Vulvar furuncle

I believe that many people do not know the cause of the symptom of vulvar boils, let alone the treatment of this disease. Therefore, when vulvar boils appear, we should receive treatment in time. Vulvar boils are caused by staphylococcal infection, which can lead to folliculitis, redness, swelling, heat and pain in the vulva. We should pay attention to the hygiene of the vulva and then seek treatment according to the doctor's advice.

How do vulvar furuncle occur and how to treat it?

Vulvar furuncle, like vulvar folliculitis, is caused by bacterial infection such as Staphylococcus. Basically, it is caused by vulvar folliculitis and inflammation around the sebaceous glands, and the inflammation develops deeper into the body. Initially, nodules appear on the local skin, which are hard at the base and have obvious redness, swelling, heat and pain. Gradually, the nodule becomes suppurated and softens, forming an abscess. Patients experience significant pain and often have swollen inguinal lymph nodes. Furuncles can occur alone or in combination. If vulvar furuncle recurs, attention should be paid to whether there are systemic diseases such as diabetes.

Do not squeeze vulvar furuncle to avoid promoting the spread of inflammation. Be sure to keep your vulva clean and dry. Those with severe symptoms should rest in bed. Avoid spicy and greasy foods. Treatment is with broad-spectrum antibiotics taken by mouth or, for severe infections, given by injection into a muscle. At the same time, use heat-clearing, detoxifying and stagnation-opening medicines for fumigation and washing, such as Coptis chinensis, Forsythia suspensa, Smilax glabra, Prunella vulgaris, Patrinia scabra, etc., fumigate and wash 1-2 times a day, each time for 20 minutes. After soaking and washing, apply Sihuang ointment or antibiotic ointment externally. If the boil is large and purulent, it can be incised and drained.

Vulvar furuncle is more dangerous than furuncle in other parts of the body because it is easy for the furuncle to invade the Bartholin's glands and cause abscesses. The patient will have a fever and severe pain, and often requires surgical incision and drainage of the pus.

If vulvar furuncle occurs, it should be diagnosed and treated early. Do not miss the best early treatment opportunity because of shyness or mild symptoms. Otherwise, it may induce a bigger disease and make you regret it.

2. Treatment of furuncle

Warm compresses and oral antibiotics can stop the early development of furuncles. Furuncles located on the upper lip and nose must be treated aggressively because they predispose to the risk of venous sinus thrombosis, meningitis, and sepsis.

1. Systemic treatment: If the lesions are located around the nose, in the nasal cavity or in the external auditory canal; if the lesions are large and recurrent; if there is cellulitis around the lesions; if the lesions are not responsive to local treatment, systemic antibacterial drugs can be used. Early, adequate and sufficient course of effective antibiotic treatment, commonly used antibiotics such as β-lactams, macrolides, lincosamides/clindamycin, etc. It is best to choose antibiotics based on bacterial sensitivity tests.

Recurrent cases should be treated with nasal carriage of Staphylococcus aureus, and rifampicin 600 mg/d can be taken orally for 10 consecutive days, combined with cloxacillin 500 mg 4 times a day, or low-dose clindamycin 150 mg/d for 3 consecutive months. Azithromycin or fluoroquinolone antibiotics can also be used for recurrent cases that do not respond to treatment.

2. Local treatment: For early lesions, topical antibacterial drugs include 2% mupirocin ointment, 2% fusidic acid cream, compound polymyxin B ointment, 1% pleuromutilin ointment, etc. Assisted by warm compresses, it can promote the maturation of skin lesions, drainage and relief of symptoms; ultraviolet rays, infrared rays, ultrashort waves and other treatments are effective in relieving inflammation.

3. Surgical treatment: Avoid incision during early skin lesions and acute inflammation. Furuncles in the external auditory canal should not be flushed or incised early. Furuncles in the nose should not be incised. When the boil is localized and fluctuant, it can be drained by incision.