Perianal streptococcal cellulitis

Perianal streptococcal cellulitis yog mob ntawm lub qhov quav thiab lub qhov quav. Tus mob yog tshwm sim los ntawm tus kab mob streptococcus.

Feem ntau Perianal streptococcal cellulitis feem ntau tshwm sim rau cov menyuam yaus. Nws feem ntau tshwm sim thaum lossis tom qab qa caj pas, nasopharyngitis, lossis streptococcal tawv nqaij (mob ua paug).

Cov tawv nqaij nyob ib ncig ntawm lub qhov quav yuav kis tau zoo thaum tus menyuam yaus so ntawm thaj tsam tom qab siv tsev dej. Qhov kis tau tuaj yeem tshwm sim los ntawm kev khawb ntawm thaj chaw nrog cov ntiv tes uas muaj cov kab mob los ntawm qhov ncauj lossis qhov ntswg.

Cov tsos mob tuaj yeem suav nrog:

• Ua npaws
• Khaus, mob, lossis los ntshav nrog txoj hnyuv taw
• Liab ncig lub qhov quav

Tus kws kho mob yuav kuaj xyuas tus menyuam thiab nug txog cov tsos mob.

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Lub cev swab kev lis kev cai
• Tawv kab lis kev cai los ntawm qhov chaw mob
• Caj pas kab lis kev cai

Cov mob sib kis tau kho nrog cov tshuaj tua kab mob rau txog 10 hnub, nyob ntawm seb lawv puas ua haujlwm thiab sai npaum li cas. Penicillin yog qhov feem ntau siv tshuaj tua kab mob hauv menyuam yaus.

Cov tshuaj pleev tau tuaj yeem siv rau ntawm daim tawv nqaij thiab feem ntau siv nrog lwm cov tshuaj tua kab mob, tab sis nws yuav tsum tsis yog kev kho mob nkaus xwb. Mupirocin yog hom tshuaj siv pleev rau cov mob no.

Cov menyuam yaus feem ntau nws yuav rov zoo sai dua nrog tshuaj tua kab mob. Nws yog ib qho tseem ceeb uas yuav tau hu rau koj tus kws khomob yog tias koj tus menyuam tsis zoo sai dua ntawm cov tshuaj tua kab mob.

Teeb meem tsis tshua muaj, tab sis tej zaum yuav suav nrog:

• Qhov quav, qhov fistula, lossis ua qog ntshav
• Los ntshav, tawm
• Cov hlab ntshav lossis lwm yam mob streptococcal (suav nrog lub plawv, pob txha, thiab pob txha)
• Kab mob hauv lub raum (mob glomerulonephritis)
• Cov tawv nqaij hnyav thiab cov nqaij mos muag kab mob (necrotizing fasciitis)

Hu rau koj tus menyuam tus kws kho mob yog tias koj tus menyuam yws yws tias mob qhov quav, mob plab hnyuv, lossis lwm cov tsos mob ntawm tus mob hnoos qeev.

Yog tias koj tus menyuam noj tshuaj tua kab mob rau qhov mob no thiab thaj chaw ntawm liab yuav mob heev dua, lossis qhov tsis xis nyob lossis kub taub hau tau nce, hu rau koj tus kws kho mob sai.

Kev ntxuav tes zoo yuav pab tiv thaiv qhov no thiab lwm yam kev kis mob los ntawm cov kab mob nqa hauv lub qhov ntswg thiab lub qa.

Txhawm rau tiv thaiv qhov mob rov qab los, nco ntsoov koj tus menyuam ua tiav txhua yam tshuaj uas cov kws kho mob sau.

Streptococcal proctitis; Proctitis - mob ntsws streptococcal; Mob qog nqaij hlav Perianal streptococcal dermatitis

Paller AS, Mancini AJ. Cov kab mob, mycobacterial, thiab tiv thaiv kab mob ntawm daim tawv. Hauv: Paller AS, Mancini AJ, eds. Hurwitz Tshuaj Pab Rau Cov Neeg Mob Lub CevCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2016: chap 14.

Shulman ST, Reuter CH. Pawg A streptococcus. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: cha 210.