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Abscess

From Wikipedia
abscess
signs den symptoms
Subclass ofsuppuration, general symptom Edit
Has causebacterial infection Edit
Health specialtydermatology, general surgery, infectious diseases Edit
Symptoms and signserythema, pain, swelling, remittent fever Edit
Medical examinationmedical ultrasonography, computed tomography Edit
Drug or therapy used for treatmentCefotetan, metronidazole, cefoxitin Edit
ICD-9-CM682.8, 682.9 Edit
ICPC 2 IDS10 Edit

An abscess be a collection of pus wey build up within de tissue of de body, usually be caused by bacterial infection.[1][2] Signs den symptoms of abscesses dey include redness, pain, warmth, den swelling.[3] De swelling fi feel fluid-filled wen dem press.[3] De area of redness often dey extend beyond de swelling.[4] Carbuncles den boils be types of abscess wey often involve hair follicles, plus carbuncles be larger.[5] A cyst be related to an abscess, buh e dey contain a material oda dan pus, den a cyst get a clearly defined wall. Abscesses sanso fi form internally on internal organs den after surgery.

Dem usually be caused by a bacterial infection.[6] Often chaw different types of bacteria be involved insyd a single infection.[4] Insyd chaw areas of de world, de most common bacteria present be methicillin-resistant Staphylococcus aureus.[3] Skin abscesses in particular be overwhelmingly caused by S. aureus.[7] Rarely, parasites fi cause abscesses; dis be more common insyd de developing world.[8] Diagnosis of a skin abscess usually be made based on wat e dey look like wey e be confirmed by cutting am open.[3] Ultrasound imaging fi be useful in cases insyd wich de diagnosis no be clear.[3] Insyd abscesses around de anus, computer tomography (CT) fi be important to look for deeper infection.[8]

Standard treatment give most skin anaa soft tissue abscesses be cutting am open den drainage.[9] Der appear to be sam benefit from sanso dey use antibiotics.[10] A small amount of evidence dey support no dey pack de cavity wey dey remain plus gauze after drainage.[3] Closing dis cavity right after draining am rather dan leaving am open fi speed healing widout increasing de risk of de abscess returning.[11] Sucking out de pus plus a needle often no be sufficient.[3] Skin abscesses be common wey sam studies suggest dem cam be more common over de past two decades[12][3] Risk factors dey include intravenous drug use, plus rates dem report as high as 65% among users.[13] Insyd 2005, na 3.2 million people go to American emergency departments for abscesses.[14] Insyd Australia, na around 13,000 people be hospitalized insyd 2008 plus de condition.[15]

References

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  1. ↑ "Abscess". Cleveland Clinic. Retrieved 2025-01-02. An abscess is a buildup of a pus that can affect any part of your body.
  2. ↑ Bush, Larry M. (Jul 2024). "Abscesses". MSD Manual. Retrieved 2025-01-02. Abscesses are collections of pus in confined tissue spaces, usually caused by bacterial infection.
  3. 1 2 3 4 5 6 7 8 Singer AJ, Talan DA (March 2014). "Management of skin abscesses in the era of methicillin-resistant Staphylococcus aureus" (PDF). The New England Journal of Medicine. 370 (11): 1039–1047. doi:10.1056/NEJMra1212788. PMID 24620867. Archived from the original (PDF) on 2014-10-30. Retrieved 2014-09-24.
  4. 1 2 Elston DM (2009). Infectious Diseases of the Skin. London: Manson Pub. p. 12. ISBN 978-1-84076-514-4. Archived from the original on 2017-09-06.
  5. ↑ Marx JA (2014). "Dermatologic Presentations". Rosen's emergency medicine: concepts and clinical practice (8th ed.). Philadelphia, PA: Elsevier/Saunders. pp. Chapter 120. ISBN 978-1-900151-96-2.
  6. ↑ Cox C, Turkington JS, Birck D (2007). The encyclopedia of skin and skin disorders (3rd ed.). New York, NY: Facts on File. p. 1. ISBN 978-0-8160-7509-6. Archived from the original on 2017-09-06.
  7. ↑ Johnson, Ryan C.; Ellis, Michael W.; Schlett, Carey D.; Millar, Eugene V.; LaBreck, Patrick T.; Mor, Deepika; Elassal, Emad M.; Lanier, Jeffrey B.; Redden, Cassie L.; Cui, Tianyuan; Teneza-Mora, Nimfa; Bishop, Danett K.; Hall, Eric R.; Bishop-Lilly, Kimberly A.; Merrell, D. Scott (2016-10-25). Seleem, Mohamed N. (ed.). "Bacterial Etiology and Risk Factors Associated with Cellulitis and Purulent Skin Abscesses in Military Trainees". PLOS ONE (in English). 11 (10) e0165491. Bibcode:2016PLoSO..1165491J. doi:10.1371/journal.pone.0165491. ISSN 1932-6203. PMC 5079656. PMID 27780238.
  8. 1 2 Marx JA (2014). "Skin and Soft Tissue Infections". Rosen's emergency medicine: concepts and clinical practice (8th ed.). Philadelphia, PA: Elsevier/Saunders. pp. Chapter 137. ISBN 978-1-4557-0605-1.
  9. ↑ American College of Emergency Physicians, "Five Things Physicians and Patients Should Question", Choosing Wisely: an initiative of the ABIM Foundation, American College of Emergency Physicians, archived from the original on March 7, 2014, retrieved January 24, 2014
  10. ↑ Vermandere M, Aertgeerts B, Agoritsas T, Liu C, Burgers J, Merglen A, et al. (February 2018). "Antibiotics after incision and drainage for uncomplicated skin abscesses: a clinical practice guideline". BMJ. 360: k243. doi:10.1136/bmj.k243. PMC 5799894. PMID 29437651.
  11. ↑ Singer AJ, Thode HC, Chale S, Taira BR, Lee C (May 2011). "Primary closure of cutaneous abscesses: a systematic review" (PDF). The American Journal of Emergency Medicine. 29 (4): 361–366. doi:10.1016/j.ajem.2009.10.004. PMID 20825801. Archived from the original (PDF) on 2015-07-22.
  12. ↑ Tesini, Brenda L.; Passarelli, Patrick James (eds.). "Cutaneous Abscess - Infectious Disease". Merck Manual Professional Edition. Merck & Co., Inc. Archived from the original on 2026-08-12. Retrieved 2026-08-12.
  13. ↑ Ruiz P, Strain EC, Langrod J (2007). The substance abuse handbook. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. p. 373. ISBN 978-0-7817-6045-4. Archived from the original on 2017-09-06.
  14. ↑ Taira BR, Singer AJ, Thode HC, Lee CC (March 2009). "National epidemiology of cutaneous abscesses: 1996 to 2005". The American Journal of Emergency Medicine. 27 (3): 289–292. doi:10.1016/j.ajem.2008.02.027. PMID 19328372.
  15. ↑ Vaska VL, Nimmo GR, Jones M, Grimwood K, Paterson DL (January 2012). "Increases in Australian cutaneous abscess hospitalisations: 1999-2008". European Journal of Clinical Microbiology & Infectious Diseases. 31 (1): 93–96. doi:10.1007/s10096-011-1281-3. PMID 21553298. S2CID 20376537.
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