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Carbuncle

A carbuncle is a cluster of boils caused by bacterial infection, most commonly with Staphylococcus aureus or Streptococcus pyogenes.[1] The presence of a carbuncle is a sign that the immune system is active and fighting the infection.[2] The infection is contagious and may spread to other areas of the body, or other people; those living in the same residence may develop carbuncles at the same time.[3] In the early 21st century, infection involving methicillin-resistant Staphylococcus aureus (MRSA) has become more common.[4]

Carbuncle
Carbuncle on buttock of a diabetic person
Pronunciation
SpecialtyDermatology

Signs and symptoms

A carbuncle is a cluster of several boils, which is typically filled with purulent exudate (dead neutrophils, phagocytized bacteria, and other cellular components).[5] Fluid may drain freely from the carbuncle, or intervention involving an incision and drainage procedure may be needed.[4] Carbuncles may develop anywhere, but they are most common on the back and the nape of the neck.[3]

A carbuncle is palpable and can range in size to be as small as a pea or as large as a golf ball. The surrounding area is indurated. Later, skin on the centre of the carbuncle softens and peripheral satellite vesicles appear; these rupture, discharging pus, and give rise to cribriform appearance.[3][6] As the impending infection develops, itching may occur. There may be localized erythema or skin irritation, and the area may be painful when touched. Sometimes more severe symptoms may occur, such as fatigue, fever, chills, and general malaise as the body fights the infection.[6]

Cause

The initial cause of a carbuncle can often not be determined. Triggers that make carbuncle infections more likely include recent incidence of folliculitis; friction from clothing or shaving; having hair pulled out, such as sites where clothing or furniture grab at hairs; generally poor hygiene; poor nutrition; or weakened immunity.[citation needed] Poor health may be a predisposing factor – for example, persons with diabetes and immune system diseases are more likely to develop infections (especially bacterial infections of the leg or foot).[citation needed]

Society and culture

Etymology

The word is believed to have originated from the Latin: carbunculus, originally a small coal; diminutive of carbon-, carbo: charcoal or ember, but also a carbuncle stone, "precious stones of a red or fiery colour", usually garnets.[7]

Metaphor: the "monstrous carbuncle"

In 1984 Charles III, then Prince of Wales, described the proposed Sainsbury Wing extension to the National Gallery in London as a "monstrous carbuncle on the face of a much-loved and elegant friend",[8] a term he has used since to describe other pieces of architecture.[9][10]

References

  1. ^ Ni Riain, Una (2008-12-01). "Guide to the management of bacterial skin infections". Prescriber. 19 (23–24): 28–37. doi:10.1002/psb.323. ISSN 1931-2253.
  2. ^ "Carbuncle – PubMed Health". National Institute of Health. 2007-04-12. Retrieved 2011-05-10.
  3. ^ a b c "Carbuncle: MedlinePlus Medical Encyclopedia". medlineplus.gov. Retrieved 2017-06-26.
  4. ^ a b "Furuncles and Carbuncles - Dermatologic Disorders - Merck Manuals Professional Edition". Merck Manuals Professional Edition. Retrieved 2017-06-26.
  5. ^ Lewis, Sharon Mantik; Dirksen, Shannon; Heitkemper, Margaret; Bucher, Linda; Camera, Ian (2015). Medical Surgical Nursing. St. Louis, Missouri: Elsevier/Mosby. p. 187. ISBN 978-0323065801.
  6. ^ a b "Symptoms and causes". Mayo Clinic. Retrieved 2017-06-26.
  7. ^ OED, "Carbuncle": 1) stone, 3) medical
  8. ^ . Archived from the original on 2007-09-27. Retrieved 2007-06-16.
  9. ^ "Prince's new architecture blast". BBC News. 2005-02-21. Retrieved 2007-06-16.
  10. ^ "No cash for 'highest slum'". BBC News. 2001-02-09. Retrieved 2007-06-16.

carbuncle, other, uses, disambiguation, carbuncle, cluster, boils, caused, bacterial, infection, most, commonly, with, staphylococcus, aureus, streptococcus, pyogenes, presence, carbuncle, sign, that, immune, system, active, fighting, infection, infection, con. For other uses see Carbuncle disambiguation A carbuncle is a cluster of boils caused by bacterial infection most commonly with Staphylococcus aureus or Streptococcus pyogenes 1 The presence of a carbuncle is a sign that the immune system is active and fighting the infection 2 The infection is contagious and may spread to other areas of the body or other people those living in the same residence may develop carbuncles at the same time 3 In the early 21st century infection involving methicillin resistant Staphylococcus aureus MRSA has become more common 4 CarbuncleCarbuncle on buttock of a diabetic personPronunciation ˈ k ɑːr b ʌ ŋ k el SpecialtyDermatology Contents 1 Signs and symptoms 2 Cause 3 Society and culture 3 1 Etymology 3 2 Metaphor the monstrous carbuncle 4 ReferencesSigns and symptoms EditA carbuncle is a cluster of several boils which is typically filled with purulent exudate dead neutrophils phagocytized bacteria and other cellular components 5 Fluid may drain freely from the carbuncle or intervention involving an incision and drainage procedure may be needed 4 Carbuncles may develop anywhere but they are most common on the back and the nape of the neck 3 A carbuncle is palpable and can range in size to be as small as a pea or as large as a golf ball The surrounding area is indurated Later skin on the centre of the carbuncle softens and peripheral satellite vesicles appear these rupture discharging pus and give rise to cribriform appearance 3 6 As the impending infection develops itching may occur There may be localized erythema or skin irritation and the area may be painful when touched Sometimes more severe symptoms may occur such as fatigue fever chills and general malaise as the body fights the infection 6 Cause EditThe initial cause of a carbuncle can often not be determined Triggers that make carbuncle infections more likely include recent incidence of folliculitis friction from clothing or shaving having hair pulled out such as sites where clothing or furniture grab at hairs generally poor hygiene poor nutrition or weakened immunity citation needed Poor health may be a predisposing factor for example persons with diabetes and immune system diseases are more likely to develop infections especially bacterial infections of the leg or foot citation needed Society and culture EditEtymology Edit The word is believed to have originated from the Latin carbunculus originally a small coal diminutive of carbon carbo charcoal or ember but also a carbuncle stone precious stones of a red or fiery colour usually garnets 7 Metaphor the monstrous carbuncle Edit In 1984 Charles III then Prince of Wales described the proposed Sainsbury Wing extension to the National Gallery in London as a monstrous carbuncle on the face of a much loved and elegant friend 8 a term he has used since to describe other pieces of architecture 9 10 References Edit Ni Riain Una 2008 12 01 Guide to the management of bacterial skin infections Prescriber 19 23 24 28 37 doi 10 1002 psb 323 ISSN 1931 2253 Carbuncle PubMed Health National Institute of Health 2007 04 12 Retrieved 2011 05 10 a b c Carbuncle MedlinePlus Medical Encyclopedia medlineplus gov Retrieved 2017 06 26 a b Furuncles and Carbuncles Dermatologic Disorders Merck Manuals Professional Edition Merck Manuals Professional Edition Retrieved 2017 06 26 Lewis Sharon Mantik Dirksen Shannon Heitkemper Margaret Bucher Linda Camera Ian 2015 Medical Surgical Nursing St Louis Missouri Elsevier Mosby p 187 ISBN 978 0323065801 a b Symptoms and causes Mayo Clinic Retrieved 2017 06 26 OED Carbuncle 1 stone 3 medical A speech by HRH The Prince of Wales at the 150th anniversary of the Royal Institute of British Architects RIBA Royal Gala Evening at Hampton Court Palace Archived from the original on 2007 09 27 Retrieved 2007 06 16 Prince s new architecture blast BBC News 2005 02 21 Retrieved 2007 06 16 No cash for highest slum BBC News 2001 02 09 Retrieved 2007 06 16 Retrieved from https en wikipedia org w index php title Carbuncle amp oldid 1124835548, wikipedia, wiki, book, books, library,

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