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Furuncles and Carbuncles - MSF Medical Guidelines
Furuncles and Carbuncles - MSF Medical Guidelines
Furuncles and Carbuncles - MSF Medical Guidelines
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5/20/23, 7:59 AM Furuncles and carbuncles | MSF Medical Guidelines
Treatment
Necrotising perifollicular infection, usually due to Staphylococcus aureus. Risk factors include: nasal
carriage of S. aureus, maceration, breaks in the skin, poor hygiene; diabetes mellitus, malnutrition,
iron deficiency or immunodeficiency.
Clinical features
Furuncle: red, warm, painful nodule with a central pustule, usually around a hair follicle. It becomes
fluctuant, discharges a core of purulent exudate, and leaves a depressed scar. It occurs most
frequently on the thighs, groin, buttocks, armpits, neck and back. There is no fever.
Carbuncle: a cluster of interconnected furuncles, sometimes with fever and peripheral
lymphadenopathy. It leaves a depressed scar.
Treatment
Single furuncle:
Clean with soap and water 2 times daily and cover with a dry dressing.
Apply warm moist compresses to the furuncle in order to encourage it to drain.
After drainage, clean and apply a dry dressing until the lesion has healed.
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5/20/23, 7:59 AM Furuncles and carbuncles | MSF Medical Guidelines
Footnotes
(a) For penicillin-allergic patients:
clindamycin PO (children: 10 mg/kg 3 times daily; adults: 600 mg 3 times daily)
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