Causes, symptoms and treatment of a boil in a child: expert advice

Purulent boil is a painful and serious inflammation, sometimes requiring hospitalization. It is especially dangerous if a boil appears in a child. A purulent abscess can appear on any part of the body or pop up on the mucous membrane. It doesn’t matter where the inflammation is localized or what its size is - it poses a threat to the baby’s life and sometimes requires surgical intervention.

The active lifestyle of a fidget often causes inflammation in the skin follicles, and this provokes the formation of boils.

Causes of boils

Boils in children are formed due to inflammation of the hair follicle - the bacterium Staphylococcus aureus enters a pore on the skin and causes suppuration. Pyogenic staphylococcus can be caught anywhere - on the street in a sandbox, in a kindergarten, on public transport. Inflammation can appear on any area of ​​the skin, even on the head or mucous membranes of the nose. It occurs regardless of age or gender, but older people and young children are most predisposed to it. They appear most often in children, because the young body does not yet fully resist new strains of bacteria. Most often, chiria in a child occurs due to:

• reduced immunity;
• injuries;
• poor nutrition;
• body overheating;
• hypothermia;
• non-compliance with hygiene rules;
• lack of vitamin A in the body.

Chiryaki in children should be treated in a medical facility, under the supervision of a dermatologist, and sometimes a surgeon. They cannot be opened independently; the formations must mature. And when the abscess breaks through, it is good to clean the wound and remove the root of the inflammation. Removing it yourself - pulling it out or squeezing it out - is prohibited. This will lead to repeated suppuration. Only in a hospital can the root of the boil be completely removed and the wound thoroughly cleaned.

An untreated boil in a child can become complicated and lead to loss of vision, meningitis, and sepsis.

Symptoms

A boil on the skin appears as a single dense and edematous pustule, rising above the skin and filled with purulent contents. This formation is surrounded by a bright red halo.

In the area of ​​the inflamed area, the child is bothered by itching and pain, which intensifies when touched. The baby's general condition also worsens - he becomes capricious and lethargic, sleep and appetite are disturbed. Body temperature rises to febrile levels (up to 39°C), regional lymph nodes enlarge.

The boil is characterized by long maturation, during which it goes through several stages:

• Infiltration. At this stage, a painful lump and swelling forms.
• Suppuration and necrosis. The abscess begins to increase in size, inflammation spreads to nearby tissues and sebaceous glands. On the 3rd–4th day, a rod forms at the top of the boil. Intoxication increases.
• Recovery or healing. The formation is opened with the release of purulent contents. The inflamed area of ​​​​tissue begins to turn pale, and a scar forms in place of the boil.

Usually, about 10 days pass from the moment the boil appears until it completely disappears.

There are several types of purulent formations on the skin:

• Carbuncle. The inflammatory process affects several follicles at once, and the ulcers merge with each other.
• Cystic acne boil. Multiple purulent foci penetrate into the deep layers of the skin.
• Pilonidal sinus. The formation is localized between the gluteal folds.
• Hidradenitis suppurativa. Boils occur in the axillary and groin areas. A distinctive feature is that the formations do not contain a necrotic core.

It is extremely important to be able to correctly determine the type of boil, since the tactics of further treatment will depend on this.

On the head

Purulent-necrotic formations can appear under the scalp. At the same time, at the initial stage of maturation they remain invisible and do not cause concern until unpleasant symptoms appear.

Removing the core of the boil on your own can cause the infection to spread and, in the most severe cases, cause brain damage.

By the time of recovery, a scar has formed at the site of the boil. Hair growth in this area stops completely.

On the face

The boil can be localized on any part of the face - on the cheek, chin, forehead. Particular attention should be paid to formations that are located in the nasolabial triangle. It is strictly forbidden to touch boils in this area, since the infection can easily penetrate into the blood, which feeds the blood vessels of the brain.

On the ear

Based on the itching and discomfort in the area of ​​the auricle and ear canal, one may not immediately suspect furunculosis in a child. Moreover, young children are not able to talk about what worries them. They become moody, sleep poorly, and refuse food.

If the boil is located behind the ear, on the lobe or in the auricle, it is easy to notice in the first stages of maturation.

Formations located inside the ear canal are inaccessible for visualization. They often cause severe pain that radiates to the temporal region of the head and is similar in intensity to a migraine. Such ulcers can lead to a decrease in hearing acuity and even cause deafness.

It is strictly forbidden to open boils in the ear on your own, since the inflammatory process can spread to the perichondrium, lymph nodes and salivary glands. In severe cases, complications may develop - abscess, meningitis, sepsis.

On the eye

In humans, this formation is called “barley.” Bacteria enter the hair follicles and cause suppuration. The boil can be located under the eyebrows, on the lower or upper eyelid.

The child is bothered by the sensation of a foreign body in the eye, itching, increased, uncontrollable lacrimation. Thick discharge accumulates in the corner of the eye and dries quickly.

The least dangerous are boils in the eyebrow area. However, care should be taken when performing surgery in this area, since this area is richly supplied with blood and also nourishes the eyes and brain.

A boil located on the lower or upper eyelid can cause disturbances in the functioning of the organ of vision and provoke the spread of infection to the nasopharyngeal mucosa.

Boil on the nose

For boils of this localization, it is common for infection to enter the body through dirty hands and personal hygiene items. Favorable conditions for its reproduction are created by chronic diseases of the nasopharynx (adenoiditis, sinusitis).

On the outside, formations rarely occur, mainly at the tip of the nose. Much more often they appear on its inner wall and are accompanied by sharp pain.

A boil on the nose should never be squeezed out. This is due to the fact that an infection from the soft tissues of the face can penetrate the blood that flows to the brain and cause its damage.

On the butt

The boil usually appears on the hairy area of ​​the buttocks, anus and tailbone. In this case, a single pustule is visible on the skin, surrounded by a red halo, filled with pus and containing a rod.

The inguinal lymph nodes often become inflamed, and the child’s general condition worsens.

Without timely treatment or if the boil is not opened correctly, the infection can penetrate into nearby organs, causing pyelonephritis, phlebitis or thrombosis.

On the leg and arm

Boils that are located on the upper extremities, especially in the axillary region, are accompanied by severe pain, which intensifies with movement as a result of close contact and friction with the child’s clothing. As a result, the mobility of the affected arm decreases.

If the boil is located close to the lymph nodes, there is a risk of infection spreading through the lymph flow and complications.

Boils that form on the legs are also characterized by pain, which increases with movement. In the area of ​​the inflamed area, the temperature rises, and a vascular pattern appears on the skin. Without treatment, formations can cause vascular complications, namely thrombophlebitis.

Since there are no hair follicles on the surface of the feet and palms, boils never form in these areas.

Risk areas

Since staphylococcus enters the body through small wounds on the skin, the arms, legs and face of the little man are at risk. It is especially dangerous when a boil forms on a child’s face, under the arms, between the buttocks or in the eye. When a boil occurs in a child’s nose, there is a risk of contracting a purulent infection of the brain - the blood supply arteries to the face and brain are closely connected and, if treated incorrectly, the pus and blood will quickly spread throughout the body. This causes:

• blindness;
• meningitis;
• sepsis.

Furunculosis in children: causes, treatment, symptoms and prevention

Even a single boil in a child, in the absence or inadequate self-treatment, can pose a danger to his health. If the disease develops into another common form, then we are talking about furunculosis in a child.

The presented photos clearly show the difference between a single boil in a child and multiple furunculosis. Sometimes the problem torments the child and parents for years. Is it possible to completely get rid of it, how to treat a boil in a child under one year of age or older?

Causes of furunculosis in children

The direct causative agent of purulent skin disease, such as furunculosis in children, as well as in adults, is Staphylococcus aureus. It is a saprophyte that lives on the skin and mucous membranes of all people without harm to them, but under some circumstances it acquires pathogenic properties.

The reasons that allow staphylococcus to become pathogenic are divided into external and internal.

External causes boil down to disruption of the integrity of the skin:

• injuries, even minimal ones, cuts, abrasions;
• scratching after an insect bite or other skin diseases or allergies;
• scuffs from uncomfortable shoes or clothes.

Note that microtraumas occur in almost all children; staphylococcus also surrounds the child literally everywhere - at home, in kindergarten, in the sandbox, in the air. Parents and family members can be carriers of staphylococcus. But furunculosis, which requires treatment, does not occur in all children for external reasons.

The process of development of the disease is influenced by internal factors that are individual for each child.

Internal reasons:

• weakened immunity due to diseases or the presence of helminthic infestations or protozoan infestations (giardiasis);
• dysbiosis and gastrointestinal problems;
• metabolic disorders;
• diseases of the endocrine system (type 1 diabetes);
• diseases of the nervous system;
• vitamin deficiency;
• anemia;
• physical exhaustion due to poor nutrition (hypotrophy or anorexia)
• overfatigue due to excessive stress, including sports;
• increased sweating.

If the hygiene requirements accompanying these reasons are violated, the risk of disease increases.

Symptoms of furunculosis in children

It is impossible to hear complaints from children about the appearance of discomfort, pain, itching and swelling in the area of ​​development of trouble. The mother or person caring for the baby should notice and begin timely treatment when a boil appears on the child’s skin.

This usually occurs during air baths before daily bathing. Inspection of the skin should be daily and systematic. Particular attention should be paid to the inguinal folds, armpits, intergluteal folds, nasal passages, ear canals and cervical folds. Familiarize yourself with boils in children using the photo presented.

The baby has his own language to tell his mother about unpleasant sensations. Perhaps the first manifestation will be anxiety, sleep disturbance, refusal to eat, and crying. In children, unlike adults, hyperthermia and symptoms of intoxication appear much earlier and more often. High temperature can cause cramps, regurgitation, nausea and vomiting, and stool disorders.

Teenagers may complain of pain and the appearance of an abscess on the body. With pre- and puberty-age children, there is another danger. This age period is characterized by rashes of pustules and the appearance of boils on the child’s face due to hormonal changes. Increased attention to their appearance, fear of ridicule from peers forces them to squeeze out ulcers.

Parents should know that if they find a boil in their child in the area of ​​the face, ear, neck, or scalp, they should immediately contact a surgeon. In close proximity are the most important blood vessels leading to the cranial cavity. Direction of lymphatic drainage increases the risk of fatal complications.

You should pay attention to boils in children located in the joint area. These areas are often injured and there is a danger of pus breaking into the joint cavity.

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Types of boils in children

Furunculosis in children has a code according to ICD 10 (International Classification of Diseases, 10th revision) L02.

The following types of boils fall under this code:

• single boils, regardless of their location;
• cystic acne on the face in adolescents, affecting the deeper layers of the dermis;
• pilonidal sinus - boils in the intergluteal fold when wearing tight underwear, sweating and insufficient hygiene after defecation;
• Hidradenitis suppurativa is a purulent inflammation of a large number of sweat glands located in places of increased sweating (groin, armpit), recurrent.

Treatment of boils in children

Since June 8, 2007, there has been Order No. 408 of the Ministry of Health and Social Development of the Russian Federation, which determines the standard of treatment for boils and other purulent skin diseases in children and adults. It concerns the provision of specialized medical care for any location, form and stage of diseases under code L20, regardless of the presence of complications in a hospital setting.

The standard includes diagnostic and therapeutic measures based on a hospital stay of 14 days. Standard examination includes:

• history taking, visual examination, auscultation, palpation and percussion within the general therapeutic framework;
• measurement of blood pressure, respiratory rate, pulse and temperature;
• general blood test with leukocyte count;
• chest x-ray, ECG;
• culture from the source of inflammation, in some cases puncture of the abscess.

Treatment and diagnostic standard measures in the hospital:

• expansion of blood test parameters (counting red blood cells, platelets, determination of hematocrit);
• biochemical blood test (total protein, albumin, creatinine, alanine and aspartame transaminases);
• Analysis of urine;
• examination for syphilis, HIV, carriage of hepatitis B and C viruses;
• determination of blood group and Rh status;
• examination by an anesthesiologist.

Pharmacological groups according to the standard allow their use in 30-100% of cases.

1. Analgesics and NSAIDs, narcotic (Trimeperidine, Fentanyl) and non-narcotic (Tramadol, Ketorolac).
2. Means for treating and preventing infection are antibiotics and antifungals.
3. Antiseptics and disinfectants (Povidone-iodine, Chlorhexidine).
4. Solutions for infusion therapy.
5. Anesthetics and muscle relaxants for anesthesia and local anesthetics (Lidocaine, Ropivacaine topically).
6. Drugs affecting the central nervous system (Diazepam, Droperidol).

Treatment at home is allowed for typical boils in “non-dangerous” localizations in children over 1 year of age.

Carbohydrates should be excluded from the diet of a sick child, including cereals, pasta, potatoes, soda and sweets.

Treatment of boils in children with folk remedies

Treatment of a boil in a child with folk remedies is permissible only with the permission of the surgeon. They recommend oil compresses with fir, camphor and sea buckthorn oils, treatment with herbal decoctions of string, chamomile, eucalyptus. Rabbit cabbage juice and ficus leaf puree are unlikely to fall into the category of treatment methods recommended by a doctor.

Wherever the child’s boil is located, a doctor should treat it. No self-medication, no proven folk methods can be used without permission!

Treatment of furunculosis in children with medications

The advisability of prescribing antibiotics for single boils is determined by the following condition.

For children under one year of age, intramuscular antibiotics are recommended for any location of boils, especially with widespread furunculosis.

Boils in children over 1 year of age are treated with antibiotics only if the ulcers are located on the face and neck, if we are talking about single ulcers. There are no reasons for refusing antibiotics in the treatment of furunculosis in children.

Which ones are preferable?

Amoxiclav, Doxycycline, Clindamycin, Clarithromycin, Cefuroxime, Ciprofloxacin are the drugs of choice.

Local treatment of boils is carried out using solutions of antiseptics and disinfectants and ointments (Ichthyol, Syntomycin, Tetracycline, Zinc). If surgical opening of the abscess and removal of the rod was performed, as well as after its spontaneous removal, dressings are recommended to be done daily until the skin defect is completely healed.

To speed up repair, the doctor may prescribe physiotherapy.

You can get rid of furunculosis only with an integrated approach to the problem:

• sanitation of foci of chronic infection;
• immune system support;
• vitamins, iron supplements;
• vaccine therapy according to indications.

Prevention of furunculosis in children

• Isolation of a sick family member from the baby in the house.
• Daily bathing, hygienic washing, caring for delicate skin using hypoallergenic products.
• Organization of feeding and nutrition according to the pediatrician’s recommendation.
• Maintaining temperature and humidity levels in the room.
• Avoid wrapping; clothing should be appropriate for the weather and the child’s level of physical activity.
• Diapers and underwear should only be made from natural fabrics.
• Any skin defect, including an insect bite, must be immediately treated with a disinfectant or antiseptic and covered with a bandage.

Source: https://www.dermatit.net/furunkulez/u-detej-prichiny-lechenie-simptomy/

Types of boils

If you do not properly care for a burst boil, there is a risk of spreading the infection to healthy skin, and then the child will develop a whole series of pustules. Let us note that when there is only one inflammation on the skin, it is a single boil, but with weak immunity or an advanced stage, it grows and gives other complications. There are several types of boils:

• Abscess - pus from such an abscess goes into the fatty tissue under the skin. Most often it occurs due to improper treatment of the boil. It can only be treated with the help of surgical intervention.
• Phlegmonous - near the chiria there is swelling and erythema, which increase in size. The skin turns red, the formation has no clear boundaries. It is treated by surgical opening and drainage of inflammation.
• Abortive - able to resolve on its own, without releasing exudate from the cavity.
• Drain - occurs when there are two adjacent boils. Then the pus from their cavities merges into one large abscess, but the roots of the inflammation are in different pores and are removed one by one.

Boils will also bother the child with fever, headache, and weakness.

How can a boil be dangerous for children?

In conditions of long-term treatment of furunculosis on the child’s head, the risk of developing more serious complications increases significantly. This is about:

• frequent relapses of furunculosis, which is typical for the chronic form of the disease, which is extremely difficult to get rid of;
• thrombophlebitis, in which the gaps in the openings of the veins become clogged, which in turn leads to their inflammation;
• inflammation of the lymph nodes;
• abscess, in which healthy tissue located nearby may be involved in inflammatory processes;
• sepsis - blood poisoning;
• meningitis;
• phlegmon - inflammatory processes of adipose tissue.

The given list of complications of furunculosis is far from exhaustive, but many of these pathologies can cause the death of the patient. In this regard, it is not recommended to ignore furunculosis found on a child’s head, or to self-medicate.

Symptoms of boils

In the first two days, inflammation can easily be confused with a regular pimple. At the site of the future chiria, a red spot appears, dense to the touch. Later, its color becomes more intense, it hurts and itches. On the third day, pus begins to appear in the middle. Full maturation of the boil lasts from 10 to 14 days and, with a favorable course of the disease, ends with the independent release of liquid exudate, as well as the root of the boil, from the wound cavity. In addition, a boil in a child is accompanied by:

• temperature;
• lack of appetite;
• headache;
• lethargy.

Features of boils in an infant

The most common reason why a boil forms in a newborn is the baby’s lack of the proper level of immunity and the parents’ failure to comply with hygiene rules when bathing and swaddling the baby. Staphylococcus aureus lives on the skin of a healthy adult and does not cause any inflammation, however, after contact between such an adult and a one-year-old baby, the latter can pick up the bacillus. Therefore, doctors advise not to touch the baby with dirty hands, and not to allow the child to come into contact with an adult’s clothes or his face.

Localization of chiria in young children

In babies, boils often grow in the abdomen, eyes, nose, buttocks and arms.
Most often, boils in children under one year of age appear on the stomach, eye, nose, butt and arms. Inflammations are very painful and cause a lot of inconvenience for the child. Their treatment is the same as for boils in an adult, with the only difference being that an adult can treat it at home, sometimes without even going to see a doctor, and the child should be regularly examined by a dermatologist.

So, if a one-month-old baby has boils on his face, he is immediately admitted to the hospital; if formations appear on the body, the baby can be treated at home, while visiting the doctor every day and making sure that the child does not injure the boil. Doctors wait for the boil to mature, and then open it and clean out the suppuration. When performing surgery on any part of the body in a child under one year old, local anesthesia is used. Afterwards, antiseptic ointments are applied to the wound, antibiotics and vitamins are prescribed.

Drug treatment

We can talk about conservative treatment if the purulent formation is superficial, single, and does not threaten the life of the child. Here, therapy is aimed at speedy maturation of the boil and relieving inflammation.

The following medications are used for these purposes:

• “Golden Star” is a popular remedy based on natural essential oils that relieves inflammation and has a distracting effect;
• Vishnevsky ointment promotes the release of pus to the surface;
• Ichthyol ointment;
• Levomekol, Bactroban have antibacterial properties.

After the boil breaks out, bandages with antiseptics are applied to the wound. When treated at home, the child visits the clinic for dressings.

Children, especially younger ones, are prescribed antibiotics. Most often these are penicillin drugs. If their action is ineffective, cephalosporins and macrolides are used. Antibiotics based on erythromycin have proven themselves well. Often newborns are diagnosed with “hospital staphylococcus”, acquired while in the maternity hospital. Treatment of this type of infection is difficult even with the latest generation of antibiotics.

Extensive furunculosis is treated inpatiently. In this case, immunoglobulins and staphylococcal plasma are administered.

It is important to pay attention to the issue of saturating the child with vitamins and microelements, especially A, E, B1, B12, C. The doctor may prescribe brewer's yeast. Children are prescribed physiotherapy for the affected area: ultraviolet irradiation, ultrasound, UHF.

Diagnostic procedures

At the first stage of the appearance of a boil in a child, when it is still maturing, doctors perform a dermatoscopy of the formation - the inflammation is examined using a special device for an accurate diagnosis. Afterwards, a smear is taken and the discharge from the wound is submitted for bacterial culture. This is done to determine the cause of the infectious disease, as well as to establish bacterial resistance to antibiotics. Both before enucleation of chiria and after the procedure, the patient undergoes a blood test in order to find out the state of the little person’s immunity, as well as to identify other diseases and possible complications.

How to treat boils?

Under no circumstances should boils be removed from small children by squeezing them out with two fingers or piercing the site of suppuration. This way you can drive the infection even deeper under the skin, spread it throughout the healthy epidermis, or the boil will burst inside and then the pus will enter the blood and spread throughout the body. When a boil forms on the body, you just need to wait for it to mature. Until the wound opens, it is impossible to get pus out of it on your own. It is possible to speed up the process of exudate release with the help of medications and folk remedies, and a special diet will help maintain immunity.

Treatment of boils with medications

For local treatment of chiri, ichthyol ointment, Levomekol or Vishnevsky's balsamic liniment are used. These three drugs have antiseptic and wound healing properties. Their use is as follows: several times a day the ointments are applied to the ulcers for as long as possible. For example, if the boil is on a hand that needs to be hidden under clothing, then a sterile bandage is applied over the preparations and changed several times a day. Before applying the ointment to the boil, it is treated with a cotton pad soaked in hydrogen peroxide, Chlorhexidine or salicylic alcohol. Do this in order to disinfect the site of inflammation and prevent infection from entering healthy skin. You need to wipe the boil from the edges to the center.

Treatment with diet

If a child has permanent pustules on his body, this is already a disease. It is called furunculosis, and most often worsens in early spring or late autumn. Furunculosis in children can be cured with the help of diets. To do this, foods high in vitamins A and C are introduced into the diet; fried, spicy and salty foods are not allowed. A little person's diet should include vegetables and fruits all the time. He also needs to consume foods containing fiber - porridge, in particular buckwheat and oatmeal. It would be a good idea to eat a handful of walnuts and drink a cup of green tea once a day.

How to treat boils at home?

Along with medications, several folk recipes can be used to treat boils in children. Note that you should not heat the formation, and if young children have a boil, smear their skin with iodine, brilliant green, apply agave or baked onions - this can burn the delicate epidermis. Laundry soap is best used as a folk remedy for the treatment of chiria in children. It acts like ichthyol ointment or Vishnevsky’s balsamic liniment - it draws pus to the top, helping the formation to open faster. Grate a bar of laundry soap and pour 350 grams of water into it, put on fire and boil. As soon as it cools down, place it on a sterile bandage and apply it to the inflamed area. The bandage needs to be changed up to four times a day.

Traditional therapy

The doctor will determine how to treat the boil based on the severity of the disease. In an uncomplicated form of the disease (a single boil), no specific therapy is required - the main thing is to wait for the abscess to spontaneously open, and then treat the wound with an antiseptic solution (furacilin, hydrogen peroxide, iodine).

You can speed up the process of maturation of the abscess by applying Vishnevsky or Ichthyol ointment, Shostakovsky balm and other drugs that draw out pus to the site of the lesion. Such manipulations will shorten the period of illness by several days.

If an already mature boil cannot break through on its own, the doctor pierces a thin layer of skin on its surface and releases the pathogenic exudate out. If the neoplasm is large, silicone drainage is introduced into its cavity, which improves the outflow of contents. After 2-3 days, the wound is disinfected and a bandage is applied with antibacterial ointment (Levomekol, Fucidin, Bactroban, others). To avoid complications, follow all recommendations of your doctor.

Treatment of chronic furunculosis is carried out with systemic antibiotics. Immunomodulatory medications and vitamins are also prescribed.

In addition, it is necessary to treat concomitant pathologies.

1. Antibiotics. If the abscess is deeply localized, the affected area is injected with antibacterial drugs - this will prevent further spread of the infection and reverse the pathological process. In case of multiple contamination, medications are taken orally or administered intramuscularly (Azithromycin, Sumamed, Ceftriaxone).
2. Vitamin therapy. Most often, children are prescribed oral intake of vitamins A, B1, B2, C, PP, but intramuscular administration may also be recommended.
3. Immunomodulators. Drugs that stimulate the immune system are taken strictly according to the regimen prescribed by the doctor (Interferon, Myelopid, Seramil).

In addition, physiotherapy (Ural irradiation, UHF, laser treatment) can be used for therapeutic purposes. In case of deep abscesses, surgical opening of the abscess can be performed, since the risk of an abscess breaking into the anatomical cavities in this case increases.

Possible complications

Complications of boils can lead to infection of the blood, spinal cord, and internal organs.
If treatment for a boil in a child was started on time, and the disease itself proceeded without complications and, having gone through all the stages, cleared up on its own, then there will be no complications . The only thing that reminds you of chiria afterward is a possible scar; it remains if the formation was large and was opened surgically. But if the boil did not burst in time or there was repeated suppuration, but the patient was not shown to the doctor, this is fraught with serious complications, in particular:

• blood poisoning;
• osteomyelitis;
• lymphangitis;
• spinal cord infection;
• abscess of internal organs.

Diagnostics

You can suspect a boil at the first visual examination of the affected area of ​​skin. The following laboratory and instrumental research methods can be used to distinguish it from other similar skin diseases, such as erythema, anthrax, and skin tuberculosis:

• Clinical blood test.
• Blood chemistry.
• General urine analysis.
• Dermatoscopy.
• Bacterial culture of purulent contents for flora and sensitivity to antibacterial drugs.
• Fluorography.
• Ultrasound of internal organs.
• MRI of the brain.
• Spinal tap.

The appropriateness of each of these methods is determined by the attending physician. In addition to all of the above, there may be a need for consultations with several specialists at once. Depending on the location of the boil and the complications that arise, the child can be examined by a dermatologist, surgeon, immunologist, otolaryngologist, ophthalmologist, and in some cases, a gynecologist, urologist and endocrinologist.

Preventive measures

To avoid the recurrence of chiria on the child’s body, parents should be more attentive to the child’s diet; he should consume a lot of vitamins so that his immunity is able to cope with external bacteria. In addition, to strengthen the immune system, doctors recommend frequent long walks in the fresh air and moderate physical activity. It is important that the child does not overheat outside, but also does not freeze. You also need to monitor the baby’s hygiene - wash him on time. If a child is scratched or falls, you should immediately treat the wound with an antiseptic and, if possible, seal it with a band-aid to prevent bacteria from getting there.

If everything is in order with immunity and hygiene, and the child’s lumps appear again and again, this is a reason to undergo a full examination in the hospital and identify the cause of the inflammation. Sometimes the source of pyogenic bacteria is someone close to you who often touches the baby with dirty hands or presses him against sweat-soaked clothes. If any red spot appears on a little person’s body, it is better to immediately show it to a dermatologist and, if anything happens, begin therapy immediately.