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  • Furuncle

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    Novi Adri
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    A furuncle, or boil, is a deep inflammatory nodule that develops around hair follicles, often starting as superficial folliculitis and progressing to an abscess. They commonly occur in hair-bearing areas like the neck, face, armpits, and buttocks. Furuncles are usually caused by Staphylococcus aureus or MRSA bacteria and risk factors include male sex, adolescence/elderly age, poor hygiene, obesity, diabetes, and compromised immunity. Diagnosis involves examining characteristic lesions that enlarge and become painful, tender, red, and fluctuant nodules draining pus. Differential diagnoses include cystic acne, hidradenitis suppurativa

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    A furuncle, or boil, is a deep inflammatory nodule that develops around hair follicles, often starting as superficial folliculitis and progressing to an abscess. They commonly occur in hair-bearing areas like the neck, face, armpits, and buttocks. Furuncles are usually caused by Staphylococcus aureus or MRSA bacteria and risk factors include male sex, adolescence/elderly age, poor hygiene, obesity, diabetes, and compromised immunity. Diagnosis involves examining characteristic lesions that enlarge and become painful, tender, red, and fluctuant nodules draining pus. Differential diagnoses include cystic acne, hidradenitis suppurativa

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    10 views18 pages

    Furuncle

    Uploaded by

    Novi Adri
    A furuncle, or boil, is a deep inflammatory nodule that develops around hair follicles, often starting as superficial folliculitis and progressing to an abscess. They commonly occur in hair-bearing areas like the neck, face, armpits, and buttocks. Furuncles are usually caused by Staphylococcus aureus or MRSA bacteria and risk factors include male sex, adolescence/elderly age, poor hygiene, obesity, diabetes, and compromised immunity. Diagnosis involves examining characteristic lesions that enlarge and become painful, tender, red, and fluctuant nodules draining pus. Differential diagnoses include cystic acne, hidradenitis suppurativa

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 18

    Furuncle

    Furuncle (boil)

     Deep-seated inflammatory nodule yang berkembang disekitar folikel


    rambut,
     Biasanya berawal dari superficial folliculitis dan sering berkembang menjadi
    abses.
     Banyak ditemukan pada hair-bearing sites, khususnya daerah yang
    mengalami gesekan, oklusi, dan perspirasi :
     Leher
     Wajah
     Ketiak
     Bokong
    Etiology

     Staphylococcus aureus  Methicillin resistant S. aureus


    (MRSA)
    Risk factors

     Male  Poor hygiene

     Adolescence, elderly  Overcrowded living conditions

     Preexisting lesions  Excessive


     Obesity friction/perspiration
     Exposure to oils/chemicals
     Compromised immunity
     Exposure to heated contaminated
     Diabetes Melitus water
     Malnutrition
    Cutaneous Lesions

    Rupture
    Enlarges
    Hard, with
    and
    tender, red
    become painful
    discharge of
    folliculocentric
    nodule
    and fluctuant
    pus

    The
    pai
    n
    sur
    rou
    ndi
    ng
    the
    lesi
    on
    the
    n
    sub
    side
    s,
    red
    nes
    s
    and
    ede
    ma
    dim
    inis
    h
    Carbuncle

     Cluster of interconnected furuncle


     Larger, deeper and more severe infection
     Extremely painful lesion
     Leaves a depressed scar

     FEVER
    DIAGNOSIS
    History Taking

     Risk factor
     Pain? Swelling? Redness? Itching?
     Suspect MRSA if:
     Community 10-15% isolated S.aureus is MRSA
     High risk groups
     Does not respond to β-lactam antibiotic
     Invasive procedure / devices
    Physical Exam

     Localized redness, swelling  Tenderness


     Pustule and papulapustule  Fluctuance
     Lesion maybe draining, crusted  Regional lymph node enlargement
     Localized induration and tender
     HR may be ↑
    Laboratory Exam

     Histologic : dense polymorphonuclear inflamamatory process in dermis and


    subcutaneous fat.
     Multiple abscesses separated by CT-trabeculae, infiltrated the dermis and pass along
    the edge of hair follicles, reaching the surface through openings in the undermined
    epidermis (CARBUNCLE)

     Gram stain of pus for confirm the diagnosis


     Isolation of S.aureus on culture for confirm the diagnosis.
    Differential Diagnosis

    Cystic acne
    Hidrodenitis suppurativa
     Kerion
    Kerion
    Differential Diagnosis

    Furuncular myasis
    Ruptured epidermal
    inclusion cyst Osteomyelitis
    Complication

     Bacteremic spread of infection


     Metastaic infection
     Recurrence

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