Boil natural history, complications and prognosis: Difference between revisions
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==Natural History== | ==Natural History== | ||
If left untreated, | If left untreated, patients with boil(furuncle) may progress to develop [[carbuncle]], [[fever]] and [[lymphadenopathy]]. Most common complications of boils(furuncle) include [[scar]]ing and recurrence. Other rare complications are systemic infection with fever and [[abscess]] of [[spinal cord]], [[brain]], [[kidneys]] or other organs. | ||
It is estimated that the recurrence rate of rheumatic fever is decreased by about 85% by providing prophylactic [[penicillin]] therapy. Recurrence rate of 0.2/patient/year follow-up was noted among those not receiving regular treatment.<ref name="pmid3700577">{{cite journal| author=Majeed HA, Yousof AM, Khuffash FA, Yusuf AR, Farwana S, Khan N| title=The natural history of acute rheumatic fever in Kuwait: a prospective six year follow-up report. | journal=J Chronic Dis | year= 1986 | volume= 39 | issue= 5 | pages= 361-9 | pmid=3700577 | doi= | pmc= | url= }} </ref> | It is estimated that the recurrence rate of rheumatic fever is decreased by about 85% by providing prophylactic [[penicillin]] therapy. Recurrence rate of 0.2/patient/year follow-up was noted among those not receiving regular treatment.<ref name="pmid3700577">{{cite journal| author=Majeed HA, Yousof AM, Khuffash FA, Yusuf AR, Farwana S, Khan N| title=The natural history of acute rheumatic fever in Kuwait: a prospective six year follow-up report. | journal=J Chronic Dis | year= 1986 | volume= 39 | issue= 5 | pages= 361-9 | pmid=3700577 | doi= | pmc= | url= }} </ref> | ||
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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 it varies with underlying risk factors, if left untreated.
Natural History
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 rare complications are systemic infection with fever and abscess of spinal cord, brain, kidneys or other organs.
It is estimated that the recurrence rate of rheumatic fever is decreased by about 85% by providing prophylactic penicillin therapy. Recurrence rate of 0.2/patient/year follow-up was noted among those not receiving regular treatment.[1]
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.