Skin AbscessAbscess is a localized collection of pus under the skin. This occurs secondarily to a bacterial infection. Common areas for abscess formation are the armpits, genital areas, buttocks, and the lower extremities. An abscess usually starts as a plugged skin gland, cyst, or a folliculitis infection that progresses.Causes of Skin AbscessSkin abscesses are fairly common. They are caused when an infection causes pus and infected material to collect in the skin. Skin abscesses may follow a bacterial infection, commonly an infection with staphylococcus. They can develop after a minor wound, injury, or as a complication of folliculitis or boils. Skin abscesses may occur anywhere on the body. They affect people of all ages. An abscess can prevent deeper tissues from functioning properly. The infection may spread locally or throughout the body. The spread of infection through the bloodstream may cause severe complications. Symptoms of Skin AbscessSymptoms are redness, heat, swelling and pain. Abscesses may occur in any kind of solid tissue but most frequently on skin surface (where they may be superficial pustules or deep skin abscesses), in the lungs, brain, kidneys and tonsils. Major complications are spreading of the abscess material to adjacent or remote tissues and extensive regional tissue death (gangrene). Abscesses in most parts of the body rarely heal themselves, so prompt medical attention is indicated at the first suspicion of an abscess. Treatment of Skin AbscessThe treatment of first choice is the surgical drainage of the abscess. It is important to note that antibiotic therapy alone without surgical drainage of the abscess is seldom effective. However, in critical areas where surgery presents a high risk (such as the brain), surgery may be delayed or used as a last resort. The drainage of the lung abscess may be performed by giving the patient a certain position that enables the contents to be discharged via the respiratory tract. After surgical drainage, antibiotics are usually used to control the infection. Warm compresses and elevation of the limb may be beneficial for skin abscess. Perianal abscesses are seen in patients with inflammatory bowel disease, Crohn's disease, or diabetes. Often the abscess will start as an internal wound caused by ulceration or hard stool. This wound typically becomes infected as a result of the normal presence of feces in the rectal area, and then develops into an abscess. Prevention of Skin AbscessPrevent and watch for bacterial infections. Keep the skin around minor wounds clean and dry. Consult the health care provider if you develop signs of infection. Treat minor infections promptly.
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