Boil

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Boils are infections affecting groups of hair follicles and the surrounding skin tissue. They can appear anywhere on the body.

They are usually caused by bacteria, but can also be caused by fungi that live on the skin's surface. Poor hygiene, obesity and medical conditions such as diabetes or immunodeficiency can increase the risk of infection.

A boil starts as a red, swollen, tender area of skin with a white or yellowish centre (pustule). The pain will worsen as the boil fills with pus and dead tissue, but will subside once the boil opens up and drains. Other symptoms may include fatigue, fever, general malaise, itching, and redness of the skin around the boil.

Diagnosis is based on clinical history and physical examination.

Boils usually disappear in less than two weeks without treatment. Applying warm, moist compresses may speed up the healing process.

If the lesion is very deep or widespread, surgical drainage may be necessary. Antibiotics are prescribed if there is a fever, if boils recur or if they appear on the back near the spine or in the centre of the face.

Bibliographic references
  1. Denis Spelman, MBBS, FRACP, FRCPA, MPH, Larry M Baddour, MD, FIDSA, FAHA. Cellulitis and skin abscess: Clinical manifestations and diagnosis. Uptodate. Sep 06, 2017.
  2. Stevens DL, Bisno AL, Chambers HF, et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis 2014; 59:e10.
  3. Stevens DL, Bisno AL, Chambers HF, et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America. Clin Infect Dis 2014; 59:147.
  4. Raff AB, Kroshinsky D. Cellulitis: A Review. JAMA 2016; 316:325.
  5. Weng QY, Raff AB, Cohen JM, et al. Costs and Consequences Associated With Misdiagnosed Lower Extremity Cellulitis. JAMA Dermatol 2016.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Hair in centre of the nodule and/or pustule


    Skin lesion with pus


    Pustule(s)


    Painful skin lesion


    Reddened, tense and shiny skin

Symptoms to watch out for

Pain that doesn't subside with analgesics
Fever (temperature higher than 38 ºC)
Symptom persistence for more than two weeks after the initial treatment
Blurry vision

Self-care

Consume over-the-counter pain relievers or anti-inflammatories.
Apply warm compresses 3 to 4 times a day for 10 to 15 minutes.
Avoid scratching, squeezing, "bursting" the boil.
Maintain the hygiene of both hands and nails.