Infectious diseases

Gas gangrene

Gas gangrene is an acute infectious disease, the most dangerous complication of wounds of any kind. In most cases, predisposing factors include gunshot and shrapnel wounds with significant injuries, and extensive crushing of tissues. In addition, often gangrene begins at complex open fractures. Gas gangrene was common during the war, as in open wounds easily penetrated pathogens, such as the ground. However, anaerobic gangrene may begin in the respiratory tract or digestive tract. In addition, the transfer is possible using an infected syringe. Gangrene can result from an abortion performed professionally conducted without good hygiene requirements. Gas gangrene is an infectious disease, which must be reported to the appropriate authorities.

Symptoms

  • Warning of some viral diseases is the active immunization:
  • Sharp pain wounds.
  • Swelling.
  • On palpation of the wound edges appear crackles.
  • Change the color of the wound and surrounding tissues.
  • Increased body temperature.
  • Collapse. Shock.

Causes

Gangrene is caused by clostridium – anaerobic bacteria that can live without oxygen. Clostridia form spores, which for a long time can remain viable in the soil. Anaerobes multiply only in the oxygen-free conditions, so a greater threat in the presence of extensive and deep wounds. Ideal habitat of these bacteria is the fabric of the human body, which contains large amounts of proteins and carbohydrates. Bacteria rapidly mature and begin to produce toxins that destroy tissue and blood cells.

Treatment

Treatment consists of dissection wound and removes dead tissue. The wound is not tied to it could do oxygenated air, which destroys pathogens anaerobic gangrene. The patient was prescribed large doses of antibiotics. Serotherapy is also used in the treatment of gas gangrene. In addition, measures are being taken to restore the fluid and electrolyte balance.

Self-treatment of the disease is not allowed.

When should you see a doctor? Any, even the small wound specialist should inspect. If the affected area swells, becomes painful or changes color, you need to see a doctor immediately.

Gas gangrene is easy to recognize by their characteristic symptoms. Sowing of biological material on the medium is performed to determine the causative agent. Sometimes experts conduct experiments on guinea pigs. Then the doctor prescribes medication or the patient is in the hospital.

Course of the disease

The incubation period of gas gangrene lasts 1-2 days. The disease begins with a crushing pain in the injured area. The wound looks dry and changes its color – it gets gray, and sometimes black. Discharge of yellow-brown in color with an unpleasant odor and gas bubbles. The skin around the wound changes color. First it light yellow, and then becomes yellow-green or copper color. Affected area swells. With pressure on the wound doctor can determine the gas crunch. The patient complains of severe pain in the wound bursting, his condition is deteriorating rapidly. The body temperature rises, the mind confused. Against the background of severe intoxication jaundice occurs, possible collapse and septic shock. Jaundice is a harbinger of impending death.

Is it dangerous?

If untreated, the mortality rate is very high.

Hyperbaric oxygen therapy

In the early stages of gangrene hyperbaric oxygen therapy is effective. Being in a special chamber, the patient breathes oxygen, as a result, oxygen content in the blood increases.