question: why do bed sores form so quickly and why can they be so difficult to treat?
comment: Bed sores form on places where is bone close to the skin and the matress is pushing against the bone cutting off blood flow in the skin between. They form when the person is malnutrished and has impaired mobility. Healthy person can't get bed sores. And the reason why they form is also the reason why they are so difficult to heal. Restricted blood flow and malnutrition.
passages: Bedding and clothing is laundered and sexual contact should be avoided until no signs of infestation exists. A second treatment is occasionally required if not improved after 3 to 7 days.
   Section::::Management.
  
  Treatment requires keeping the person from being repeatedly bitten and possible symptomatic use of antihistamines and corticosteroids (either topically or systemically). There however is no evidence that medications improve outcomes and symptoms usually resolve without treatment in 1–2 weeks.
   Further, there are complications which lead to daily discomfort such as:
  
  BULLET::::- persistent discomfort
  
  BULLET::::- superficial skin infection (from scratching)
  
  BULLET::::- complications of the causative condition (such as gonorrhea and candida infection)
  
  Section::::Causes.
  
  Section::::Causes.:Infection.
   Doctors frequently consider bedwetting as a self-limiting problem, since most children will outgrow it. Children 5 to 9 years old have a spontaneous cure rate of 14% per year. Adolescents 10 to 18 years old have a spontaneous cure rate of 16% per year.
  
  As can be seen from the numbers above, a portion of bedwetting children will not outgrow the problem. Adult rates of bedwetting show little change due to spontaneous cure. Persons who are still enuretic at age 18 are likely to deal with bedwetting throughout their lives.
   Genital herpes
  
  Genital herpes is an infection by the herpes simplex virus (HSV) of the genitals. Most people either have no or mild symptoms and thus do not know they are infected. When symptoms do occur, they typically include small blisters that break open to form painful ulcers. Flu-like symptoms, such as fever, aching, or swollen lymph nodes, may also occur. Onset is typically around 4 days after exposure with symptoms lasting up to 4 weeks. Once infected further outbreaks may occur but are generally milder.
   As with any bacterial infection, mud fever can become a very serious condition very quickly. The legs can become swollen and sore and open sores can become quickly infected. Often, such is the level of damage to the skin that these open sores can become very difficult to heal and can result in proud flesh, permanent hair loss and in severe cases the need for skin grafts.
   Section::::Causes.:Viral.
  
  Viruses that cause meningitis include enteroviruses, herpes simplex virus (generally type 2, which produces most genital sores; less commonly type 1), varicella zoster virus (known for causing chickenpox and shingles), mumps virus, HIV, LCMV, Arboviruses (acquired from a mosquito or other insect), and the Influenza virus. Mollaret's meningitis is a chronic recurrent form of herpes meningitis; it is thought to be caused by herpes simplex virus type 2.
  
  Section::::Causes.:Fungal.
   The frequency and severity of recurrent outbreaks vary greatly between people. Some individuals' outbreaks can be quite debilitating, with large, painful lesions persisting for several weeks, while others experience only minor itching or burning for a few days. Some evidence indicates genetics play a role in the frequency of cold sore outbreaks. An area of human chromosome 21 that includes six genes has been linked to frequent oral herpes outbreaks. An immunity to the virus is built over time. Most infected individuals experience fewer outbreaks and outbreak symptoms often become less severe. After several years, some people become perpetually asymptomatic and no longer experience outbreaks, though they may still be contagious to others. Immunocompromised individuals may experience longer, more frequent, and more severe episodes. Antiviral medication has been proven to shorten the frequency and duration of outbreaks. Outbreaks may occur at the original site of the infection or in proximity to nerve endings that reach out from the infected ganglia. In the case of a genital infection, sores can appear at the original site of infection or near the base of the spine, the buttocks, or the back of the thighs.
   Genital herpes can be more difficult to diagnose than oral herpes, since most people have none of the classical symptoms. Further confusing diagnosis, several other conditions resemble genital herpes, including fungal infection, lichen planus, atopic dermatitis, and urethritis.
  
  Section::::Diagnosis.:Laboratory testing.
   A number of medications are available to treat those infected, including permethrin, crotamiton, and lindane creams and ivermectin pills. Sexual contacts within the last month and people who live in the same house should also be treated at the same time. Bedding and clothing used in the last three days should be washed in hot water and dried in a hot dryer. As the mite does not live for more than three days away from human skin, more washing is not needed. Symptoms may continue for two to four weeks following treatment. If after this time symptoms continue, retreatment may be needed.
   Section::::Health.:Sore hocks.
  
  The formation of open sores on the rabbit's hocks, commonly called "sore hocks", is a problem that commonly afflicts mostly heavy-weight rabbits kept in cages with wire flooring or soiled solid flooring. The problem is most prevalent in rex-furred rabbits and heavy-weight rabbits (over ), as well as those with thin foot bristles.
   Bed bug bites are caused primarily by two species of the insect "Cimex": "Cimex lectularius" (the common bed bug) and "Cimex hemipterus". Their size ranges between 1 and 7 mm. They spread by crawling between nearby locations or by being carried within personal items. Infestation is rarely due to a lack of hygiene but is more common in high-density areas. Diagnosis involves both finding the bugs and the occurrence of compatible symptoms. Bed bugs spend much of their time in dark, hidden locations like mattress seams or cracks in the wall.
   Section::::Society and culture.
   Investigations into potential transmission of HIV, MRSA, hepatitis B, hepatitis C, and hepatitis E have not shown that bed bugs can spread these diseases. However, there is some evidence that arboviruses may be transmissible.
  
  Bed bug bites or cimicosis may lead to a range of skin manifestations from no visible effects to prominent blisters. Effects include skin rashes, psychological effects, and allergic symptoms.
   All sores involve a breakdown in the walls of the fine membrane of the vaginal wall. The most common of these are abrasions and small ulcers caused by trauma. While these can be inflicted during rape most are actually caused by excessive rubbing from clothing or improper insertion of a sanitary tampon. The typical ulcer or sore caused by syphilis is painless with raised edges. These are often undetected because they occur mostly inside the vagina. The sores of herpes which occur with vesicles are extremely tender and may cause such swelling that passing urine is difficult. In the developing world, a group of parasitic diseases also cause vaginal ulceration, such as leishmaniasis, but these are rarely encountered in the west. All of the aforementioned local vulvovaginal diseases are easily treated. Often, only shame prevents patients from presenting for treatment.
   Treatments of proven efficacy are currently limited mostly to herpes viruses and human immunodeficiency virus. The herpes virus is of two types: herpes type 1 (HSV-1, or oral herpes) and herpes type 2 (HSV-2, or genital herpes). Although there is no particular cure; there are treatments that can relieve the symptoms. Drugs like Famvir, Zovirax, and Valtrex are among the drugs used, but these medications can only decrease pain and shorten the healing time. They can also decrease the total number of outbreaks in the surrounding. Warm baths also may relive the pain of genital herpes.
   Section::::Signs and symptoms.
   BULLET::::- Erysipelas (ignis sacer, Saint Anthony's fire)
  
  BULLET::::- Erysipeloid of Rosenbach
  
  BULLET::::- Erythema marginatum
  
  BULLET::::- Erythrasma
  
  BULLET::::- External otitis (otitis externa, swimmer's ear)
  
  BULLET::::- Felon
  
  BULLET::::- Flea-borne spotted fever
  
  BULLET::::- Flinders Island spotted fever
  
  BULLET::::- Flying squirrel typhus
  
  BULLET::::- Folliculitis
  
  BULLET::::- Fournier gangrene (Fournier gangrene of the penis or scrotum)
  
  BULLET::::- Furunculosis (boil)
  
  BULLET::::- Gas gangrene (clostridial myonecrosis, myonecrosis)
  
  BULLET::::- Glanders (equinia, farcy, malleus)
  
  BULLET::::- Gonococcemia (arthritis–dermatosis syndrome, disseminated gonococcal infection)
  
  BULLET::::- Gonorrhea (clap)
  
  BULLET::::- Gram-negative folliculitis
  
  BULLET::::- Gram-negative toe web infection
   Herpes simplex is a viral infection caused by the herpes simplex virus. Infections are categorized based on the part of the body infected. Oral herpes involves the face or mouth. It may result in small blisters in groups often called cold sores or fever blisters or may just cause a sore throat. Genital herpes, often simply known as herpes, may have minimal symptoms or form blisters that break open and result in small ulcers. These typically heal over two to four weeks. Tingling or shooting pains may occur before the blisters appear. Herpes cycles between periods of active disease followed by periods without symptoms. The first episode is often more severe and may be associated with fever, muscle pains, swollen lymph nodes and headaches. Over time, episodes of active disease decrease in frequency and severity. Other disorders caused by herpes simplex include: herpetic whitlow when it involves the fingers, herpes of the eye, herpes infection of the brain, and neonatal herpes when it affects a newborn, among others.
   The male bed bug aedeagus has been shown to carry five (human) pathogenic microbes, and the exoskeleton of female bed bugs nine, including "Penicillium chrysogenum", "Staphylococcus saprophyticus", "Stenotrophomonas maltophilia", "Bacillus licheniformis", and "Micrococcus luteus". Tests with blood agar have shown some of these species can survive "in vivo". This suggests infections from these species may contribute to the increased mortality rate in bed bugs due to traumatic insemination.
   Antibiotic resistance in gonorrhea has been noted beginning in the 1940s. Gonorrhea was treated with penicillin, but doses had to be progressively increased to remain effective. By the 1970s, penicillin- and tetracycline-resistant gonorrhea emerged in the Pacific Basin. These resistant strains then spread to Hawaii, California, the rest of the United States, and Europe. Fluoroquinolones were the next line of defense, but soon resistance to this antibiotic emerged, as well. Since 2007, standard treatment has been third-generation cephalosporins, such as ceftriaxone, which are considered to be our "last line of defense".
   Section::::History.
  
  Section::::History.:Early history.
   Nocturnal Lagophthalmos (where one’s eyelids don’t close enough to cover the eye completely during sleep) may be an exacerbating factor, in which case using surgical tape to keep the eye closed at night can help.
  
  Whilst individual episodes may settle within a few hours or days, additional episodes (as the name suggests) will recur at intervals.
  
  Where episodes frequently occur, or there is an underlying disorder, one medical, or three types of surgical curative procedures may be attempted:
   Section::::Bacterial balance.
   Because strongyloidiasis could theoretically be transmittable through unsanitary bedclothes care must be taken never to use unclean hotel bed sheets in endemic areas. Using plastic slippers when showering may be very important when travelling in tropical regions.
  
  Estimates of the number of people infected vary with one estimate putting the figure at 370 million worldwide. Local prevalence can exceed 40% in some tropical and subtropical countries.
  
  Section::::Life cycle.
  
raw_presuppositions: Bed sores form quickly for all people.
raw_corrections: Bed sores only form for people who are malnourished with limited mobility.