(kar'bung-kl) (Latin. Carbunculus - little coal)
A necrotizing infection of skin and subcutaneous tissue composed of a group of furuncles (boils).
A carbuncle is a deep infection of a group of contiguous pilosebaceous follicles with Staphylococcus aureus.
Pathologically a similar process to that seen in a furuncle, carbuncles are much larger and considerably more symptomatic.
They can heal with significant scarring.
- Treatment with an appropriate antistaphylococcal antibiotic and surgical drainage is indicated, as well as treatment of the nasal carrier state, if present, with topical mupirocin to the anterior nares.