Furuncle, Carbuncle, Abscess | Figure 4.9
A: Abscess
(Courtesy of Dr. Paul Getz)
B: Cellulitis
(Courtesy of Dr. Paul Getz)
C: Erysipelas
(Courtesy of CDC: Dr. Thomas
Sellers, Emory University) |
| Figure 4.8
A: Toxic shock syndrome
(Reprint from Morgan MB,
Smoller BR, Somach SC.
Deadly Dermatologic Diseases.
New York, NY: Springer; 2007)
B: Carbuncle
C: Abscess |
(Figures 4.8B, C, 4.9A) - Typically due to S.aureus
- Depth of infection determines presentation
- Furuncle: deep-seated tender nodule of hair follicle
- Carbuncle: coalescing of adjacent furuncles with multiple draining sinuses (typically involves nape of neck or back of thighs)
- Abscess: inflamed walled-off collection of pus
Simple furuncle (no fluctuance): warm compresses Fluctuant furuncle or abscess: incision and drainage Oral antibiotics if:
– Located near midface (due to concern for cavernous sinus thrombosis) or external auditory canal
– Recurrent or recalcitrant
– Very large or with surrounding cellulitis
|
