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