Somehow I happened to be a witness of a pre-curious dispute between doctors about furunculosis. The therapist argued that furunculosis is in the sphere of purely purulent surgery. Say, neither infectiologists, nor dermatologists do not do it. And he gave an argument that patients with furunculosis are treated precisely in the department of purulent surgery.Arguments of the surgeon were much more convincing: the patient gets into the department already at the extreme stage of the disease, when a full-blown abscess has already formed, so there is nothing else left to do, how to entrust the treatment of furunculosis to the surgeon. But it’s not his fault that the patient was brought to such a state that only a scalpel can help. And who should “lead” the patient at earlier stages, when it is necessary to determine the cause of the infection, or even to warn it? The question is rhetorical. Obviously, the problem of furunculosis is at the intersection of medical disciplines and requires the most attentive to themselves. Let us recall the case with the outstanding Russian composer Alexander Skryabin, who always cites the teachers of “honey” in lectures on furunculosis: the pupil of Rimsky-Korsakov died because of sepsis, which he himself brought,
What is a furuncle. Causes of furunculosis
A furuncle is an inflamed hair follicle with an adjacent portion of connective tissue. Inflammation with furunculosis is acute purulent-necrotic character. It is clear that the inflammation itself does not develop: it is caused by bacteria trapped in the hair follicle. Most often this is Staphylococcus aureus, less often – epidermal. The following accompanying factors contribute to the development of furunculosis (causes of furunculosis):
- mechanical damage to the skin with abrasions, severe scratching, dermatitis;
- skin contamination (and if combined with the previous factor, then the probability of getting a “boil” naturally increases);
- стрептококковая пиодермия;
- metabolic disorders (obesity, diabetes);
- lack of vitamins in the diet;
- alcohol abuse;
By the way, one or two random furuncles are not considered a disease as such. Another thing, if there are a lot of them, or they do not pass for a long time, changing one another – then with good reason you can talk about furunculosis. The causes of chronic furunculosis are still being discussed in the medical community. To synchronize the process, several factors must coincide, this is a violation of the barrier function of the skin, a disorder of the endocrine and urinary systems, a violation of the functioning of the gastrointestinal tract, the presence of other chronic infections.
Life Cycle of a Boil
What do you need a boil for happiness? A patch of skin with the hair follicle present on it, that’s all. Most often he “emerges” on the face, neck, hands, lower back. At the first stage, a bright red seal appears on the skin with an inflammatory infiltrate inside. “Newborn” furuncle itches and hurts when pressed. Developing, it increases in size, hyperemia increases and edema develops adjacent tissues.
About 3-4 days in the center of the furuncle there are necrotic changes, the tissue softens and acquires a greenish tint: a so-called purulent-necrotic stem is formed. This is the most active period in the life of a boil, and the most unpleasant for his involuntary possessor: there is severe pain, which is often accompanied by a rise in temperature and a general malaise. This condition lasts up to 3 days, and then the pus boil opens with rejection of purulent contents, and in its place a deep wound with oozing blood forms, which completely heals in 2-3 days.
The previous paragraph is written in a few idealistic tones. Not always everything goes so well. Sometimes the inflammatory process covers “territories” and outside the hair follicle, forming a pus filled with pus – phlegmon or abscess. Such a serious course of the disease is inherent in people with diabetes.
Local and general treatment is practiced. In the first case, the basis of the bases is the thorough hygiene of the affected area with antiseptic bias. The focus of inflammation is treated with ethyl alcohol in the form of 70% solution, salicylic acid solution, iodine or “green”. Sometimes this is enough to “conserve” the process. Hair in the “reach zone” of the boil should be removed. To prevent the formation of abscesses along the perimeter of the formed infiltrate, antibiotics (local action) are administered. For the same purpose, electrophoresis with antibacterial drugs is used. If the matter has gone too far, and the abscess has already formed, then it is opened and drained by the site affected by inflammation with the purpose of removing purulent-necrotic formations (previously anesthetizing the place of forthcoming manipulations). At the end of this action, after the final removal of all this “byaka”, the wound is treated with hydrogen peroxide and furacilin, after which a bandage with antimicrobial action is applied, which is provided with antibacterial ointments (gentamycin, erythromycin, tetracycline). The bandage should be changed every day. Physiotherapy: UHF and ultraviolet irradiation work well.
Probably, it is not necessary to write, that with furuncles it is necessary to address accurately, and about independent squeezing out there can be no question. Single boils represent absolutely no danger, and in the absence of complications, the prognosis is generally favorable.