- Tender nodular region with surrounding induration
- Surrounding erythema
- Vascular malformation
- Necrotizing soft tissue infections
- Mycobacterium marinum
- Clinical exam: fluctulance +/- erythema
- Soft tissue ultrasound can differentiate between abscess and cellulitis
- Assess for fluid collection and swirl within the collection
- Incision and drainage
- Abscess >5 cm in diameter
- Pilonidal abscess
- Abscess in an immunocompromised or diabetic patient
- Reserved for significantly ill patients or those requiring surgical intervention
- Appropriate for majority of patients
- Follow up in 2 days for wound check
- EMNerd Case of the Pragmatic Wound
- Are Antibiotics Back in Favor for Abscesses?
- Sonoguide: Abscess Assessment
- Maligner D et al. The prevalence of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) in skin abscesses presenting to the pediatric emergency department. N C Med J. 2008 Sep-Oct;69(5):351-4.
- Pickett A et al. Changing incidence of methicillin-resistant staphylococcus aureus skin abscesses in a pediatric emergency department. Pediatr Emerg Care. 2009 Dec;25(12):831-4.
- Bradley W. Frazee et al. High Prevalence of Methicillin-Resistant Staphylococcus aureus in Emergency Department Skin and Soft Tissue Infections http://dx.doi.org/10.1016/j.annemergmed.2004.10.011
- Talan DA, et al. Trimethoprim–Sulfamethoxazole versus placebo for uncomplicated skin abscess. NEJM. 2016; 374(9):823-832.
- EBQ:TMP-SMX vs Placebo for Uncomplicated Skin Abscess