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furunculosis
recurrent furuncle(s) (see furuncle)
Etiology:
- Staphylococcus aureus
- atypical Mycobacteria
- risk factors
- Staphlococcus carriage in the nostrils
- diabetes mellitus
- obesity
- lymphoproliferative disorders
- malnutrition
- immunosuppressive drugs
Epidemiology:
- atypical Mycobacterial infections associated with pedicures after shaving legs [1]
Pathology:
- a deep folliculitis, infection of the hair follicle
Clinical manifestations:
- one or more tender red spots, lumps or pustules (furuncles)
* image [3]
Laboratory:
- culture of pustule
- concern for MRSA or other drug-resistant organism
Complications:
- scarring
- formation of abscesses
- spread of infection, cellulitis, sepsis
Management:
- cleaning of infected area
- application of warm compresses
- topical antiseptic: povidone iodine or chlorhexidine
- incision & drainage
- empiric antibiotics that cover Staphylococcus
- oxacillin
- clindamycin
- cephalosporin
- empiric antibiotics that cover atypical antibiotics
- rifampicin
Related
furuncle
General
hair disease
References
- Stout JE et al.
Pedicure-associated rapidly growing mycobacterial infection:
An endemic disease.
Clin Infect Dis 2011 Oct 15; 53:787
PMID: 21921222
- Wikipedia: Boil
http://en.wikipedia.org/wiki/Boil
- DermNet NZ: Boils
http://dermnetnz.org/bacterial/boils.html