A
boil
is a skin infection that starts in a hair follicle or oil gland. At first, the
skin turns red in the area of the infection, and a tender lump develops. After
four to seven days, the lump starts turning white as pus collects under the
skin. If the infection spreads to the deeper tissues of the skin, then it
becomes an abscess or furuncle.
The most common places
for boils to appear are on the face, neck, armpits, shoulders, and buttocks.
If several boils appear
in a group, this is a more serious type of infection called a carbuncle.
Inflammation of hair
follicles is called folliculitis, which can develop into a boil. This is common
in the pubic area, especially after shaving.
Hidradenitis
suppurativa, also called acne inversa, is a skin
condition characterized by lumps under the skin, which often resemble pimples,
particularly in the armpits, groin, and buttocks. It looks like boils but is
not the same condition.
Causes of Boils
Boils are usually
caused by a bacteria called Staphylococcus (staph). Some staph infections
develop into abscesses and can become serious very quickly. This germ can be
present on normal skin and enters the body through tiny breaks in the skin or
by traveling down a hair to the follicle.
The tiny breaks in the
skin may be caused by cuts, scrapes, shaving, ingrown hairs, insect bites, or
even skin diseases or conditions.
What Are Risk Factors for Boils?
Certain health problems
make people more susceptible to skin infections such as boils. Examples of risk
factors for boils include
diabetes mellitus,
problems with the
immune system,
poor nutrition,
poor hygiene,
exposure to harsh
chemicals that irritate the skin;
infection with
community-acquired methicillin-resistant S. aureus (CA-MRSA), and
intravenous drug use.
Other risk factors for
contracting boils include close contact with others who have active infected
boils and exposure to whirlpool footbaths at nail salons.
What Are the Signs and Symptoms of Boils? Are Boils Contagious?
Symptoms of a boil are
initially a hard, red, painful pus-filled bump usually less than an inch in
size. Over the next few days, the lump becomes softer, larger, and more
painful. Soon a pocket of pus forms on the top of the boil. Signs and symptoms
of a more advanced infection are
red, painful, and
swollen skin around the boil;
more boils may appear
around the original one;
fever; and
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swollen lymph nodes
near the boil.
An active skin boil is
contagious because the bacteria that causes them is contagious. Until the boil
is drained and has healed, it is contagious through skin-to-skin contact or
sharing objects. Boils should be covered with a bandage to prevent spreading infection
to other people.
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