Preview

Acta Biomedica Scientifica

Advanced search

SIGNIFICANCE OF BLOOD INDICES IN DIFFERENTIAL DIAGNOSTICS OF STREPTOCOCCAL INFECTIONS OF SOFT TISSUES

Abstract

The retraspective analysis of blood indices of 524 patients with vanous forms of stæptococcal infections of soft tissues was earned out. 282 of them had erysipelas and. cellulitis, 110 had a purulent cellulitis (erysipelas phlegmoneuse), 321 had necrotizing fasciitis and. myositis. It is established, that at the development of necrotizing fasciitis and. myositis levels of bilirubin rnea intermediate mass molecules increase in blood, activity of alkaline phosphatase increases and the levels of the cm.de protein and albumin decrease. At the development of erysipelas and. cellulitis these indices were within normal values. Therefore these indices can be used for differential diagnostics of deep and. supeficial forms of streptococcal infections of soft tissues.

About the Author

A. P. Frolov
Irkutsk State Medical University
Russian Federation


References

1. Ряпис Л.А., Беляков В.Д. Инвазивная стрептококковая инфекция группы А // Ж. микробиол. - 1996. - № 1. - С. 96-100.

2. Тотолян А.А., Малеев В.В. Современные проблемы стрептококковой инфекции // Ж. микробиол. - 1996. - № 2. - С. 117-120.

3. Хирургические инфекции мягких тканей. Российские национальные рекомендации / Под. ред. В.С. Савельева. - М., 2009. - 89 с.

4. Ahrenholz D.H. Necrotizing soft-tissue infections // Surg. Clin. North. Am. - 1988. - Vol. 68, N 1. - P. 199-214.

5. Bailey E., Kroshinsky D. Cellulitis: diagnosis and management // Dermatol. Ther. - 2011. -Vol. 24, N 2. - P. 229-239.

6. Bisno A.L. Stevens D.L. Streptococcal infections of skin and soft tissues // N. Engl. J. Med. - 1996. -Vol. 334, N 4. - P. 240-245.

7. Bonnetblanc J.M., Bédane C. Erysipelas: recognition and management // Am. J. Clin. Dermatol. - 2003. - Vol. 4, N 3. - P. 157-163.

8. Caetano M., Amorin I. Erisipela // Acta Dermatovenerol. Alp. Panonica Adriat. - 2007. - Vol. 16, N 3. - P. 123-127.

9. Erysipelas: a common potentially dangerous infection / R. Celestin, J. Brown, G. Kihiczak, R.A. Schwartz + // Acta Dermatoven. - 2007. -Vol. 16, N 3. - P. 123-127.

10. Erysipelas and cellulitis: a retrospective study of 122 cases / J. Concheiro, M. Loureiro, + D. Gonzalez-Vilas [et al.] // + Actas. Dermosifiliogr. -2009. - Vol. 100, N 10. - P. 888-894.

11. Necrotizing fasciitis / J.M. Bellapianta, K. Ljungquist, E. Tobin, R. Uhl + // J. Am. Acad. Orthop. Surg. - 2009. - Vol. 17, N 3. - P. 174-182.

12. Prognostic factors in necrotizing fasciitis and myositis: analysis of 16 consecutive cases at a single institution in Switzerland / U.M. Rieger, C.Y. Gugger, J. Farhadi + [et al.] // Ann. Plast. Surg. - 2007. -Vol. 58, N 5. - P. 523-530.

13. Swartz M.N. Clinical practice. Cellulitis // N. Engl. J. Med. - 2004. - Vol. 350, N 9. - P. 904-912.

14. Trent J.T., Kirsner R.S. Necrotizing fasciitis // Wounds. - 2002. - Vol. 14, N 8. - P. 284-292.


Review

For citations:


Frolov A.P. SIGNIFICANCE OF BLOOD INDICES IN DIFFERENTIAL DIAGNOSTICS OF STREPTOCOCCAL INFECTIONS OF SOFT TISSUES. Acta Biomedica Scientifica. 2012;(4(1)):126-130. (In Russ.)

Views: 450


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2541-9420 (Print)
ISSN 2587-9596 (Online)