Periporitis of the infant L02.8
Synonym(s)
disseminated hidrosadenitis multiplex; Hidrosadenitis multiplex disseminated; Multiple sweat gland abscesses of the infant; Staphylodermia sudoripara suppurativa; staphylodermia suppurativa disseminata; Sweat gland abscesses eccrine; Sweat gland abscesses of infants multiple
History
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Son of Jada, Joseph
Definition
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Acute staphylococcal infection of the eccrine sweat glands.
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Pathogen
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Staphylococcus aureus.
Etiopathogenesis
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Penetration of the pathogens via the ostia of the eccrine sweat glands, possibly haematogenic.
Manifestation
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Weakened or dystrophic infants.
Localization
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Mostly head, back, buttocks.
Clinic
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Superficial pustules (periporitis) next to red, hazelnut to cherry-sized, deep-seated, fluctuating, livid-red nodules with central breakthrough of a pus accumulation.
Histology
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Leucocyte inhibition of the eccrine sweat glands. Intraepithelial pustule, leukocytes, staphylococci.
Complication(s)(associated diseases
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Phlegmon-like processes, fistula formation.
External therapy
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Bandages with disinfectant creams such as 0.5% clioquinol cream/ointment(Linola-Sept, R049 ).
Internal therapy
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Antibiotics after antibiotic treatment. Since some staphylococci are resistant to penicillin, the initial therapy must be chosen carefully. Penicillinase-resistant penicillins such as dicloxacillin (e.g. InfectoStaph) or cephalosporins such as cefotaxime (e.g. Claforan) are suitable.
Operative therapie
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Surgical procedure may be necessary (abscess splitting).
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Incoming links (7)
Clioquinol cream 0.5-2% (o/w); Hidrosadenitis multiplex, disseminated; Pustule; Staphylodermia sudoripara suppurativa; Staphylodermia suppurativa disseminata; Sweat gland abscesses, eccrine; Sweat gland abscesses of infants, multiple;Outgoing links (9)
Antibiogram; Antibiotics; Cefotaxime; Cephalosporins; Clioquinol; Clioquinol cream 0.5-2% (o/w); Penicillin; Pustule; Sweat gland;Disclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.
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Prof. Dr. med. Peter Altmeyer