abscess
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Pathology
- a circumscribed collection of purulent fluid occurring in acute or chronic infection
- abscesses occur secondary to local tissue destruction
Clinical manifestations
- swelling & other signs of inflammation are frequently associated.
Laboratory
- gram stain & culture if associated systemic symptoms[3]
Management
- incision & drainage
- packing of abscesses is painful & of no benefit[2]
- if associated with systemic symptoms
- empiric antibiotics if associated systemic symptoms
- Bactrim or doxycycline (oral) for moderate infection
- intravenous vancomycin, daptomycin, linezolid, or ceftaroline for severe infection[3]
More general terms
More specific terms
- abdominal abscess
- abscess of bursa
- bone abscess
- breast abscess
- Brodie's abscess
- carbuncle (carbunculosis)
- epididymal/testicular abscess
- epidural abscess
- furuncle
- hepatic abscess
- hidradenitis suppurativa; cicatrizing perifolliculitis; follicular occlusion syndrome; acne inversa
- intracranial abscess
- intraspinal abscess
- iris abscess
- jaw abscess; jaw mass
- parapharyngeal abscess
- pelvic abscess
- periodontal abscess
- perirectal abscess
- peritonsillar abscess
- prostatic abscess
- psoas abscess
- pulmonary abscess
- retroperitoneal abscess
- retropharyngeal abscess
- subcutaneous abscess; boil
- subphrenic abscess; subdiaphragmatic abscess
References
- ↑ Stedman's Medical Dictionary 26th ed, Williams & Wilkins, Baltimore, 1995
- ↑ 2.0 2.1 The NNT: Packing of Abscesses after Incision and Drainage to Prevent Recurrent/Repeat Infection http://www.thennt.com/nnt/packing-abscesses-for-recurrent-infection/
O'Malley GF, Dominici P, Giraldo P et al Routine packing of simple cutaneous abscesses is painful and probably unnecessary. Acad Emerg Med. 2009 May;16(5):470-3 PMID: https://www.ncbi.nlm.nih.gov/pubmed/19388915 - ↑ 3.0 3.1 3.2 Medical Knowledge Self Assessment Program (MKSAP) 19. American College of Physicians, Philadelphia 2021