Boil natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]

Overview

If left untreated, patients with boil(furuncle) may progress to develop carbuncle, fever and lymphadenopathy. Most common complications of boils(furuncle) include scaring and recurrence. Other complications are septicemia leading to abscess of spinal cord, [brain]], kidneys or other organs. Prognosis is generally good however in immunocompromised patients the prognosis is poor if left untreated.

Complications

• Abscess of the skin, spinal cord, brain, kidneys, or other organ
• Brain infection
• Endocarditis
• Osteomyelitis
• Permanent scarring
• Sepsis
• Spinal cord infection
• Spread of infection to other parts of the body or skin surfaces

Prognosis

• For most cases, there are no serious complications and a full recovery is expected.

• Some people have repeated abscesses and are unable to prevent them.

• Boils can be very painful if they occur in areas like the ear canal or nose. A health care provider should treat boils of the nose.

• Boils that form close together may expand and join, causing a condition called carbunculosis.

References

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