{"id":2344,"date":"2025-09-16T13:53:16","date_gmt":"2025-09-16T13:53:16","guid":{"rendered":"https:\/\/doctorsabirhussain.com\/sabirderma\/?p=2344"},"modified":"2025-09-16T13:53:16","modified_gmt":"2025-09-16T13:53:16","slug":"boil","status":"publish","type":"post","link":"https:\/\/doctorsabirhussain.com\/sabirderma\/boil\/","title":{"rendered":"Boil"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">What is a boil?<\/h2>\n\n\n\n<p>A boil (also called a furuncle) is a deep form of&nbsp;<a href=\"https:\/\/dermnetnz.org\/topics\/bacterial-folliculitis\">bacterial folliculitis<\/a>&nbsp;(infection&nbsp;of a&nbsp;hair&nbsp;follicle<\/p>\n\n\n\n<p>).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What are the clinical features of a boil?<\/h2>\n\n\n\n<p>Boils present as one or more tender red spots, lumps, or\u00a0pustules.\u00a0Careful inspection reveals that the boil is centred on a hair follicle. A boil is a deep form of\u00a0bacterial\u00a0<a href=\"https:\/\/dermnetnz.org\/topics\/folliculitis\">folliculitis<\/a>; superficial folliculitis is sometimes present at the same time.\u00a0<em><a href=\"https:\/\/dermnetnz.org\/topics\/staphylococcal-skin-infection\">Staphylococcus aureus<\/a><\/em>\u00a0can be cultured from the skin\u00a0lesions.<\/p>\n\n\n\n<p>If there are multiple heads, the&nbsp;lesion&nbsp;is called a carbuncle. Large boils form&nbsp;<a href=\"https:\/\/dermnetnz.org\/topics\/cutaneous-abscess\">abscesses<\/a>, defined as an accumulation of&nbsp;pus&nbsp;within a cavity.&nbsp;<a href=\"https:\/\/dermnetnz.org\/topics\/cellulitis\">Cellulitis<\/a>&nbsp;may also occur, ie, infection of the surrounding tissues, and this may cause&nbsp;fever&nbsp;and illness.<\/p>\n\n\n\n<p>Boil&nbsp;<\/p>\n\n\n\n<p>Boil in&nbsp;axilla&nbsp;<\/p>\n\n\n\n<p>Surrounding cellulitis&nbsp;<\/p>\n\n\n\n<p>Carbuncle&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why do boils occur?<\/h2>\n\n\n\n<p>Most people with boils are otherwise healthy and have good personal hygiene. They do however, carry\u00a0<em>Staphylococcus aureus<\/em>\u00a0on the surface of their skin (staphylococcal\u00a0carrier\u00a0state). Why this occurs is usually not known, but it is estimated that 10\u201320% of the population are staphylococcal\u00a0carriers.<\/p>\n\n\n\n<p><em>Staphylococcus aureus<\/em>\u00a0is most commonly carried in the nostrils, armpits, between the legs, and in the\u00a0cleft\u00a0between the buttocks. It may be transferred to other sites from the nostrils via the fingernails.<\/p>\n\n\n\n<p>Tiny nicks or grazes or something rubbing against the skin can inoculate the bacteria into the wall of a hair follicle, which is a weak point in the skin&#8217;s defences. Once inoculated, the\u00a0bacteria\u00a0cause a boil, which goes on to run its usual course of about 10 days.<\/p>\n\n\n\n<p>Although most people with boils are otherwise healthy, boils are sometimes related to immune deficiency,\u00a0anaemia, diabetes, smoking, or\u00a0<a href=\"https:\/\/dermnetnz.org\/topics\/iron-deficiency\">iron deficiency<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is the treatment for a boil?<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Medical treatment of boils<\/h3>\n\n\n\n<p>Treatment of boils depends on their severity. Your doctor may give you specific advice and medical treatment, some are listed below:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/dermnetnz.org\/topics\/antiseptic\">Antiseptic<\/a>\u00a0or\u00a0<a href=\"https:\/\/dermnetnz.org\/topics\/antibacterial-soap\">antibacterial soap<\/a>\u00a0in your daily bath or shower for a week then twice weekly for several weeks. The cleanser may cause a little dryness.<\/li>\n\n\n\n<li>Use a hand sanitiser regularly to reduce the chance of reinfecting yourself or others with contaminated hands.<\/li>\n\n\n\n<li>Antiseptic or antibiotic\u00a0ointment\u00a0or\u00a0gel\u00a0to apply to the inside of the nostrils.<\/li>\n\n\n\n<li>Wipe the entire skin surface daily for a week with 70% isopropyl alcohol in water (this will make the skin dry).<\/li>\n\n\n\n<li>Apply a\u00a0topical\u00a0antiseptic such as povidone\u00a0<a href=\"https:\/\/dermnetnz.org\/topics\/iodine\">iodine<\/a>\u00a0or chlorhexidine\u00a0cream\u00a0to the boils and cover with a square of gauze.<\/li>\n\n\n\n<li>Your doctor may prescribe an oral\u00a0<a href=\"https:\/\/dermnetnz.org\/topics\/antibiotics\">antibiotic<\/a>\u00a0(usually the\u00a0<a href=\"https:\/\/dermnetnz.org\/topics\/penicillin\">penicillin<\/a>\u00a0antibiotic flucloxacillin), sometimes for several weeks.<\/li>\n\n\n\n<li>Other members of the family with boils should also follow a skin cleansing regime. Your doctor may also advise the family to apply topical antibiotic to their nostrils in case they are\u00a0<em>Staphylococcus aureus<\/em>\u00a0carriers as well.<\/li>\n\n\n\n<li>If the boils fail to clear up, a swab should be taken for microbiological\u00a0culture, in case of\u00a0<a href=\"https:\/\/dermnetnz.org\/topics\/methicillin-resistant-staphylococcus-aureus\">methicillin (meticillin) resistant staphylococci<\/a>.<\/li>\n\n\n\n<li>Sometimes, special antibiotics may be prescribed on the recommendation of a specialist, including\u00a0<a href=\"https:\/\/dermnetnz.org\/topics\/topical-fusidic-acid\">fusidic acid<\/a>,\u00a0<a href=\"https:\/\/dermnetnz.org\/topics\/clindamycin\">clindamycin<\/a>,\u00a0<a href=\"https:\/\/dermnetnz.org\/topics\/rifampicin\">rifampicin<\/a>\u00a0and cephalosporins.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">General measures to prevent boils<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Consult your doctor about your general health.<\/li>\n\n\n\n<li>If you are overweight, try to reduce your weight; take regular exercise.<\/li>\n\n\n\n<li>Follow a balanced healthy diet with meat, plenty of fruit and vegetables.<\/li>\n\n\n\n<li>Avoid smoking.<\/li>\n\n\n\n<li>Wash your whole body once a day with\u00a0<a href=\"https:\/\/dermnetnz.org\/topics\/soaps-and-cleansers\">soap or cleanser<\/a>\u00a0and water. Wash your hands several times daily or use antiseptic\u00a0<a href=\"https:\/\/dermnetnz.org\/topics\/hand-rub\">hand rubs<\/a>.<\/li>\n\n\n\n<li>Don&#8217;t share your flannel or towel with other family members.<\/li>\n\n\n\n<li>Maintain a clean handkerchief and don&#8217;t pick your nose!<\/li>\n\n\n\n<li>Change your underclothes and night attire regularly.<\/li>\n\n\n\n<li>Consider modifying leisure activities that cause sweating and friction from clothing, such as squash and jogging.<\/li>\n\n\n\n<li>If you are\u00a0<a href=\"https:\/\/dermnetnz.org\/topics\/iron-deficiency\">iron deficient<\/a>, a course of iron tablets may help reduce infection.<\/li>\n\n\n\n<li>1000 mg of vitamin C each day has also been advocated to improve deficient\u00a0neutrophil\u00a0function.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">References<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Shallcross LJ, Hayward AC, Johnson AM, Petersen I. Incidence and recurrence of boils and abscesses within the first year: a cohort study in UK primary care. Br J Gen Pract. 2015 Oct;65(639):e668\u201376. doi: 10.3399\/bjgp15X686929. PubMed PMID: 26412844;\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26412844\">PubMed Central<\/a>\u00a0PMCID: PMC4582880.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>What is a boil? A boil (also called a furuncle) is a deep form of&nbsp;bacterial folliculitis&nbsp;(infection&nbsp;of a&nbsp;hair&nbsp;follicle ). What are the clinical features of a boil? Boils present as one or more tender red spots, lumps, or\u00a0pustules.\u00a0Careful inspection reveals that the boil is centred on a hair follicle. A boil is a deep form of\u00a0bacterial\u00a0folliculitis; [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2344","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/doctorsabirhussain.com\/sabirderma\/wp-json\/wp\/v2\/posts\/2344","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorsabirhussain.com\/sabirderma\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/doctorsabirhussain.com\/sabirderma\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/doctorsabirhussain.com\/sabirderma\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorsabirhussain.com\/sabirderma\/wp-json\/wp\/v2\/comments?post=2344"}],"version-history":[{"count":1,"href":"https:\/\/doctorsabirhussain.com\/sabirderma\/wp-json\/wp\/v2\/posts\/2344\/revisions"}],"predecessor-version":[{"id":2345,"href":"https:\/\/doctorsabirhussain.com\/sabirderma\/wp-json\/wp\/v2\/posts\/2344\/revisions\/2345"}],"wp:attachment":[{"href":"https:\/\/doctorsabirhussain.com\/sabirderma\/wp-json\/wp\/v2\/media?parent=2344"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorsabirhussain.com\/sabirderma\/wp-json\/wp\/v2\/categories?post=2344"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorsabirhussain.com\/sabirderma\/wp-json\/wp\/v2\/tags?post=2344"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}