Abscess

Abscess's disease overview

What is

abscess?

abscess is the name of an infection organization, localized into a soft mass, which is filled with pus made of bacteria, leukocytes and debris. The abscess is easily recognized clinically with the following characteristics: is a soft, hunting mass, the skin of the abscess is usually hot, red, swollen, touching pain. Some other symptoms can be seen clinically depending on the position of the abscess.

Abscesses can form all over the upper areas of the body. Divided into 2 main groups:

Abscess in subcutaneous tissue: pimples, juniors are the most common form. The most common location is the armpit due to the infected pores, the vagina due to the infected vaginal gates, the skin of the bone and the coccyx cause the abscess of the buttocks, around the teeth causing tooth abscess.

abscess inside the body: The abscess occasionally forms the inside of the body, right at the tissue of the organs such as liver abscess, brain abscess, kidney abscess, breast abscess, ... or in About between them.

Causes of Abscess's disease

Infection is the most common direct cause of abscess. The infection agents include:

  • Bacteria: Bacteria enter the subcutaneous tissue or excretory glands, causing inflammatory reactions, activating intermediate chemicals and white blood cells. The clogging of the sweat glands and sebaceous glands is a favorable condition for bacteria to invade and grow. The body's immune system against bacteria produces a liquid called pus, contains many bacteria and white blood cells. Staphylococcus aureus is the highest proportion of bacteria in many regions of the world, causing abscess under the skin, spinal hust abscess.
  • Parasites: This agent is more common in developing countries, including types of worms, liver, liver fluke, ... they often cause abscess on the side. In the body of the body such as liver abscess due to liver fluke.

    • Symptoms of Abscess's disease

    Clinical manifestations of abscess are quite specific, including:

  • Absorbing abscess under the skin: Observe a bulging mass, the skin covers the red abscess, swelling of the surrounding skin, when touching it feels hot, painful, hunting Due to the internal pus. The pain of pain in the abscess is due to the pressure in the abscess. When infection spreads deeper tissues, patients may have fever, fatigue.
  • Abscess inside the body: Classification of deep abscess. The patient has a systemic symptom such as high fever, chills, chills, dry lips, dirty tongue. The whole body is tired, exhausted, emaciated. Depending on the location of the abscess, clinically may experience other symptoms such as high fever, pain in the lower right flank in the liver abscess.

    • Transmission route of Abscess's diseaseAbscess

    Abscesses can be transmitted by pathogens spread from patients to healthy people. The specific transmission line varies according to each specific cause.

    People at risk for Abscess's disease

    Those who have the following characteristics capable of forming abscesses higher than others:

  • Hygienic living conditions

    • Continued contact with people with skin infections

  • Thin, exhausted, poor resistance

    • Alcoholism and drug addiction

    Diseases such as diabetes, cancer, AIDS, ulcerative colitis, Crohn's disease

    Blood diseases such as sickle cell disease, leukemia

  • Severe injury
  • For prolonged use of corticosteroids, intravenous drugs
  • In chemotherapy

    • Prevention of Abscess's disease

    Abscess can be prevented by the following measures:

  • Advanced and improved habitat
  • Good personal hygiene
  • Fully eaten nutrients
  • regular exercise
  • Building a healthy lifestyle, strengthening the immune system
  • Wash your hands regularly with soap, especially after contact with patients or waste of patients.
  • Do not abuse alcohol and use drugs

    • Compliance with good treatment for infections, systemic diseases such as diabetes

  • see a doctor when there are abnormal symptoms, not arbitrarily treated, to avoid lesions spreading and more severe.

    • Diagnostic measures for Abscess's disease

    The diagnosis of subcutaneous tissue abscess is usually done easily by clinical examination with manifestations of swelling, heat, redness, pain covering the abscess.

    For abscesses inside the body or internal abscess, clinical symptoms such as high fever, chilling, pain, the area of ​​the abscess that is only suggested. Determined diagnosis requires the support of subclinical tests and diagnostic means, including:

  • Blood formula: Rising leukocytes, multi -neutral white blood cells
  • Testing shows inflammatory reactions in the body: blood sedimentation speed, fibrinogen and globulin increases. Quantitative Cellation C Protein

    • (CRP) is a high accuracy test that allows detection of status

    Inflammation, infection in the body sooner.

  • Positive blood culture

    • Ultrasound is very useful in cases of deep abscess such as abscess in the liver, bile, thigh muscles, lumbar muscles

  • CT scan, MRI detects the abscess images in organs such as liver abscess, lungs
  • Biopsy

    The diagnosis of subcutaneous tissue abscess is usually done easily by clinical examination with manifestations of swelling, heat, redness, pain covering the abscess.

    For abscesses inside the body or internal abscess, clinical symptoms such as high fever, chilling, pain, the area of ​​the abscess that is only suggested. Determined diagnosis requires the support of subclinical tests and diagnostic means, including:

  • Blood formula: increased leukocytes, multi -neutral white blood cells
  • Testing shows inflammatory reactions in the body: blood sedimentation speed, fibrinogen and globulin increases. Quantitative Cellation C Protein

    • Inflammation, infection in the body sooner.

  • positive blood cultivation

    • Ultrasound is very useful in cases of deep abscess such as abscess in the liver, bile, thigh muscles, lumbar muscles

  • CT scan, MRI detects the abscess images in organs such as liver abscess, lungs
  • Biopsy
  • (CRP) is a high accuracy test, allowing detection of status

    • Abscess's disease treatments

    A abscess, if not treated, will progress worse with increased size, more pain, invasive to the surrounding tissue, eventually breaking. Abscesses in subcutaneous tissue may break into the skin and discharge outwards, some cases also create detectors, destroy a deep tissue area, making it difficult for later treatment. The abscesses in the body can also break into the peritoneal, causing local peritonitis or the whole, worse can lead to blood infections.

    The treatment of abscess depends on many factors, the most important of which is the classification of agricultural abscess or subcutaneous tissue abscess and abscess deep inside the organs.

  • For subcutaneous tissue abscesses, effective treatment is the pus drainage incision out. Some studies prove that the use of combination with antibiotics is not effective. At the end of the fluid, the doctor may insert the gauze to stop the bleeding and wound the wound. Some cases of small shallow abscess may flow and dry out without any intervention. Common painkillers such as paracetamol, aspirin can be prescribed in sensitive patients.
  • For deep abscesses, surgical interventions such as incisions, abscess drainage need to be coordinated with antibiotics. Antibiotics should be used according to antibiotic results, early and full dose. Pus drainage is usually done under the guidance of imaging means such as ultrasound. Treatment of symptoms such as fever, pain and physical improvement, water and electrolytes should also be conducted in parallel.

    • Need to remove the object inside the abscess if any.

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