Xuyen A Long An General Hospital receives many cases of boils leading to abscesses in the maxillofacial area. The main cause of the disease is bacteria entering the hair follicles.
Factors that increase the likelihood of the disease include: improper hygiene, dermatitis, weakened immune system, people with a history of diabetes, liver, kidney disease.
Typically, the boil was painful and swollen for a week and had a fever. Ms. HTN (31 years old, Long An) bought medicine at a pharmacy to treat it at home. However, the boil showed signs of spreading.
When the injury became more severe, with more swelling and pain, Ms. H went to Xuyen A Long An General Hospital for examination.
Doctors noted a swelling in the left jaw angle measuring about 5x5cm, red skin, hot to the touch, painful to press, with a pulsating mark, a fistula on the skin surface, and a small amount of pus leaking. In addition, the patient was breastfeeding and had a history of gestational diabetes.
The doctor performed anesthesia, local analgesia, incision and debridement, irrigation and cleaning of the abscess in the left mandibular angle, placed a drainage tube in the surgical site and then left the incision area exposed. The patient was treated with antibiotics combined with irrigation of the surgical site and daily dressing changes. After more than 1 week of treatment, the patient's condition was stable and he was discharged from the hospital.
According to Dr. Hoang Ngoc Phu Hung - Interdisciplinary Department of Xuyen A Long An General Hospital, the patient was hospitalized with a condition of infected skin boils, necrotic and purulent subcutaneous tissue forming an abscess, requiring immediate active treatment to avoid dangerous complications.
Previously, Tam Anh General Hospital in Ho Chi Minh City treated a child (9 months old) who had a boil on his buttocks since he was 1 month old but the wound was not properly cared for, causing an abscess and infection leading to anal fistula.
Doctor Phu Hung said that boils are a type of skin infection, first from the pores or sebum glands of pimples, usually benign but cannot be ignored.
Most of the time, the disease is self-limiting and self-healing when the boil bursts, this period lasts about 1-2 weeks. However, if the infection is highly virulent bacteria or the patient has a weakened immune system, it can lead to high fever, sepsis and risk of death.
Doctor Hung recommends that when having boils, patients should not squeeze or apply hot or cold compresses on their own, as this will lead to more severe infections, even blood poisoning.
In mild cases, without pain or fever, you can wait a few days for the pimple to burst on its own. Then, you can use a sterile cotton swab to absorb the fluid and then wash it with betadine or iodine alcohol, avoiding scratching the area where the pus has just been drained.
Absolutely do not apply leaves or medicine according to the instructions of non-professionals to avoid anaphylactic shock infection. If the condition of the boils does not show signs of improvement within 2 weeks, you should go to a medical facility for appropriate treatment.
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