Carbuncle is a purulent inflammation that affects the skin and subcutaneous tissue in the hairline or in the area of the sebaceous gland. Most often, carbuncles develop in the form of single formations. In their external signs, they resemble boils, the causes of their occurrence also have much in common.
Causes of purulent carbuncle
Purulent carbuncle can occur in the area of damaged skin, its appearance is provoked by profuse sweating, colds, the ingress of pyogenic bacteria under the skin. The cause of a purulent carbuncle can be gastrointestinal dysfunction, changes in the functioning of the kidneys and liver, low body weight, overweight, lack of vitamins, and elevated blood sugar levels.
Some authors believe that the carbuncle develops as a result of the merger of a number of boils. A furuncle is a purulent inflammation on the skin in the area of the hair follicle caused by Staphylococcus aureus and other pyogenic microorganisms. When making a diagnosis, a carbuncle can be mistaken for a phlegmon.
The place of localization of the carbuncle in most cases is the area of the back, shoulder blades, back of the neck, buttocks, as well as arms and legs. In the process of the development of the disease, cellular elements and pus accumulate in the tissues. Pressure on the area of inflammation or careless movement can cause sharp pain. Edema forms in the area of tissue damage, the skin becomes red. The patient’s condition deteriorates sharply, his temperature rises, vomiting appears, loss of consciousness may occur.
Autopsy carbuncle
Treatment of carbuncle most often requires only the appointment of antibiotics, painkillers and high-calorie nutrition. At the stage of necrosis, an operation is shown, during which fluctuation zones are opened.
The fluctuation zone is formed several days after the onset of the inflammatory process. This causes the opening of the carbuncle with the formation of several rods with pus. After the expiration of pus, an ulcerative surface remains for a long time, which does not heal for a long time (from two to four weeks). In addition to traces on the skin, carbuncles can also cause complications, namely meningitis, septic diseases, lymphangitis, etc.
The opening of the carbuncle is indicated under local anesthesia with the appearance of significant tissue edema. An incision in the form of a cross is made on the surface of the affected tissue, necrotic tissues are removed, and streaks are opened. Pus is removed from the cavity by drainage, the wound is washed with an antiseptic solution. After the end of the operation, the wound is covered with a gauze dressing with a hypersaline solution. Two days later, the tampons are removed. After a while, with the help of skin plastics, you can get rid of the scar. The operated patient needs rest.
In order to prevent the disease, it is very important to observe the rules of personal hygiene.