Whitlow children - a consequence of injuries
Whitlow children - not uncommon, as children often injure hands and feet, playing at home or on the street.Small lesions are the gateway to penetrate the skin infection.As a result of developing infectious and inflammatory process that can progress, spreading to deeper tissues finger, as well as on the hand, forearm and so on.
why a child develops felon
Causes of felon in children are the same as in adults.This small injury fingers or toes, through which penetrates the infection.But in the process of felon in children is also affected by the general condition of the skin immunity and local immunity.It is noticed that the sickly children panaritiums Whitlow - inflammation of the finger develop more frequently than children with strong immunity.
Panaritium an infant baby man, albeit with a little finger - is a rarity.Most often it occurs because of a finger injury during nail cutting.Sometimes, due to the beginning of the felon ingrown toenails, so children are advised to trim your nails in a straight line without cutting corners.Sometimes felon in infants is a result of infection with subungual hematoma, caused, for example, after a child inadvertently pinched finger.
immediate cause of inflammation is infection, most commonly Staphylococcus aureus or Streptococcus, some species - pathological microorganisms that can live on the skin of the child.
How does felon children
Infants often develop skin or okolonogtevoy felon.Cutaneous felon - a purulent lesion in the skin beneath the epidermis.On the finger of a child is formed flat bubble with serous, purulent or bloody content.It can be located as in the palm and on the back surface of any of the phalanges.The bubble can take the whole phalanx around him formed a small cushion in the form of swollen reddened skin.
First felon can not disturb the child, but as the appearance and accumulation of pus there is pain.
Severe pain and inflammation can reduce appetite, regurgitation, the appearance of loose stool.The child does not sleep well, it becomes very excitable, sometimes he climbs a slight fever.If joins the nearby lymph nodes inflammation (lymphadenitis), the temperature may rise to high numbers, while deteriorating the overall condition of the child.
not less frequently develops in children okolonogtevoy felon - paronychia.When this inflammation is localized in the thickness of the nail cushion in a lateral portion thereof, over the root or throughout the roll.The skin in the affected area swells, turns red, with pressure from the roll may appear pus.
surface types felon in children is relatively rare move in the deep - most parents promptly seek medical attention.However, we can not exclude the development of bone felon bone felon - osteomyelitis phalanges osteomyelitis or even in young children.The fact that the transition to the bone surface felon first is transparent, it can not be seen on X-rays, even earlier than two weeks after getting the infection in the bone.
And since small children are not fully formed by the immune system, such complications will develop very quickly and be severe.Therefore, surgeons have a rule: if the surface felon does not pass within 1.5 weeks after surgery, it should be considered as deep.
How to treat
In no case can not be treated felon children on their own, only when prescribed by pediatric surgeon.The fact that the initial step felon, when no pus, can be treated by conservative methods, including by means of thermal procedures.
But when the process moves into the stage of suppuration, the treatment felon felon Treatment - means available in children can only be operative, heat treatments at this stage is absolutely contraindicated - pus can get into the heat of the expanded blood vessels and spread throughout thebody.In children, it is especially dangerous because the child's body is prone to generalization (spread on the whole body) of any pathological process.
Conservative treatment includes immobilization of the affected limb (superimposed longetka), conducting thermal procedures and if necessary - antibiotics.From thermal treatments often do baths for hands and feet with a 2% solution of soda (a teaspoon of baking soda in a glass of warm water).The procedure lasts about 10 minutes, then to the site of inflammation may be applied to any antibiotic ointment (e.g., erythromycin).
If conservative treatment fails, inflammation increases, there is pus, then surgical treatment - inflammatory center opened, remove the pus from it, washed with antiseptics and insert drainage, which is removed only after the wound stops pus.
Whitlow children - it is very dangerous, so treatment should begin as soon as possible.