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Inflammation of lymph nodes in the groin: causes and treatment, photo
Inflammation of the lymph nodes in the groin (lymphadenopathy) is a disease that leads to a change and disruption of the normal operation of the lymph nodes to protect the body, primarily from infectious agents. Inflammable nodes may be of different anatomical region, simultaneously, the corresponding lymphatic vessels can be affected.
The common cause of inflammation of the inguinal lymph nodes in women is the ingestion of a pathogenic microorganism. The ways in which the infection enters the lymph node can be divided into "external" and "internal".
The external path involves the presence of damage to the skin (wounds or scratches) through which the infection enters the blood. The internal pathway is the reaction of the lymph node to a disease in which the infectious agent has entered the bloodstream in a different way (for example, through the airways or with unprotected sexual contact).
- Причины воспаления паховых лимфоузлов 1 Causes of inflammation of inguinal lymph nodes
- Симптомы воспаления лимфоузлов в паху, фото 2 Symptoms of inflammation of the lymph nodes in the groin, photo
- Особенности воспаления паховых лимфоузлов у женщин 3 Features of inflammation of inguinal lymphonoduses in women
- К какому врачу обратиться? 4 To which doctor should I apply?
- Диагностика воспаления 5 Diagnosis of inflammation
- Лечение воспаления лимфоузлов в паху 6 Treatment of inflammation of the lymph nodes in the groin
- Прогноз 6.1 Forecast
Causes of inflammation of inguinal lymph nodes
The causes of inflammation of the lymph nodes in the groin in women and men are divided into several groups, each of which has specific diseases leading to this condition:
1. Penetration of infectious microorganisms directly through damage to the skin of the buttocks, legs and feet:
- wounds or scratches due to injuries (including erysipelas) or animal bites (soda);
- skin damage with diaper dermatitis (this is one of the most common causes in childhood);
- furunculosis - inflammation of hair pouches on the skin of the buttocks;
- after BCG vaccination (cases were fixed earlier, when the vaccine was injected into the hip, so now it is allowed to inject only into the shoulder).
2. Diseases caused by viruses or bacteria that enter the body through mucous membranes:
- Infectious mononucleosis;
- Cytomegalovirus infection ;
- Herpes simplex;
- Syphilis ;
- Gonorrhea ;
- Erysipelas inflammation ;
- Inguinal lymphogranulomatosis.
3. Lymphadenitis can also accompany inflammation in the joints and genitals, and oncological diseases.
Symptoms of inflammation of the lymph nodes in the groin, photo
Common symptoms of lymphadenitis in women and men, due to scratches and wounds of the lower limbs, are:
- lymph node enlargement in size (more than 0.7-1 cm);
- sensitivity or soreness in palpation;
- redness of the skin in the area of the inflamed lymph node;
- increase in local and general temperature of varying degrees.
With skin injuries, inflammation of the lymph node on the side of the lesion occurs more often (see photo).
Sodoca (a specific infectious disease) occurs after the bite of rodents, more often by rats. Usually the first symptoms appear 10 to 14 days after the episode, and sometimes on the same day.
The disease develops rapidly. Lymph nodes increase in size to 8 cm, the color of the skin over them is not changed, with palpation there is soreness. The nodes are mobile, rounded, enlarged on the side of the bite. Body temperature can rise above 39 ° C.
Infectious mononucleosis develops when the Epstein-Barr virus enters the body. In this disease, simultaneously with inguinal, there is an increase in other groups of lymph nodes (cervical, occipital). Inguinal lymph nodes become large on both sides, beginning with the first days of the disease. They can reach 2-3 cm.
A characteristic feature are chains of several nodes. When palpation affected, they are dense, mobile, their soreness is negligible.
Changes in the skin over the nodes are not observed, although there may be a small swelling. These signs help to easily distinguish infectious mononucleosis from other causative diseases leading to lymphadenopathy.
Cytomegalovirus infection can have a pattern similar to mononucleosis: nodes are enlarged in groups. But in the case of this infection inguinal lymph nodes in comparison with lymph nodes of other groups increase less noticeably.
Usually they are no more than 1 cm in diameter, single. At palpation - elastic, morbidity moderate, skin of usual color, there is no edema.
Simple type 2 herpes as a cause of lymphadenopathy is characterized by a mild increase in lymph nodes. It can be on one or both sides.
Nodes to the touch are not dense, reminiscent of the consistency of the dough, their mobility is preserved, the soreness is average. Inflammatory signs on the skin and suppuration is not observed.
Borreliosis is characterized by the presence of unilateral inguinal lymphadenitis if the tick bite falls on the lower part of the trunk or thigh area. The size of the enlarged lymph nodes will be on the order of 1-2 cm, so they are easily detected during routine examination.
At a palpation such lymphonoduses mobile and morbid, densely-elastic. The skin above them is normal in color and temperature. Purulent inflammation for this disease is not typical. Simultaneously with the increase in lymph nodes there is a strong reddening at the site of the bite.
With yersiniosis, inflammation of inguinal lymph nodes is rare. Affected may be several adjacent nodes in the groin, as well as lymph nodes of the neck . Their size in an enlarged form is small, about 1.5 cm in diameter.
The palpation reveals a slight soreness, full mobility and elastic consistency.
Inguinal lymphogranulomatosis is a sexually transmitted disease. With it, the incidence of inflammation of the inguinal lymph nodes is very high. There are two possible variants of development:
- if infection is poorly expressed, then lymphadenitis occurs after 1.5 - 2 months;
- if the infection is severe - lymph node enlargement is observed already 7 days after infection.
With this disease, lymph nodes are inflamed on the one hand. A special feature is the development of lymphadenitis in several nodes at once. Their consistency at the beginning of the disease is tight-elastic, they are mobile. Then, the changed nodes are combined into a single conglomerate with a bumpy, uneven surface, which is painful when probed.
Over this conglomerate there is reddening and thinning of the skin. In these places, a breakthrough can occur, and pus will be released through the formed defects. So the fistula (fistula) is formed, for which the chronic course is characteristic.
Erysipelas is a common cause of inguinal lymphadenitis. This is due to the fact that the uterus is most affected by the defeat of the lower extremities.
The consistency of the nodes with this disease will be elastic, their tenderness is pronounced, the mobility is preserved, there is no adhesion to the surrounding tissues. The skin above the lymph nodes is not changed - its temperature and color remain normal.
Syphilis is another cause of inguinal lymphadenitis. If the entrance gates of syphilitic infection are on the genitals, then the enlargement of the lymph nodes in the groin is usually two-sided. This symptom can be identified one week after the onset of the disease.
A feature of this lymphadenitis is the absence of classical signs of inflammation (redness, swelling, severe pain, etc.).
Pathological changes occur immediately in several nodes, one of which is greater than the rest. At palpation the nodes are painless, tight-elastic, mobility is preserved. The increase in size is medium (2-2.5 cm), the shape is oval or round.
From the very beginning, gonorrhea is always accompanied by bilateral lymphadenitis in the groin. Lymph nodes increase to 1.5 - 2 cm in diameter, to the touch are dense, very painful.
Lymphadenitis in gonorrhea is supplemented by inflammation of nearby lymphatic vessels, which, when palpated, have the appearance of sharply painful and dense cords.
Features of inflammation of inguinal lymphonoduses in women
Inflammation of lymph nodes in the groin in women is most often observed with gynecological diseases:
- adnexitis (inflammation of the ovaries and tubes);
- endometritis (inflammatory lesion of the uterus);
- peritonitis (inflammation of the peritoneum covering the uterus and appendages);
- Bartholinitis (inflammation of the glands located in the labia);
- tumors of the genitals (especially in older women).
Most of the above processes occur in a slightly asymptomatic manner in chronic form. A woman often does not pay attention to the first episode of the disease and comes to a specialist in a neglected stage.
However, with due regard to health, the pathological process can be identified at the very beginning. For this, a number of diagnostic tests will be invaluable:
- vaginal examination;
- cytological and histological examination of the obtained materials;
- comprehensive analysis of infection, etc.
Inflammation of the lymph nodes in the groin during pregnancy is rare. Most often it is associated with bartholinitis or purulent processes on the skin of the lower extremities. A normal visual inspection makes it easy to establish a diagnosis.
To what doctor to address?
If you independently detect one or more rounded formations in the groin area, you should consult your doctor. The absence of signs of inflammation, such as redness, pain or fever should not mislead the patient and delay the visit. As it turned out, not all diseases proceed according to the classical "inflammatory" scheme.
So, the inflammation of the lymph nodes in the groin in men and women is a weighty reason for getting a qualified medical advice. However, you need to know what kind of doctor to turn to. Depending on the cause of this condition, you may need the help of specialists such as:
- infectiologist (with obvious signs of any infection)
- The surgeon (if visually defined a large abscess)
- oncohematologist (with changes in the picture of blood)
- dermatovenereologist (in the presence of signs of the disease with sexual transmission)
- gynecologist (for women) and urologist (for men), etc.
However, if a person doubts, to which specialist to apply and can not assume a possible cause of the disease, then one should go to an appointment with the therapist. The doctor will conduct an initial examination and, based on his results, send the patient to a specialist.
Diagnosis of inflammation
The primary diagnosis will be based on a survey, collection of patient complaints, general examination, palpation, and general clinical blood analysis.
A competent doctor will ask the patient in detail about leg injuries, unprotected sex, if there were bites of ticks, rats, inflammatory diseases of the pharynx.
After initial diagnosis, additional specific tests may be required to establish the nature of lymphadenitis:
- smears from mucous membranes;
- blood test for antibodies;
- PCR-diagnostics ;
- sowing of a purulent put on.
Effective is the ultrasound of the inguinal region, giving a good idea of the nature of tissue changes in the affected lymph nodes. If you suspect an inguinal lymphadenitis, you must exclude such an urgent surgical pathology as an inguinal hernia. In this case, the patient must be operated without delay.
Treatment of inflammation of the lymph nodes in the groin
Treatment of inflammation of the lymph nodes in the groin can be divided into:
General therapy involves the removal of symptoms of inflammation. To do this, follow certain recommendations:
- the patient is shown bed rest;
- food should be light, dietary, fatty, high-calorie dishes should be avoided;
- the main drugs are antibiotics, since the most common cause of lymphadenitis is infection. Until an accurate cause is identified, broad-spectrum antibiotics can be used.
In addition, anti-inflammatory and anesthetic drugs, vitamins, detoxify the body. Contraindicated any warming of the affected area.
Specific treatment is to eliminate the immediate cause of lymphadenitis, after conducting laboratory diagnosis and accurate diagnosis.
Usually, for this purpose, it may be necessary to use narrowly directed antibacterial drugs, antiviral agents or the introduction of immunoglobulins for a particular infection.
Surgical treatment is rare. It is necessary for purulent lymphadenitis, necrosis of the node and nearby tissues. Also an autopsy is performed and with bartholinitis in the abscess stage. This is the gynecologist in the hospital.
The prognosis of inguinal lymphadenitis is favorable provided that the exact cause of the disease is established and the onset of specific treatment is timely.
The longest increase in nodes is observed in venereal diseases, inguinal lymphogranulomatosis complicated by purulent fistula, erysipelas with periadenitis, infectious mononucleosis.
With yersiniosis, lymph node enlargement persists for 2-3 weeks, with Borreliosis (without treatment) several weeks will be increased, and with timely therapy will decrease rapidly.
A less favorable prognosis is characteristic for oncohematological diseases (blood tumors with inguinal node involvement). The success of therapy will depend on the sensitivity of tumor cells to selected polychemotherapy.
Prevention of the disease is carried out in several ways:
- prevention of foot injury
- timely and thorough handling of the injuries
- increase of the general resistance of the organism to infections
- protected sexual contacts.