Boils

Boils

Any collection of pus in a localized are is usually of bacterial origin. Small pustules, especially those occurring in the beard area, are called furuncles. A yellow discharge (exudate) will usually drain spontaneously when the lesions open, while pain and pressure are immediately reduced. Occasionally, mild fever and lethargy may occur, but signs of a severe infection are usually absent.

The mature lesion, brought to a head by repeated applications of hot compresses is ready for incision and drainage. After careful cleansing with alcohol or other antiseptic, a sterile needle or sharp blade can be used to open the top of the lesion and allow the pus to drain. The application of a charcoal poultice will also aid in its resolution. Lesions in the central portion of the face are more dangerous, because of the veins that drain in toward the cavernous sinus of the brain. A physician should evaluate these.

A second class of localized abscess is the carbuncle. These are usuallydeeper and more painful. Conditions, which predispose to developing these infections are high fat diets increasing oil production of the skin, occlusive dressings and cosmetics that block the drainage of oil and sweat glands.Unusual friction rubs or excessive exposure to oil may also be harmful.Reduced resistance to infection transpire in the malnourished, alcoholics,diabetics, newborns, and those with blood diseases. Inasmuch as these germs are contagious in character, hand washing, antiseptic skin cleaning, and other hygienic measure are mandatory.Antibiotic therapy is advisable for large or recurrent boils or those that occur in sensitive areas (such as around or in the nostrils or in the ear)