Dealing with Folliculitis: What to Do When It Gets Infected - Dermatology

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Folliculitis!!!


I have two lumps on my thigh and one on my calf, diagnosed as folliculitis by a doctor.
Today, they turned yellow and started to ooze pus.
My dad used a sterilized needle (heated and disinfected) to puncture them, but nothing came out.
What should I do now?

Niming, 10~19 year old female. Ask Date: 2016/03/15

Dr. Wu Yuxin reply Dermatology


The doctor has prescribed an ointment to continue applying.
If there are any changes, please contact the original physician for follow-up as soon as possible.

Reply Date: 2016/03/15

More Info


Folliculitis is an inflammation of the hair follicles, often caused by bacterial infections, particularly Staphylococcus aureus. When folliculitis becomes infected, it can lead to more severe symptoms, including the formation of pus-filled lesions, which may appear yellow and painful. In your case, it sounds like you have developed a more serious infection, given the presence of pus and the fact that your father attempted to drain the lesions.

Here are some steps you should consider taking:
1. Avoid Self-Drainage: While it may be tempting to drain the pus yourself, this can lead to further infection or complications. It's best to leave this to a healthcare professional who can do it in a sterile environment.

2. Consult a Healthcare Provider: Since you have already seen a doctor for your folliculitis, it’s important to return for a follow-up. They can assess the severity of the infection and may prescribe antibiotics if necessary. Given that you have a history of Staphylococcus aureus infections, your doctor may choose a targeted antibiotic based on culture and sensitivity results.

3. Keep the Area Clean: Maintain good hygiene by gently washing the affected area with mild soap and water. Avoid scrubbing, as this can irritate the skin further. Pat the area dry with a clean towel.

4. Warm Compresses: Applying a warm compress to the affected area can help reduce pain and promote drainage. Use a clean cloth soaked in warm water and apply it for about 15-20 minutes several times a day.

5. Avoid Irritants: Refrain from using harsh soaps, lotions, or other products that could irritate the skin. Wear loose-fitting clothing to reduce friction on the affected area.

6. Monitor for Complications: Keep an eye on the lesions for signs of worsening infection, such as increased redness, swelling, pain, or fever. If you notice any of these symptoms, seek medical attention promptly.

7. Follow Up on Treatment: If antibiotics are prescribed, take the full course as directed, even if the symptoms improve before finishing the medication. This helps prevent antibiotic resistance and ensures the infection is fully cleared.

8. Consider Underlying Causes: If you experience recurrent folliculitis, it may be worth discussing with your doctor potential underlying causes, such as skin conditions, hormonal imbalances, or hygiene practices.

In summary, while it can be concerning to see pus and yellowing in your lesions, it’s crucial to avoid self-treatment and seek professional medical advice. Proper management can help prevent complications and promote healing. Remember, maintaining good hygiene and following your healthcare provider's recommendations are key to managing and preventing future infections.

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