not stop after applying a piece of ice to the nose and nose and after pressing the wings of the nose to
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