Home >> Diseases Of Children >> Intestinal Bacteria to Neoplasms And Parasites Of >> Multiple Abscess of the

Multiple Abscess of the Skin

abscesses, sulphur, affection, children and yellow

MULTIPLE ABSCESS OF THE SKIN multiplex infanturn, dermatitis folli culosa (Steiner), dermatitis phlegmonosa (Baginsky), circumscribed phlegmon of the superficial fascia (Bohn).

The multiple abscesses of the skin are an affection peculiar to the nursing period; they are not connected with the follicles, but are ab scesses of the superficial fascia which by reason of their slight inflam matory manifestations and their clinical course totally differ from furuncles.

Clinical the newborn, and as a rule in poorly nour ished atrophic or tuberculous children, whose skin is flabby and atrophic, facilitating the entrance of inflammatory agents, we often see very numerous skin abscesses occurring in paroxysms singly or in groups. There may be many hundreds of them, situated at the back, neck, mites, scalp, upper arms and thighs, and also diffuse over the entire body. The skin over the abscesses is pale or highly, hypermic, the abscesses fluctuate, filially break open or have to be incised. Their size varies between that of a pea and a hen's egg, they may even give rise to phlegmonous and gangrenous inflammations. Immediately after the ineision they sink in. The pus they contain is yellow or yellow ish green, and has a peculiar odor. The affection generally passes off without fever or possibly with very slight elevation of temperature, and is met with not only in impoverished nurslings, but in isolate(' eases also in healthy, well developed children. Occasionally eomplications ntay occur (gastro-enteritis, bronchopneumonia), but their eonnection has not yet been demonstrated.

doubt the abscesses are caused by micro organisms, in all probability by the staphylocoeeus pyogenes amens. Renault found it fifty times in fifty cases, 'Hulot ten times in ten eases.

Aside from this coccus, streptocoeci have been demonstrated and also eoli bacilli in the region of the anus. 'Whether the microorganisms come from without or whether there is a possibility of an internal in fection (hematogenously, by the intestinal tract, through the milk?) is as yet an open question. Even Escherieh's opinion that the infeetion was transmitted by the sweat-glands does not seem to cover all cases.

prognosis generally is good under sufficient e»ergy and attention, provided the children are not too poorly nour ished and have not suffered too long from the abscesses. In severe cases, when the affection becomes chronic and fresh paroxysms con tinue to occur, the patients filially succumb to sepsis or some compli cation in consequence of nutritive disorders.

treatment has to pay attention to the regulation of the diet and nutrition so as to improve the general condition and to prevent the spreading of the ulceration by keeping the skin clean, especially by washing with sulphur soap and giving regular sulphur baths (the best are made with 30-50 Gni. of Idemingkx' solution). The regular change of the body linen is of speeial importance. The furuneles should be opened as early as possible, and as many as possible every day. After the incision which should be as small as may bc con sistent, the child should be immediately put into a bath. Neisser makes the incision while the child is in the bath and has been very suc cessful with this method. The healing of the abscesses should be accele rated by sulphur ointments and sulphur pastes, while the skin and the neighborhood of the abscesses should be kept clean by washing with spirits of benzine.