HealthDiseases and Conditions

Carbuncle is an acute purulent-necrotic inflammation of the skin: causes, treatment, prevention

Carbuncle is a purulent necrotic inflammation of the skin. At the same time, several hair follicles, located next to each other, are affected. After removing the contents of the carbuncle, a deep ulcer is formed that can reach the muscle tissue. In elderly people, weakened and emaciated patients, as well as those who suffer from diabetes, inflammation can be malignant. In such cases, the disease is complicated by bleeding or sepsis. To eliminate the carbuncle, antibacterial therapy, local use of antiseptic formulations, and physiotherapy are prescribed. If a necrotic focus is formed, then surgical intervention is performed.

Where can the

Carbuncle is an inflammation of the tissues of the skin that can occur on:

  • Face;
  • Back;
  • The back of the neck;
  • Buttocks;
  • Lower back.

In young people, this phenomenon can occur on the face. A focus of the inflammatory process is formed in the place where the comedone or pustule was squeezed out. In elderly people, carbuncle can appear on the trunk, neck and extremities with strong friction of clothing on the skin.

Pathogens of the disease

Carbuncle is an ailment that develops as a result of falling on damaged skin areas of pathogens such as:

  • Bacteria belonging to the family of proteins;
  • Intestinal stick;
  • streptococcus;
  • Staphylococci;
  • Enterococci.

Therefore, you should carefully monitor the purity of the skin, as well as not to violate their integrity, squeezing acne and blackheads.

Why there was a carbuncle

This disease occurs when creating favorable conditions for the pathogen. Most often this happens when:

  • Increased sweating;
  • Increased secretion of sebaceous glands;
  • Non-observance of personal hygiene rules;
  • Contamination of the skin by oil industry products, oils, cement, coal, lime, sand and so on;
  • High humidity and air temperature;
  • Damage to the skin, for example, when squeezing acne or biting insects.

Who is at risk?

Most often carbuncle is confused with large boils. However, this is an erroneous opinion. Furuncle and carbuncle have distinct differences. The first type of neoplasm occurs in a large number. In this case, the furuncle has a rod. A carbuncle - a separate pustules, which are gradually combined into one large. Most often, such a disease occurs in those who suffer from:

  • Excess weight;
  • Anemia;
  • Overwork of nervous-mental character;
  • Exhaustion;
  • Of diabetes mellitus.

Often, carbuncles appear in people who have suffered a serious ailment. After all, it is during this period that the body's immune system practically ceases to perform its functions.

Development of the disease and its symptoms

Carbuncle arises on the body not immediately. It develops gradually. In order to promptly seek help from specialists, it is worth knowing the main signs of ailment:

  • At the initial stage a small tubercle is formed;
  • It gradually grows and causes pain when it touches;
  • The infiltration gradually turns red, and around it begins an inflammatory process, in which the skin turns blue, turns purple;
  • Over time, the surface is covered with small abscesses, similar in appearance to greasy stoppers;
  • There are tugging painful sensations, edemas of tissues, and hyperemia increases;
  • Feel the place where the abscess formed, becomes hot, and pus begins to flow out of its opening;
  • After the opening of the abscess a crater with ulcerous necrotic surface is formed;
  • The edges of the wound become uneven, and the pus continues to come out in small portions;
  • The affected area slowly heals;
  • On the edges of the wound there is a granulation area.

After healing of the carbuncle, a scar is formed, which is visible to the naked eye. Especially with the defeat of a large area. It is worth noting that the local suppuration will heal very long without appropriate therapy. In this case, the liquid will slowly drain out of the wound.

If the condition worsens

If there is no necessary treatment, the patient's condition may worsen. This may indicate the following symptoms:

  • Increase in body temperature up to 40 ° C;
  • The appearance of headache, nausea, vomiting;
  • General weakness;
  • cardiopalmus;
  • Development of sepsis in intoxication.

The appearance of the first signs of the disease is an occasion to immediately contact a dermatologist. The absence of the required therapy can lead to undesirable consequences, up to the infection of the blood.

Diagnostics

The disease is diagnosed quickly. Most often, the doctor discovers a carbuncle in a visual examination. In some cases, analysis is needed to differentiate from anthrax. With such a disease, unlike necrotic education, painful sensations do not arise. To confirm the diagnosis, a bacterial study of the contents of the carbuncle is carried out.

In some cases, a detailed analysis of the blood composition of the patient may be required.

Why does the therapy depend?

It is not recommended to perform an abscess opening at home, as this can lead to an increase in the area of the affected area. It is best to see a doctor. The choice of the method of therapy in this case depends on the location of the abscess.

If the carbuncle is formed in the area of the armpits, neck and face, then a doctor's supervision is required. In such cases, the therapy of the disease is carried out in the conditions of the purulent-surgical department. If the abscess appeared on the trunk or on the limbs, then his treatment can be performed on an outpatient basis.

In addition, the choice of method of therapy depends on the state of the immune system, the patient's state of health, the patient's desire to be treated, and also from the sanitary and hygienic situation. Those who lead an antisocial way of life often go to the hospital with a neglected form of illness.

Therapy with medicines

Ulcers on the body can be cured with special medications provided that the patient promptly turned to a dermatologist for help. With mild disease, the following are prescribed:

  • Antibiotics. The doctor can prescribe "Biomycin", "Streptomycin", "Penicillin". The course of therapy is from 7 to 10 days.
  • Injection of the drug Penicillin. The daily dose of the drug in severe form can be up to 1 million units. Injections are made in the affected area.
  • Appointed drugs that can regulate cardiac activity.
  • Antibacterial "Norsulfazol". The dosage is 1 gram 4 times a day.
  • "Streptocide", antimicrobial drug. It is applied to 0.5 grams every 4 to 6 hours.
  • Means with analgesic effect, for example, "Solpadein", "Ketanov".
  • Preparations that can increase the yield of pus and accelerate the process of ripening ripening. These include Vishnevsky ointment and methyluracil ointment.
  • Infiltrate can be wiped with ethyl alcohol (70%). Without the use of disinfection, the risk of re-infection increases.
  • Physiotherapy. To accelerate the healing process allows UV irradiation and UVF-therapy.

Surgical intervention

In some cases, it is required to open the carbuncle. Most often, surgical intervention is performed with a severe form of the disease, a rapid deterioration of the patient's condition, a bad discharge of pus. The procedure is also required for local suppuration. Drainage provides rapid removal of purulent discharge. After a surgical procedure, it is required:

  • conservative treatment;
  • Change of dressings twice a day;
  • Taking drugs with antibacterial effect;
  • Performance of physiotherapy procedures;
  • Reception of restorative means.

The course of antibiotics must be completed completely. This will prevent re-infection of tissues. But interrupted treatment will cause bacteria to resist the effects of the drug. With relapse, a stronger remedy is required that can damage the immune system, intestines, stomach.

Compresses with herbs

Remove suppuration can help and folk remedies. Before using any of them, it is worth consulting with a doctor. Most often, compresses are used to fight the disease. The best remedy is plantain. Leaves of this plant must be ripped off, washed, crushed, wrapped in a piece of gauze, and then applied to the affected area. It is recommended to fix the bandage with a band-aid. The duration of the procedure is at least half an hour. Every day you need to hold up to 6 procedures.

Exactly the same compresses can be done with leaves of fresh St. John's wort. During the day, you need to change to 4 such bandages.

Black bread is recommended to put in the broth of chamomile, soften, slightly squeeze out, put in a piece of marie, and then attach to the affected area. Such a tool quickly and effectively draws pus.

Of the flowers of marigold you need to squeeze juice. You can get it by grinding fresh raw materials in a blender. Calendula juice is recommended to treat the affected area several times during the day.

Prevention

Prevention of this disease is reduced to several rules:

  • Strengthen the immune system;
  • Observe personal hygiene;
  • Do not comb the bites;
  • Take a shower in hot weather;
  • Do not squeeze pimples;
  • Take a bath with a turn, chamomile, sage and bark of oak with increased sweating.

In addition to the above measures of prevention, it is worthwhile to undergo a thorough examination and strictly follow the chronic pathologies, possibly preventing recurrence.

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