Carbuncle
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223341356
2008-07-03T17:30:34Z
156.99.30.174
{{Copyedit|date=January 2008}}
{{Refimprove|date=April 2008}}
{{otheruses}}
{{Infobox_Disease |
Name = {{PAGENAME}} |
Image = |
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DiseasesDB = 29434 |
ICD10 = {{ICD10|L|02||l|00}} |
ICD9 = {{ICD9|680.9}} |
ICDO = |
OMIM = |
MedlinePlus = |
eMedicineSubj = |
eMedicineTopic = |
MeshID = D002270 |
}}
A '''carbuncle''' is an [[abscess]] larger than a [[boil]], usually with one or more openings draining [[pus]] onto the [[skin]]. It is usually caused by [[bacteria]]l [[infection]].
Most carbuncles are caused by the bacteria [[Staphylococcus aureus]]. The infection is [[contagious]] and may spread to other areas of the body or other people.
A carbuncle is made up of several [[skin]] boils. The infected mass is filled with [[fluid]], [[pus]], and dead [[Tissue (biology)|tissue]]. [[Fluid]] may drain out of the carbuncle, but sometimes the mass is so deep that it cannot drain on its own.
Carbuncles may develop anywhere, but they are most common on the back and the [[nape]] of the [[neck]]. Men get carbuncles more often than women. Because the condition is contagious, family members may develop carbuncles at the same time. Often, the direct cause of a carbuncle cannot be determined. Things that make carbuncle infections more likely include friction from clothing or [[shaving]], generally poor [[hygiene]] and weakening of [[immunity]]. For example, persons with [[diabetes]] and [[immune system diseases]] are more likely to develop staphylococcal infections.
The carbuncle may be the size of a [[pea]] or as large as a [[golf ball]]. It may be red and [[irritated]] and might hurt when touched. It may also grow very fast and have a white or yellow center. It may crust or spread to other skin areas. Sometimes, other symptoms may occur. These may include [[fatigue (medical)|fatigue]], [[fever]] and general discomfort or sick feeling. Sometimes an [[itching]] occurs before the carbuncle develops.
==Treatment==
Carbuncles usually must drain before they will heal. This most often occurs on its own in less than 2 weeks. Placing a warm moist cloth on the carbuncle helps it to drain, which speeds healing. The affected area should be soaked with a warm, moist cloth several times each day. The carbuncle should not be squeezed, or cut open without medical supervision, as this can spread and worsen the infection.
Treatment is needed if the carbuncle lasts longer than 2 weeks, returns frequently, is located on the spine or the middle of the face, or occurs along with a fever or other symptoms. Treatment helps reduce complications related to an infection. A doctor may prescribe antibacterial soaps and antibiotics applied to the skin or taken by mouth. Deep or large lesions may need to be drained by a health professional.
Proper [[hygiene]] is very important to prevent the spread of infection. Hands should always be washed thoroughly after touching a carbuncle. Washcloths and towels should not be shared or reused. Clothing, washcloths, towels, and sheets or other items that contact infected areas should be washed in very hot (preferably boiling) water. Bandages should be changed frequently and thrown away in a tightly-closed bag.
==Prognosis==
Carbuncles may heal on their own. Others usually respond well to treatment. However, a carbuncle can return again and again for months or years following the first infection. Call a doctor if a carbuncle does not heal with home treatment within 2 weeks or is located on the face, neck or spine. The same if you have a fever or a lot of swelling around the carbuncle, or pain that gets worse. Also consult a professional if carbuncles come back often.
==Monstrous carbuncle==
In 1984 [[Charles, Prince of Wales]] famously described the proposed Sainsbury Wing extension to the [[National Gallery, London|National Gallery]] in London as a "monstrous carbuncle on the face of a much-loved and elegant friend",<ref>{{cite web|url=
http://www.princeofwales.gov.uk/speechesandarticles/a_speech_by_hrh_the_prince_of_wales_at_the_150th_anniversary_1876801621.html|title=A speech by HRH The Prince of Wales at the 150th anniversary of the Royal Institute of British Architects (RIBA), Royal Gala Evening at Hampton Court Palace|accessdate=2007-06-16}}</ref> a term now widely used to describe architecture, particularly [[Modern architecture|modernist]] architecture, unsympathetic to its surroundings.<ref>{{cite web|url=http://news.bbc.co.uk/1/hi/uk/4285069.stm|title=Prince's new architecture blast|accessdate=2007-06-16}}</ref> <ref>{{cite web|url=http://news.bbc.co.uk/1/hi/wales/1162818.stm|title=No cash for 'highest slum'|accessdate=2007-06-16}}</ref>
==References==
{{reflist}}
{{Diseases of the skin and subcutaneous tissue}}
[[Category:Gross pathology]]
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[[fr:Anthrax staphylococcique]]
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