AWE series of deaths because of the dirty water

Photos and history of the right hand, legs necrosis due to Aeromonas Hydrophila bacteria infection of patients P.V. T (male, age 40, addresses in the Pacific).

The most recent (4/7/2014) hospital of tropical disease in patients receiving Central N.H. V (female, age 45, address in Hanoi) in a State of shock the toxic infection, organ dysfunctions (renal failure), blood clotting disorders. Foot, and forearm are swollen and necrotic. Before 3 days patients with bee sting on mu right hand and has wound wash hands under the drain dirty water. After 3 days then appear swollen right hand and mu have mild fever. The next day, the pain appears 2 calf and knee.

Treatment at a local hospital one day then swollen calf injury side progressed quickly, the skin turns purple green and necrosis. The patient fell into a State of shock heavy poisoning infections. Then be transferred to the Central Hospital of tropical diseases to treat. We are awaiting the results of blood and transplanted injury epidemic transplants find bacteria.

The photos hurt the swollen right foot stretch due to necrosis, infection of Aeromonas Hydrophila bacteria of N.H. patients V (female, age 45, address in Hanoi)

Earlier, on 22/5/2014 T P.X. patients (male, 35 years old, address in BAC Giang Province) were scratches in the instep P, then go to Wade dirty water, 4 days later appear swollen foot cằng P and table region, the disease rapidly happenings into full foot P cằng necrosis, and there are many other necrosis on the swollen region of the body the patient, quickly go into shock condition severe poisoning infection, kidney failure, blood clotting disorders. Implantation bleeding see Aeromonas Hydrophila bacteria grows. Patients treated for 6 days in the Hospital of tropical diseases but not central escape shock. The family please stop treating patients brought home.

The photos hurt the swollen and necrotic feet due to Aeromonas Hydrophila bacteria infection of patients P.X. T (male, 35 years old, address in BAC Giang Province)

To the same period last year, the patient P.V. T (male, age 40, in the Pacific) was transferred to the Hospital of tropical diseases on Central 12/04/2013. Before entering the hospital 4 days, patients go catch fish being fish quota crashing into mu right hand (took out the fish quota) and eat live oysters. After 1 day, mu right hand swollen, hot, red, and patients with mild fever. On Monday a higher fever, swollen lesions spread up the arm, and 2 side calves also swelling and soreness.

On Tuesday, after being stabbed fish quota, patients have manifested li packs, the swollen calf hurt 2 manifests purple Green Party. At the local hospital in reciprocal shock toxic infection, skin necrosis, and many have adapted over the swollen lesion region. P.V. T patients were treated in hospital ICU Central tropical disease on 45 by breathing air, vasoconstrictor (raising blood pressure), antibiotics, blood filters and filter-cutting held necrotic many times. After recovery, the patient was transferred to the national Burns Institute for skin patch.

Experience the initial clinical diagnosis

Besides heavy infections related to Aeromonas Hydrophila bacteria, which in recent years appeared the severe infection involving bacteria Streptococcus suis (pig Streptococcus) with characteristics very similar to the infection diseases related to Aeromonas Hydrophila. But this infection type 2 has different handling.

While the results the translate implantation the lesion and/or implantation bleeding is not always immediately possible or for positive results. So, to have the correct diagnostic orientation and avoid to leave heavy sequelae, even death due to late treatment and/or the wrong direction. Through examination and treatment experience, doctor Nguyen Van Intermediate (Vice Dean of the ICU, hospital Central, tropical diseases) has launched a number of characteristics of skin lesions to help distinguish 2 types of this infection quickly.

Characteristics of skin lesions

Streptococcus am

Aeromonas Hydrophila

Location of lesion

The outer side arm, forearm. The front thigh, gastrocnemius

Cheek, ear, nose

Location of wound contamination

Behind (calf)

The high: legs, legs, feet, hands back

A depth of hurt

Injury to the upper DermIS

Skin necrosis and held under the skin

Evolution of the lesion

Ban pink Lotus petals pitches dotted format, evolving spread of links into the array, and then gradually the purple-black necrosis, dry, scaly flaking skin into healthy recovery

Deep Purple each array from the beginning, bong corneum into the water, swollen software simulations under the skin, wet necrosis, destroying the entire skin and held under the skin, when recovered from the scars

Sign comes

Most have a dry necrosis circuit contraction early chi

At least there are rules the circuit deep necrosis of head chi

The photos hurt the edema and necrosis of the skin feet: A-Streptococcus suis; B-Aeromonas Hydrophila

The image position/direction hurt edema and skin necrosis: A-Streptococcus suis; B-Aeromonas Hydrophila

The picture the ban lesions on the scalp necrosis: A-Streptococcus suis; B-Aeromonas Hydrophila

Pictures of skin edema, lesions and vascular occlusion: A-Streptococcus suis; B-Aeromonas Hydrophila

How early detection, prevention and treatment of acute necrotic desert scales

Inflammation is necrosis desert?

Opening balance inflammatory necrosis (necrotizing fasciitis) is an infection caused by bacteria. It can destroy the skin, fat and the tissue covering the muscle in a very short time. The disease is sometimes called the "meat-eating bacteria". When the disease occurs on the genitals, it is also called Fournier gangrene. Worse, bacteria (especially Aeromonas Hydrophila) can cause inflammation and necrosis of muscle necrosis desert (myonecrosis).

Inflammation less necrosis desert encounter but serious. The mortality rate due to this infection is very high. Many people still trapped inflammation even necrosis desert when in good health before disease infection.

The risk factors for this infection is higher if:

-Have weak immune systems

-Have the chronic health problems such as diabetes, cancer, or liver or kidney disease

-There are cuts on the skin, including the wounds caused by surgery

-Incidence of New infection or chickenpox viruses cause rashes

-Use of steroid drugs, it can reduce the body's resistance to infection.

Causes inflammation causing necrosis desert?

Inflammation caused by necrosis desert of many types of bacteria. Some of these bacteria can also cause other infections such as pharyngitis caused by Streptococcus and skin infections (Impetigo).

Usually the infections caused by these bacteria are mild. But in some rare cases could cause dangerous infections than bacteria, Aeromonas Hydrophila, especially can cause very severe infections (inflammation and necrosis of muscle necrosis desert).

You can balance the inflammatory disease gangrene desert when the bacteria invade wounds, such as from insect stings, cuts, burns or cuts on the skin. You can also get infected in the circumstances:

-Wounds exposed to sea water, salt water, fish or oysters live, including those hurt from the handling of the marine animals such as crabs.

-Location of gastrointestinal surgery, or in the tumor, or gastrointestinal damage caused by bullets.

-Muscle tension or bruising, even without tearing the skin.

The bacteria cause inflammation desert necrosis can be transmitted from person to person through close contact, such as touching the wound of people infected. But this scenario rarely occurs unless the person exposed or exposed to bacteria that have open wound, suffered chickenpox, or immune system vulnerable.

What are the symptoms?

The symptoms usually appear suddenly following an injury. You may need medical care right away if you see pain in trauma is or has improved over the last 24-36 hours, but then suddenly the pain increase again and becomes worse. The pain may be worse than the size or scope of the wound or injury. You can also have the following symptoms:

-The skin red, swollen, and hot to the touch sensation in the trade tỏn

-Fever and malaria spikes

-Nausea and vomiting

-Diarrhea

The infection can spread very quickly. It can be rapidly life-threatening. You can fall into a State of shock and poisoning infection have hurt the skin, subcutaneous tissue, and covered around the body (this damage is called necrotic), or even muscle necrosis. Opening balance inflammatory necrosis can lead to organ failure and death.

Inflammation was diagnosed with gangrene desert like?

Your doctor will diagnose your infection based on the symptoms appear suddenly and how the infection spreads. Infected tissue can be retrieved to do tests (isolated) bacteria. You may also need x-rays, computerized tomography (CT), or magnetic resonance (MRI) to look for work or damage to learn as well as reviews of the infection has spread to the extent.

The disease is treated like?

The early treatment of acute necrotic desert weight is very important. Treated as soon the ability to recover and avoid severe complications such as limb amputations or death. You can be treated in the Emergency Department, Department of infectious disease, resuscitation or other aggressive resuscitation departments in the hospital.

The treatments include:

-Surgery (cut filter) to remove tissue and room infested to prevent the spread of infection. Surgery is almost always necessary. Most patients need surgery several times to control the infection. Amputation or the removal of organs that can be done to save the lives of patients, depending on the level of severity of infection and the infection has spread to.

-Treatment drugs (antibiotics): antibiotics can kill the bacteria causing the infection

-Resuscitation measures to treat complications such as shock, respiratory failure, poisoning and organ failure

-High pressure oxygen therapy: this therapy can help prevent the loss of bonus/destroy tissue and promote healing

Can apply preventive measures if you stay near the infected or you have risk factors for the disease?

Very rare necrosis mucosa inflammation. Bacteria generally do not cause infection unless they penetrate the body through cuts or laceration of other skin lesions.

If you have close contact with people suffering from inflammation, necrosis desert doctors can prescribe antibiotics for you to help reduce the risk of infection. If you notice any signs of infection (such as pain, swelling, redness, or fever) after close contact with a person suffering from inflammation, necrosis desert please go see a doctor immediately.

To help prevent any type of infection, wash your hands often. And always keep the wounds on the skin such as cuts, scrapes, Burns, ulcers, and traces of burning ... clean.=