[20M] With recurrent boils and localized skin infection

What might be happening

Based on the information you've provided, the most likely diagnosis is:

• Skin Abscess or Boil: This is a localized infection in the skin that generally starts as a reddened, tender area that becomes hard and firm as it fills with pus. It can be caused by a minor break in the skin, such as a scratch, allowing bacteria to invade the skin and cause an infection. The fact that you've had boils in the past and that the largest boil started after you scratched it supports this diagnosis.
  • Treatment typically involves draining the abscess, which should be done by a healthcare professional to avoid complications. Antibiotics may also be prescribed if the infection is severe or spreading.

Less likely, but also possible, are:

• Hidradenitis Suppurativa: This is a chronic skin condition characterized by small, painful lumps under the skin. The lumps can break open, or tunnels can form under the skin. The fact that you've had boils in the past could suggest this condition.

  • Treatment often involves medications to control inflammation and prevent new breakouts.

• Furunculosis: This is a condition where you have multiple boils appearing over a period of time. They are often painful and can be caused by a bacterial infection, most commonly Staphylococcus aureus.

  • Treatment typically involves draining the boils and antibiotics.

What you can do

1. Do not attempt to squeeze or pop the boils, as this can spread the infection.
2. Apply a warm, wet washcloth to the boils for 20 to 30 minutes, 3 to 4 times a day. This can help to draw the infection out and soothe the skin.
3. Keep the area clean and avoid touching it as much as possible.
4. Over-the-counter pain relievers, such as ibuprofen, can help with pain.
5. Seek medical attention. A healthcare professional can provide appropriate treatment, which may include draining the boil or prescribing antibiotics.

What you should look out for

If you experience any of the following, seek medical attention immediately:

• The boil does not drain on its own.
• The boil is on your face, spine, groin, or rectum.
• You develop a fever.
• The area around the boil turns red, is painful, or feels warm.
• You have red streaks leading away from the boil.
• You have more boils or they keep coming back.
• You have a boil and have diabetes, a heart murmur, a problem with your immune system, or are taking immune-suppressing medications.

Please remember, while I strive to provide accurate information, I'm not a doctor. It's important to consult with a healthcare professional who can provide a formal diagnosis and appropriate treatment options.