S67 Boils (ICD-10:L02.9)

February 29, 2024

Back
Featured image for “S67 Boils (ICD-10:L02.9)”

Introduction

Boils, also known as furuncles, are painful, pus-filled bumps that form on the skin. They are usually caused by a bacterial infection, most commonly Staphylococcus aureus. Boils can occur anywhere on the body but are commonly found on the face, neck, armpits, buttocks, and thighs. This guide aims to provide a comprehensive overview of the diagnosis and management of boils.

Codes

– ICPC-2 Code: S67 Boils
– ICD-10 Code: L02.9 Cutaneous abscess, furuncle and carbuncle, unspecified

Symptoms

  • Red, swollen bump on the skin
  • Pain or tenderness in the affected area
  • Formation of a white or yellow center (pus-filled)
  • Development of a head or pustule
  • Spontaneous rupture or draining of the boil
  • Fever (in severe cases)
  • Multiple boils (in some cases)

Causes

  • Bacterial infection, primarily Staphylococcus aureus
  • Poor hygiene
  • Weakened immune system
  • Friction or irritation of the skin
  • Ingrown hair or clogged sweat glands
  • Close contact with an infected individual
  • Chronic medical conditions, such as diabetes or eczema

Diagnostic Steps

Medical History

  • Gather information about the patient’s symptoms, including the duration, severity, and any associated fever or systemic symptoms.
  • Inquire about any recent skin injuries, exposure to contaminated surfaces, or close contact with individuals who have boils.
  • Assess the patient’s medical history, including any underlying conditions that may increase the risk of developing boils, such as diabetes or immune system disorders.

Physical Examination

  • Inspect the affected area for the presence of a red, swollen bump with a central pustule.
  • Palpate the area to assess for tenderness and fluctuance (indicating the presence of pus).
  • Check for signs of systemic infection, such as fever or lymph node enlargement.
  • Examine other areas of the body for the presence of multiple boils or carbuncles (clusters of interconnected boils).

Determine Severity

Boils can be classified based on severity and depth:

  • Furuncle: A single, superficial boil involving a hair follicle and surrounding tissue.
  • Carbuncle: A cluster of interconnected boils that extend deeper into the skin and may cause more severe symptoms.

Laboratory Tests

  • Gram stain and culture of the pus or drainage from the boil to identify the causative bacteria and guide antibiotic therapy.
  • Blood tests, such as a complete blood count (CBC) and blood cultures, may be ordered if there are signs of systemic infection or if the patient has underlying medical conditions.

Diagnostic Imaging

  • Diagnostic imaging is generally not necessary for the diagnosis of boils. However, in rare cases where there is suspicion of an underlying abscess or deeper infection, ultrasound or MRI may be used to assess the extent of the infection.

Other Tests

  • In some cases, a skin biopsy may be performed to rule out other skin conditions that may mimic boils, such as hidradenitis suppurativa or cutaneous tuberculosis.

Follow-up and Patient Education

  • Advise the patient to keep the affected area clean and dry.
  • Instruct the patient to avoid squeezing or popping the boil, as this can lead to further infection or scarring.
  • Educate the patient about the importance of hand hygiene to prevent the spread of infection.
  • Provide information on when to seek medical attention if the boil worsens or fails to improve after a certain period of time.

Possible Interventions

Traditional Interventions

Medications:

Top 5 drugs for Boils:

  1. Antibiotics (e.g., Cephalexin, Clindamycin):
    • Cost: Generic versions can range from $10 to $50 for a course of treatment.
    • Contraindications: Allergy to the specific antibiotic, history of severe gastrointestinal issues with antibiotics.
    • Side effects: Nausea, diarrhea, rash.
    • Severe side effects: Severe allergic reactions, Clostridium difficile infection.
    • Drug interactions: Warfarin, oral contraceptives.
    • Warning: Finish the full course of antibiotics as prescribed.
  2. Pain relievers (e.g., Acetaminophen, Ibuprofen):
    • Cost: Generic versions can range from $3 to $10 for a bottle.
    • Contraindications: Allergy to the specific pain reliever, history of gastrointestinal bleeding or ulcers.
    • Side effects: Upset stomach, dizziness.
    • Severe side effects: Liver damage, kidney damage.
    • Drug interactions: Other pain relievers, blood thinners.
    • Warning: Follow the recommended dosage and avoid exceeding the maximum daily dose.
  3. Topical antibiotics (e.g., Mupirocin ointment):
    • Cost: Generic versions can range from $10 to $30 for a tube.
    • Contraindications: Allergy to the specific antibiotic.
    • Side effects: Local skin irritation, itching.
    • Severe side effects: Rare, but may include severe allergic reactions.
    • Drug interactions: None reported.
    • Warning: Apply a thin layer to the affected area, avoiding contact with the eyes or mouth.
  4. Warm compresses:
    • Cost: Minimal cost, as warm compresses can be made at home.
    • Contraindications: None.
    • Side effects: None.
    • Severe side effects: None.
    • Drug interactions: None.
    • Warning: Apply a warm compress to the boil for 10-15 minutes, several times a day, to promote drainage and healing.
  5. Incision and drainage (performed by a healthcare professional):
    • Cost: Varies depending on the healthcare setting and insurance coverage.
    • Contraindications: None.
    • Side effects: Pain, bleeding, scarring.
    • Severe side effects: Infection, abscess formation.
    • Drug interactions: None.
    • Warning: This procedure should only be performed by a trained healthcare professional.

Surgical Procedures:

  • Incision and drainage: In cases where the boil does not respond to conservative management or if there is a large abscess, incision and drainage may be necessary to remove the pus and promote healing. Cost: Varies depending on the healthcare setting and insurance coverage.

Alternative Interventions

  • Herbal remedies: Some herbal remedies, such as tea tree oil or turmeric paste, may have antimicrobial properties and can be applied topically to the boil. Cost: Varies depending on the specific herbal remedy.
  • Warm herbal compresses: Compresses made with herbs like chamomile or calendula can be applied to the boil to promote healing and reduce inflammation. Cost: Varies depending on the specific herbs used.
  • Homeopathic remedies: Homeopathic remedies, such as Hepar sulphuris or Silicea, may be used to help reduce symptoms and promote healing. Cost: Varies depending on the specific remedy and brand.
  • Proper nutrition and hydration: A balanced diet rich in vitamins and minerals can support the immune system and promote healing. Cost: Varies depending on dietary choices.
  • Stress reduction techniques: Stress can weaken the immune system, so practicing stress reduction techniques like meditation or yoga may help prevent recurrent boils. Cost: Minimal cost or free.

Lifestyle Interventions

  • Good hygiene practices: Regularly washing the skin with mild soap and warm water can help prevent the spread of bacteria and reduce the risk of developing boils. Cost: Minimal cost for soap and water.
  • Avoiding tight clothing: Wearing loose-fitting clothing can reduce friction and irritation on the skin, decreasing the risk of developing boils. Cost: Varies depending on clothing choices.
  • Regular exercise: Regular physical activity can help boost the immune system and improve overall health, reducing the risk of developing boils. Cost: Varies depending on exercise preferences (e.g., gym membership, equipment).
  • Stress management: Engaging in stress-reducing activities, such as yoga or meditation, can help support the immune system and reduce the risk of developing boils. Cost: Minimal cost or free.
  • Healthy diet: Consuming a balanced diet rich in fruits, vegetables, and lean proteins can support the immune system and promote overall skin health. Cost: Varies depending on dietary choices.

It is important to note that the cost ranges provided are approximate and may vary depending on the location and availability of the interventions.

Mirari Cold Plasma Alternative Intervention

Understanding Mirari Cold Plasma

  • Safe and Non-Invasive Treatment: Mirari Cold Plasma is a safe and non-invasive treatment option for various skin conditions. It does not require incisions, minimizing the risk of scarring, bleeding, or tissue damage.
  • Efficient Extraction of Foreign Bodies: Mirari Cold Plasma facilitates the removal of foreign bodies from the skin by degrading and dissociating organic matter, allowing easier access and extraction.
  • Pain Reduction and Comfort: Mirari Cold Plasma has a local analgesic effect, providing pain relief during the treatment, making it more comfortable for the patient.
  • Reduced Risk of Infection: Mirari Cold Plasma has antimicrobial properties, effectively killing bacteria and reducing the risk of infection.
  • Accelerated Healing and Minimal Scarring: Mirari Cold Plasma stimulates wound healing and tissue regeneration, reducing healing time and minimizing the formation of scars.

Mirari Cold Plasma Prescription

Video instructions for using Mirari Cold Plasma Device – S67 Boils (ICD-10:L02.9)

MildModerateSevere
Mode setting: 1 (Infection)
Location: 0 (Localized)
Morning: 15 minutes,
Evening: 15 minutes
Mode setting: 1 (Infection)
Location: 0 (Localized)
Morning: 30 minutes,
Lunch: 30 minutes,
Evening: 30 minutes
Mode setting: 1 (Infection)
Location: 0 (Localized)
Morning: 30 minutes,
Lunch: 30 minutes,
Evening: 30 minutes
Mode setting: 2 (Wound Healing)
Location: 0 (Localized)
Morning: 15 minutes,
Evening: 15 minutes
Mode setting: 2 (Wound Healing)
Location: 0 (Localized)
Morning: 30 minutes,
Lunch: 30 minutes,
Evening: 30 minutes
Mode setting: 2 (Wound Healing)
Location: 0 (Localized)
Morning: 30 minutes,
Lunch: 30 minutes,
Evening: 30 minutes
Mode setting: 10 (Dermatitis/Fungus)
Location: 0 (Localized)
Morning: 15 minutes,
Evening: 15 minutes
Mode setting: 10 (Dermatitis/Fungus)
Location: 0 (Localized)
Morning: 30 minutes,
Lunch: 30 minutes,
Evening: 30 minutes
Mode setting: 10 (Dermatitis/Fungus)
Location: 0 (Localized)
Morning: 30 minutes,
Lunch: 30 minutes,
Evening: 30 minutes
Total
Morning: 45 minutes approx. $7.50 USD,
Evening: 45 minutes approx. $7.50 USD
Total
Morning: 90 minutes approx. $15 USD,
Lunch: 90 minutes approx. $15 USD,
Evening: 90 minutes approx. $15 USD
Total
Morning: 90 minutes approx. $15 USD,
Lunch: 90 minutes approx. $15 USD,
Evening: 90 minutes approx. $15 USD
Usual treatment for 7-60 days approx. $105 USD $900 USDUsual treatment for 6-8 weeks approx. $1,890 USD $2,520 USD
Usual treatment for 3-6 months approx. $4,050 USD $8,100 USD
Location note miraridoctor 1
  • Localized (0)
  • Sacrum (1)
  • Prostate & Uterus (2)
  • Kidney, Liver & Spleen (3)
  • Heart, Bile & Pancreas (4)
  • Lungs (5)
  • Throat, Lymphatic & Thyroid (6)
  • Neuro system & ENT (7)

Use the Mirari Cold Plasma device to treat Boils effectively.

WARNING: MIRARI COLD PLASMA IS DESIGNED FOR THE HUMAN BODY WITHOUT ANY ARTIFICIAL OR THIRD PARTY PRODUCTS. USE OF OTHER PRODUCTS IN COMBINATION WITH MIRARI COLD PLASMA MAY CAUSE UNPREDICTABLE EFFECTS, HARM OR INJURY. PLEASE CONSULT A MEDICAL PROFESSIONAL BEFORE COMBINING ANY OTHER PRODUCTS WITH USE OF MIRARI.

Step 1: Cleanse the Skin

  • Start by cleaning the affected area of the skin with a gentle cleanser or mild soap and water. Gently pat the area dry with a clean towel.

Step 2: Prepare the Mirari Cold Plasma device

  • Ensure that the Mirari Cold Plasma device is fully charged or has fresh batteries as per the manufacturer’s instructions. Make sure the device is clean and in good working condition.
  • Switch on the Mirari device using the power button or by following the specific instructions provided with the device.
  • Some Mirari devices may have adjustable settings for intensity or treatment duration. Follow the manufacturer’s instructions to select the appropriate settings based on your needs and the recommended guidelines.

Step 3: Apply the Device

  • Place the Mirari device in direct contact with the affected area of the skin. Gently glide or hold the device over the skin surface, ensuring even coverage of the area experiencing.
  • Slowly move the Mirari device in a circular motion or follow a specific pattern as indicated in the user manual. This helps ensure thorough treatment coverage.

Step 4: Monitor and Assess:

  • Keep track of your progress and evaluate the effectiveness of the Mirari device in managing your Boils. If you have any concerns or notice any adverse reactions, consult with your health care professional.

Note

This guide is for informational purposes only and should not replace the advice of a medical professional. Always consult with your healthcare provider or a qualified medical professional for personal advice, diagnosis, or treatment. Do not solely rely on the information presented here for decisions about your health. Use of this information is at your own risk. The authors of this guide, nor any associated entities or platforms, are not responsible for any potential adverse effects or outcomes based on the content.

Mirari Cold Plasma System Disclaimer

  • Purpose: The Mirari Cold Plasma System is a Class 2 medical device designed for use by trained healthcare professionals. It is registered for use in Thailand and Vietnam. It is not intended for use outside of these locations.
  • Informational Use: The content and information provided with the device are for educational and informational purposes only. They are not a substitute for professional medical advice or care.
  • Variable Outcomes: While the device is approved for specific uses, individual outcomes can differ. We do not assert or guarantee specific medical outcomes.
  • Consultation: Prior to utilizing the device or making decisions based on its content, it is essential to consult with a Certified Mirari Tele-Therapist and your medical healthcare provider regarding specific protocols.
  • Liability: By using this device, users are acknowledging and accepting all potential risks. Neither the manufacturer nor the distributor will be held accountable for any adverse reactions, injuries, or damages stemming from its use.
  • Geographical Availability: This device has received approval for designated purposes by the Thai and Vietnam FDA. As of now, outside of Thailand and Vietnam, the Mirari Cold Plasma System is not available for purchase or use.
Rate this post

Related articles



Image
Image

MIRARI®
Cold Plasma System

The world's first handheld cold plasma device

Learn More


Made in USA

Image