BOIL


BOIL      

It is a deep-seated infection involving hair follicle and adjacent subcutaneous tissue.

Essentials of Diagnosis
                     Pain and tenderness may be prominent.
                     Abscess is round or conical.
                     It enlarges, becomes fluctuant and then softens and bursts automatically within a few days.
                     Coagulase positive Staphylococcus aureus is the causative organism.
                     Carbuncle consists of joining hair follicles with multiple drainage point.

Treatment
o   Aspirin controls fever and pain Systemic corticosteroids help.
o   Be careful of diabetes.
o   Cyclosporine in doses of 3-5 mg/kg per day is useful.