#
Carbancle:
Multiple hair follicle infection. Common among diabetics.
#History:
Diabetic.
Constitutional symptoms: Fever, fatigue.
Painful swelling draining pus.
#Exammination:
Febrile, tachycardic and tachypnic.
Localized lump with multiple draining sinuses, #Commonest site
Nape Of The Neck.
#Invx:
CBC:leucocytosis.
RBG: Hyperglycemia.
ABG: DKA.
#
Managment:
Admission.
Iv Antibotic.
Surgical: drain pus (Cruciate inscion), daily Dressing and later excision with skin graft.
#
Reference:
SRB'S manual of surgery 4th Ed page 47-48.
