[20M] Experiencing multiple boils with one recurrent, large boil on leg

Patient Description

A 20-year-old male presents with 5-7 small boils across his body, including a large, potentially pus-filled boil on his leg accompanied by redness and swelling. The largest boil has been present for about a month and may have recurred due to scratching. The patient also had a boil on his face which has drained. The boils are not painful unless pressure is applied. There are no other associated symptoms such as fever or chills, and the patient does not have any known allergies, medical conditions, or take any medications that could compromise his immune system.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Folliculitis: This is an inflammation or infection of the hair follicles, the small pockets from which each hair grows. Folliculitis can appear as small, white-headed pimples around hair follicles. They can be itchy and tender.

    • Treatment typically involves topical antibiotics or antifungal medications. In more severe cases, oral medications may be necessary.
  • Boils (Furuncles): Boils are painful, pus-filled bumps that form under your skin when bacteria infect and inflame one or more of your hair follicles. A boil that occurs on the eyelid is called a stye.

    • Treatment usually involves drainage of the boil and may include antibiotics.
  • Carbuncles: A carbuncle is a cluster of boils that form a connected area of infection under the skin. It's similar to a boil but larger. They're often found on the back of the neck, shoulders, or thighs.

    • Treatment usually involves drainage of the carbuncle and may include antibiotics.
  • Hidradenitis Suppurativa: This is a chronic skin condition featuring lumps in places like the armpits or groin. It's most common in women and people who have had acne.

    • Treatment can involve medications, surgery, or lifestyle changes.

What you can do

  1. Keep the area clean: Wash the affected area daily with a mild antibacterial soap. After washing, apply a nonprescription antibiotic ointment and cover with a bandage.

  2. Apply warm compresses: This can help to bring the boil to a head and promote drainage.

  3. Don't pop or squeeze boils: This can cause the infection to spread.

  4. Over-the-counter treatments: Nonprescription antibiotic ointment, pain relievers, or a boil care pad can help relieve symptoms.

What you should look out for

You should seek medical attention if:

  • The boil or carbuncle is large or painful
  • You have a fever
  • The boil or carbuncle causes pain or discomfort
  • You have a boil on your face or spine
  • The boils or carbuncles keep returning

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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9 mo ago


People Also Ask


What causes boils to form on the skin?

Boils are typically caused by a bacterial infection, often Staphylococcus aureus, that inflames hair follicles. Factors like poor hygiene, immune system issues, or skin conditions can increase the risk.


How can I prevent boils from recurring?

To prevent boils from recurring, maintain good personal hygiene, avoid sharing personal items like towels, and keep your skin clean and dry. If you have recurrent boils, consult a healthcare provider for further evaluation.


When should I see a doctor for a boil?

You should see a doctor if the boil is large, painful, or located on your face or spine, if you develop a fever, or if the boils keep returning despite home treatment.


Are there any home remedies to help treat boils?

Home remedies for boils include applying warm compresses to promote drainage, keeping the area clean, and using over-the-counter antibiotic ointments. However, avoid squeezing or popping the boil to prevent spreading the infection.

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