Recurrent Furunculosis – Challenges and Management: A Review

The review discussed recurrent furunculosis, a deep infection of hair follicles primarily caused by Staphylococcus aureus, including methicillin-resistant strains (MRSA). It highlighted that recurrent furunculosis was defined as three or more attacks within a year and was often linked to nasal colonization of S. aureus. A case-control study with 74 patients identified risk factors such as a positive family history, anemia, diabetes, and poor hygiene. The review noted that MRSA, particularly community-acquired strains, had become a common cause of soft tissue infections and could produce Panton-Valentine leukocidin, a toxin associated with severe infections. Diagnosis involved culture swabs, and treatment could include incision, drainage, and antibiotics, though resistance was a concern. The review also mentioned complications like scarring and systemic infections, and it emphasized the challenges in managing recurrent cases.