Causes and risk factors
Ecthyma is caused by bacteria such as Pseudomonas, Streptococcus pyogenes, Staphylococcus aureus. Risk factors include immunocompromised status, diabetes, living in crowded places, poor hygiene, high temperature and humidity, untreated impetigo, presence of minor injuries like scratches or insect bites.
Clinical presentation
Patient presents with vesicle or small blister filled with pus, red border surrounding the blister. After the blister subsides, a crusty ulcer appears indurated and oozing pus. Buttocks, thighs, legs, ankle, and feet are the areas commonly affected. Occasional swelling of regional lymph nodes can be seen. Low grade fever may be present.
Investigation
Medical history by the patient and clinical examination by the doctor helps in diagnosis. Complete blood count, BSL is recommended. Lab analysis of the discharge is obtained.
Treatment
Removal of the crust by warm wet cloth is required. Oral antibiotics are prescribed. Maintaining personal hygiene is advised. Use of antiseptic soap or peroxide washes to speed up recovery is useful.
Other Modes of treatment
The other modes of treatment can also be effective in treating ecthyma. Homoeopathy is a science which deals with individualization and considers a person in a holistic way. This science can be helpful in combating the symptoms. Similarly, the Ayurvedic system of medicine which uses herbal medicines and synthetic derivates is also found to be effective in treating ecthyma.
