![FURUNCLE
Clinical features
There may be a history of preceding
trauma, surgery or predisposing disease
like Diabetes mellitus, HIV, steroid or
cytotoxic therapy, etc or recurrent lesions.
Initial lesion often begins as a red painful
nodular swelling with a central punctum
[hole on the top].](https://image.slidesharecdn.com/furuncle-230529171535-bc2b1df5/85/FURUNCLE-ppt-5-320.jpg)
FURUNCLE.ppt
- 1. FURUNCLE Definition Is an abscess or infection of a single hair follicle usually secondary to Staphylococcus aureus. Can occur as a single lesion or multiple lesions with pus and nodules.
- 2. FURUNCLE Incidence It is a relatively common infection with increased incidences seen in those patients with: Diabetes mellitus HIV infection/AIDS Prolonged steroid therapy or cytotoxic drug therapy Other immunosuppressive diseases
- 3. FURUNCLE Predisposing Factors Furunculitis is predisposed by greasy applications on the skin surface leading to obstruction of the hair follicle trapping staphylococcus organisms in the follicle whence it multiplies.
- 4. FURUNCLE Epidermis Dermis Subcutaneous fat Furuncle Hair shaft in follicle Nodular-Pustule
- 5. FURUNCLE Clinical features There may be a history of preceding trauma, surgery or predisposing disease like Diabetes mellitus, HIV, steroid or cytotoxic therapy, etc or recurrent lesions. Initial lesion often begins as a red painful nodular swelling with a central punctum [hole on the top].
- 6. FURUNCLE It may become more fluctuant with time and has associated pain. On examination, you may see clear pus on top of the lesion pointing out. The lesion is a dome shaped nodule with surrounding erythematous base.
- 12. FURUNCLE The patient may have regional lymphadenitis but fever is rare. Sites: the common sites are on the axilla region, but can occur anywhere on the body except palms and sole.
- 13. FURUNCLE Diagnosis Is usually made clinically: from history and examination findings. confirmed by culture of purulent material obtained from incision and drainage.
- 14. FURUNCLE Differential diagnosis Acne Hidadenitis suppuritiva Dermal cysts
- 15. FURUNCLE Treatment Incision and drainage is the mainstay of treatment Or alternatively aspirate with a wide bore needle and syringe removing as much pus as possible. Cover the patient with antibiotics as appropriate e.g. Flucloxacillin, erythromycin, floxapen, ciprofloxacin etc.
- 16. FURUNCLE Course If untreated pus will point out on the surface and the lesion will burst spontaneously and discharge or drain out. It will heal slowly leaving a scar tissue.