A carbuncle is an
abscesslarger than a boil, usually with one or more openings draining pusonto the skin. It is usually caused by bacterial infection, most commonly Staphylococcus aureus. The infection is contagiousand may spread to other areas of the body or other people.
A carbuncle is made up of several
skinboils. The infected mass is filled with fluid, pus, and dead tissue. Fluidmay 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 napeof 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 hygieneand weakening of immunity. For example, persons with diabetesand immune system diseasesare more likely to develop staphylococcal infections.
The carbuncle may be the size of a
peaor as large as a golf ball. It may be red and irritatedand 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, feverand general discomfort or sick feeling. Sometimes an itchingoccurs before the carbuncle develops.
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.
hygieneis very important to prevent the spread of infection. Hands should always be washed thoroughly, preferably with antibacterial soap, 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. If boils/carbuncles recur frequently, daily use of an antibacterial soap or cleanser containing triclosan, triclocarban or chlorhexideine, can suppress staph bacteria on the skin.
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. They can be fatal.
Charles, Prince of Walesfamously described the proposed Sainsbury Wing extension to the National Gallery in London as a "monstrous carbuncle on the face of a much-loved and elegant friend", [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] a term now widely used to describe architecture, particularly modernist architecture, unsympathetic to its surroundings. [cite web|url=http://news.bbc.co.uk/1/hi/uk/4285069.stm|title=Prince's new architecture blast|accessdate=2007-06-16] [cite web|url=http://news.bbc.co.uk/1/hi/wales/1162818.stm|title=No cash for 'highest slum'|accessdate=2007-06-16]
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