Carbuncle

A carbuncle is a cluster of several boils, which is typically filled with purulent exudate (dead neutrophils, phagocytized bacteria, and other cellular components).[5] Fluid may drain freely from the carbuncle, or intervention involving an incision and drainage procedure may be needed.[4] Carbuncles may develop anywhere, but they are most common on the back and the nape of the neck.[3]

A carbuncle is palpable and can range in size to be as small as a pea or as large as a golf ball. Surface is red, looking like hot red coal. The surrounding area is indurated. Later, skin on the centre of the carbuncle softens and peripheral satellite vesicles appear, which rupture discharging pus and give rise to cribriform appearance.[3][6] As the impending infection develops, itching may occur. There may be localized erythema, skin irritation, and the area may be painful when touched. Sometimes more severe symptoms may occur, such as fatigue, fever, chills, and general malaise as the body fights the infection.[6]

The initial cause of a carbuncle can often not be determined. Triggers that make carbuncle infections more likely include recent incidence of folliculitis; friction from clothing or shaving; having hair pulled out, such as sites where clothing or furniture grab at hairs; generally poor hygiene; poor nutrition; or weakened immunity. Poor health may be a predisposing factor – for example, persons with diabetes and immune system diseases are more likely to develop infections (especially bacterial infections of the leg or foot).