Boils or furuncle by Dr.K.AmrithaAnilkumar
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Boil is an acute staphylococcal infection of a hair follicle with perifolliculitis which usually proceeds to suppuration & central necrosis.Often boil open on its own & subsides (S. aureus infection)
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Boils or furuncle by Dr.K.AmrithaAnilkumar
- 1. en love da Homoeopathy BOILS OR FURUNCLE
- 3. BOILS OR FURUNCLE DEFINITION • It is an acute staphylococcal infection of a hair follicle with perifolliculitis which usually proceeds to suppuration & central necrosis • Oftenboil open on its own & subsides (S. aureus infection) BOIL
- 4. • Furuncle in external auditory canal is very painful , because of rich cutaneous nerves • Here skinis adherent to perichondrium Blind healed dull boil • Boils often heals spontaneously • &suppurationwill not occur in suchboil • It is often called as blind healeddull boil Blind healed dull boil
- 5. COMMONSITES • Axilla • Groin • Areola • Umblicus • Scalp • Chest • Perineum • Boil is common over back, neck, Thigh & forearmeventhoughit can occur anywhere Boil in axilla
- 6. • Boil in eyelashfollicle is called as stye • Boil can occur in perianal regionwhich ca lead into abscess& fistula • Boil can lead into hidradenitis ,commonin axilla & pubic region • Boil can cause cellulitis of local area • Overlying skinundergoes necrosis • But during healing Re- epithelializationoccurs . Hidradenitis
- 7. CLINICALFEATURES • Boil subsides spontaneously with the support of suitable antibiotics – often requires incision& drainage • Regional Enlarged tender Lymph nodes may be palpable due to secondary infection • Redness • Swelling • Warmsensation • Fever • Pain- Throbbing • Lymph nodes Enlargement • Constitutional symptoms • Systemic features are not common unlessit is multiple/recurrent /severe or in diabetics & immunosuppressed • Multiple/Recurrent boils is common in diabetics
- 8. TREATMENT • Antibiotics given if boil is not resolving sponataneously- • Cloxacillin • Amoxycillin • Rarely Drainageof boil is needed in severe persistent Form Drainage of Boil
- 9. COMPLICATIONS • Cellulitis • Lymphadenitis • Hidradenitis (infectionof group of hair follicle ) • Boil in dangerous zone in the face ,can cause cavernous sinus thrombosis Cellulitis Acute Cervical Lymphadenitis
- 10. REFERENCE 1. SRB's Manual of Surgery by SriramBhat M 2. A Manual on Clinical Surgeryby Das 3. A Concise textbookof Surgeryby Das
- 11. A Special Thanks To A Very Special Doctor
- 12. en love da Homoeopathy CARBUNCLE
- 13. CARBUNCLE
- 14. CARBUNCLE DEFINITION • Word meaning of carbuncle is charcoal. • It is an infective gangrene of skinand subcutaneous tissue. • Staphylococcus aureus is the mainculprit.
- 15. COMMONSITES • Common site of occurrence is napeof the neck & back. • Shoulder • Cheek • Hand • Forearm. • It is commonin diabetics & after 40 years of age. • It is common in males. PATHOLOGY Infection ↓ Followedby developmentof Small Vesicles ↓ Sieve like patternin the skin ↓ Skin becomes Red , indurated withdischarge of pus ↓ All vesicles Fused together & forma Central necrotic ulcer
- 16. Pathology of Carbuncle ↓ Surrounded by vesicles & it lookslike a RosetteAppearance ↓ Followedby – The skinbecome Black due to blockage of cutaneous vessels ↓ Then diseases spread to adjacentarea veryrapidly ↓ Patient becomes toxic
- 17. . ↓ In Carbuncle – A groupof Hair follicles are involved & it looks likea clusters of furuncles CLINICALFEATURES • Pain– Throbbing • Swelling • Redness • Vesicles • Ulcer • Rosette Appearance • Gangrene INVESTIGATION • Urine sugar • Urine ketone bodies • Blood sugar. • Discharge for C/S.
- 18. TREATMENT • Control of diabetes • Antibiotics like • Penicillins • cephalosporins • Drainage is done by a cruciate incision and debridementof all dead tissues is done. • Excision is done later Drainage of Carbuncle
- 19. • Once wound granulates well, skingrafting may be required. • Renal Carbuncle is an entity whichoccurs in kidney due to infection, forming localizedinfective mass lesion Renal Carbuncle
- 20. REFERENCE 1. SRB's Manual of Surgery by SriramBhat M 2. A Manual on Clinical Surgeryby Das 3. A Concise textbookof Surgeryby Das
- 21. A Special Thanks To A Very Special Doctor