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A boil is an infection that affects groups of hair follicles and nearby skin tissue.
Related conditions include:
Causes, incidence, and risk factors
Boils are very common. They are most often caused by the bacteria Staphylococcus aureus. They can also be caused by other types bacteria or fungi found on the skin's surface. Damage to the hair follicle allows the infection to grow deeper into the follicle and the tissues under it.
Boils may occur in the hair follicles anywhere on the body. They are most common on the face, neck, armpit, buttocks, and thighs. There can be one or many boils.
A boil may begin as a tender, pinkish-red, swollen, firm area in the skin. Over time, it will feel like a water-filled balloon or cyst.
Pain gets worse as it fills with pus and dead tissue. Pain lessens when the boil drains. A boil may drain on its own. More often, the boil needs to be opened to drain.
The main symptoms of a boil include:
Other symptoms may include:
Signs and tests
The health care provider can usually diagnose a boil based on how it looks. A sample of cells from the boil may be sent to the lab for a culture to look for staphylococcus or other bacteria.
Boils may heal on their own after a period of itching and mild pain. More often, they become more painful as pus builds up.
Boils usually need to open and drain in order to heal. This most often happens within 2 weeks.
You may need to have surgery to drain deep or large boils. Get treatment from you health care provider if:
It is important keep a boil clean:
Your doctor may give you antibiotics you take by mouth or a shot if the boil is very bad or comes back.
Antibacterial soaps and creams cannot help much once a boil has formed.
Some people have repeated infections and are unable to prevent them.
Boils in areas like the ear canal or nose can be very painful. A health care provider should treat boils of the nose.
Boils that form close together may expand and join, causing a condition called carbunculosis.
Calling your health care provider
Call your health care provider if boils:
The following may help prevent the spread of infection:
Habif TM. Bacterial infections. In: Habif TP, ed. Clinical Dermatology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 9.
Millett CR, Halpern AV, Reboli AC, et al. Bacterial Diseases. In: Bolognia JL, Jorizzo JL, Schaffer JV, et al, eds.Dermatology. 3rd ed. Philadelphia, Pa:Mosby Elsevier; 2012:chap 74.
Reviewed by:Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.
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