Symptomatics

Inflammation of lymph nodes in the groin: causes and treatment, photo

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Inflammation of the lymph nodes in the groin( lymphadenopathy) is a disease that leads to a change and disruption of normal functioning 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.

A 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".

An external path involves damage to the skin( wounds or scratches) through which the infection enters the bloodstream. 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).

Contents

  • 1 Causes of inflammation of inguinal lymph nodes
  • 2 Symptoms of inflammation of the lymph nodes in the groin, photo
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  • 3 Features of inflammation of the inguinal lymph nodes in women
  • 4 To which doctor to apply?
  • 5 Diagnosis of inflammation
  • 6 Treatment of inflammation of the lymph nodes in the groin
    • 6.1 Forecast

Causes of inflammation of the inguinal lymph nodes

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. Penetrationinfectious microorganisms directly through damage to the skin of the buttocks, legs and feet:

  • wounds or scratches due to injuries( including erysipelas) or animal bites( sodoku);
  • skin damage with diaper dermatitis( this is one of the most common causes in childhood);
  • furunculosis - an inflammation of the 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 only allowed to inject it into the shoulder).

2. Diseases caused by viruses or bacteria that enter the body through mucous membranes:

  • Infectious mononucleosis;
  • Cytomegalovirus infection;
  • Herpes simplex;
  • Borreliosis;
  • Iersiniosis;
  • Syphilis;
  • Gonorrhea;
  • Erysipelas inflammation;
  • Inguinal lymphogranulomatosis.

3. Lymphadenitis can also accompany inflammation in the joints and genitals, oncological diseases.

Symptoms of inflammation of the lymph nodes in the groin, photo

signs of inflammation-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 severity.

In case of skin lesions, inflammation of the lymph node on the side of the lesion occurs more often( see photo).

Sodoka ( a specific infectious disease) occurs after 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 in size from both sides, beginning with the first days of illness. They can reach 2-3 cm.

A characteristic feature is a chain 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 slight swelling. These signs help to easily distinguish infectious mononucleosis from other causative diseases leading to lymphadenopathy.

The cytomegalovirus infection of may have a pattern similar to mononucleosis: the 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.

They are usually no more than 1 cm in diameter, single. At palpation - elastic, morbidity moderate, skin of usual color, there is no edema.

Simple herpes simplex type as a cause of lymphadenopathy is characterized by a mild increase in lymph nodes. It can be on one or both sides.

The knots to the touch are not dense, they resemble dough consistency, their mobility is preserved, the soreness is average. Inflammatory signs on the skin and suppuration is not observed.

Symptoms of inflammation of the lymph nodes in the groin

Symptoms of inflammation of the lymph nodes in the groin, photo

Borreliosis is characterized by the presence of unilateral inguinal lymphadenitis, if the tick bite fell 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.

With palpation, these lymph nodes are mobile and painful, tight-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.

In yersiniosis , inflammation of the 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. Two variants of development are possible:

  • 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.

This disease inflames the lymph nodes on one side. 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.

Above 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.

Erysipelous inflammation of 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 in 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.

The 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 larger 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.

Gonorrhea is always accompanied from the beginning with 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 lymph nodes in women

inflammation of inguinal lymph nodes in women

Inflammation of the 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 genital organs( 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;
  • ultrasound;
  • cytological and histological examination of the obtained materials;
  • complex analysis for 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 which doctor should I apply?

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 good 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:

  • infectious disease specialist( with obvious signs of any infection)
  • surgeon( if visually determined large abscess)
  • oncohematologist( with changes in blood picture)
  • dermatovenereologist( if there are signs of a disease with a sexualby transfer)
  • 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

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;
  • biopsy;
  • sowing a purulent dressed.

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

Treatment of inflammation of the lymph nodes in the groin can be divided into:

  • total;
  • specific;
  • surgical.

General therapy of involves the elimination of symptoms of inflammation. For this, it is necessary to follow certain recommendations:

  • the patient is shown bed rest;
  • food should be light, dietary, fatty, high-calorie meals 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.

The specific treatment for 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 administration of immunoglobulins against a particular infection.

Surgical treatment of 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.

Prognosis

Prognosis of inguinal lymphadenitis is favorable provided that an accurate cause of the disease is established and a timely start of a specific treatment.

The longest increase in nodes is observed in sexually transmitted diseases, inguinal lymphogranulomatosis, complicated by purulent fistula, erysipelas with periadenitis, infectious mononucleosis.

In 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 injury to the skin of the legs
  • timely and careful handling of the injured
  • increasing the general body resistance to infections
  • protected sexual contacts.
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