Causes, symptoms, treatment of adenophlegmon
Adenophlegmon is an acute purulent process of a diffuse nature, which develops in the subcutaneous fatty tissue directly near the lymph nodes. Patients with this diagnosis are supervised by dental surgeons and maxillofacial surgeons. One of the most frequent types of pathology is adenophlegmon of the submaxillary area.
Causes of pathology development
The formation of an acute purulent process in the subcutaneous fat layer near the lymph nodes can be provoked by a significant decrease in immunity. If there is inflammation of the lymph node directly, then there is a delay in the outflow of lymph and an increase in the permeability of blood vessels.
Adenophlegmons develop as a result of transient inflammatory processes of any localization. Often, this pathology is diagnosed against the background of malignant tumors, some types of dermatitis, dental pathologies with a chronic course, inflammation of the tonsils.
Diagnostics is aimed not only at detecting adenophlegmon, but also at finding out the cause of its occurrence - the medical tactics for this pathology depends on this.
Symptoms of different types of adenophlegmon
Symptoms depend on where the adenophlegmon developed:
- With submaxillary adenophlegmon, the body temperature rises, swallowing may be difficult, problems with speech arise, swelling is formed in the affected area, redness of the skin and tenderness when probing is observed.
- At adenophlegmon of the neck, the symptoms are manifested only with a critical accumulation of coccal microflora in the tissues of the front or side of the neck. There is an increase in body temperature, pain when probing the neck, redness of the skin, but swelling may be absent.
- With inguinal adenophlegmon, the clinic develops against the background of an inflammatory process in the genitourinary system. This type of adenophlegmon is characterized by a rapid progression, while the patient experiences severe pains, due to which he cannot move. There are also signs of general intoxication of the body.
- In case of adenophlegmon of the inguinal region, symptoms most often occur in open wounds of the upper extremities. The signs are pronounced: an increase in regional lymphatic vessels, deterioration of the general condition (including an increase in body temperature).
The symptoms of different types of pathology are similar, the differences are only in the location of the impression. If adenophlegmon has occurred in children, loss of appetite, increased drowsiness, lethargy, lack of interest in games and others will be noted.
Treatment of adenophlegmon
The solution to the problem is to carry out complex treatment:
- under local anesthesia or general anesthesia, a purulent center is dissected;
- he is sanctified;
- install drainage without suturing the wound;
- apply a sterile bandage with a mandatory change once a day.
In the treatment of adenophlegmon, antibiotics are used - not only in the form of tablets or injections, but also locally, for washing the abscess cavity. With timely application for qualified medical assistance, the prognosis is favorable. But we must not forget that there is a high risk of developing sepsis.
Information about the cases in which adenophlegmon of the floor of the mouth develops and what features of treatment of the disease you need to know can be found on our website https://dobrobut.com/.
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