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Recurrent furunculosis – challenges and management: a review

Authors Ibler K, Kromann C

Received 29 October 2013

Accepted for publication 3 January 2014

Published 18 February 2014 Volume 2014:7 Pages 59—64

DOI https://doi.org/10.2147/CCID.S35302

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3


Kristina Sophie Ibler, Charles B Kromann

Department of Dermatology, Roskilde Hospital, Copenhagen University, Denmark

Abstract: Furunculosis is a deep infection of the hair follicle leading to abscess formation with accumulation of pus and necrotic tissue. Furuncles appear as red, swollen, and tender nodules on hair-bearing parts of the body, and the most common infectious agent is Staphylococcus aureus, but other bacteria may also be causative. In some countries, methicillin resistant S. aureus is the most common pathogen in skin and soft tissue infections which is problematic since treatment is difficult. Furunculosis often tends to be recurrent and may spread among family members. Some patients are carriers of S. aureus and eradication should be considered in recurrent cases. Solitary lesions should be incised when fluctuant, whereas patients with multiple lesions or signs of systemic disease or immunosuppression should be treated with relevant antibiotics. The diagnostic and therapeutic approach to a patient suspected of staphylococcosis should include a thorough medical history, clinical examination, and specific microbiological and biochemical investigations. This is particularly important in recurrent cases where culture swabs from the patient, family members, and close contacts are mandatory to identify and ultimately control the chain of infection. Focus on personal, interpersonal, and environmental hygiene issues is crucial to reduce the risk of contamination and recurrences.

Keywords: furunculosis, MRSA, SSTI, boils, abscess, staphylococcosis

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