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   Dr  Sampurna Roy  MD

 
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June 2007

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Furuncles (boils) are deep-seated infections with Staphylococcus aureus in and around hair follicles, often in a nasal carrier.

Visit: Staphylococcal Infection ;  Toxic Shock Syndrome .

Styes are boils that involve the sebaceous glands around the eyelid.

A carbuncle is a coalescence of multiple furuncles which may lead to multiple points of drainage on the skin surface.

They occur only on hairy surfaces, such as neck, thighs, and buttocks of men, and the axilla, pubic area, and eyelids of both sexes, the latter surfaces predisposed to boil formation by friction or maceration.

The boil begins as a nodule at the base of the hair follicle, followed by a pimple that remains painful and red toe a few days. 

A yellow apex forms, and a central core becomes necrotic and fluctuant.   Image1  ;  Image2

Microscopic features: A furuncle consists of a deep dermal abscess centered on a hair follicle.  Image1  ; Image2

This is usually destroyed, although a residual hair shaft is sometimes present in the center of the abscess. There is often extension of the inflammatory process into the subcutis. The overlying epidermis is eventually destroyed and the surface is covered by an inflammatory crust.

Rupture or incision of the boil relieves the pain. Several boils may occur in close proximity, and they often recur.

                

Abstracts:

Efficacy of rifampicin in eradication of carrier state of Staphylococcus aureus in anterior nares with recurrent furunculosis.J Coll Physicians Surg Pak. 2006 Jun;16(6):396-9.

Five cases of bacterial endocarditis after furunculosis and the ongoing saga of community-acquired methicillin-resistant Staphylococcus aureus infections.Scand J Infect Dis. 2006;38(8):702-7.

Atypical Mycobacterium furunculosis occurring after pedicures.
J Am Acad Dermatol. 2006 Mar;54(3):520-4.

Association of furunculosis and familial deficiency of mannose-binding lectin.Eur J Clin Invest. 2005 Aug;35(8):531-4.

Cutaneous myiasis presenting as chronic furunculosis--case report.
West Afr J Med. 2005 Oct-Dec;24(4):346-7.

Staphylococcus aureus positive for Panton-Valentine leukocidin genes but susceptible to methicillin in patients with furuncles.
Eur J Clin Microbiol Infect Dis. 2005 Jul;24(7):477-9.

Biofilm formation of Staphylococcus aureus strains isolated from impetigo and furuncle: role of fibrinogen and fibrin.J Dermatol Sci. 1997 ;16(1):2-10.

Furuncle.J Cutan Pathol. 1979 Dec;6(6):517-8.

 
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