Surgery

Furuncles (boils):

Deep infection of the hair follicles characterized by inflammatory nodules with pustular drainage.

  • They are skin abscesses caused by Staphylococcus aureus.
  • It involve a hair follicle and surrounding tissue & tend to be recurrent.
  • Common sites: include face, neck, axilla and buttocks.

Treatment: Systemic antibiotics are not indicated, they do not affect resolution. Individual boils that are large and painful should be treated by incision and drainage (I/D) under local or even general anaesthetic.




Dermatology

Furuncle (Boil)

  • Deep inflammatory nodule developing from a preceding folliculitis.
  • Usually with Staphylococcus aureus.
  • Begins as a firm, tender, erythematous nodule that becomes fluctuant and painful and commonly ruptures spontaneously and later may discharge pus.
  • May have Fever.
  • healing leave a scar.

Location and Complications

  • Lesions favor areas prone to friction or minor trauma: thighs, buttocks, groin and axillae.
  • Complication:
    • Cavernous sinus thrombosis is an unusual complication of boils on the central face.
    • Septicaemia may occur but is rare.

Treatment

  • drainage of pus and Systemic treatment with flucloxacillin.

Furuncle purulent material from a single opening.

Furunculosis

  • A furuncle (boil) is an acute, round, tender, circumscribed, perifollicular abscess that generally ends in central suppuration