A tender abscess is displayed on the cheek of this child. An abscess will sometimes have a central bruise-like appearance from bleeding under the skin surface; the most important signs indicating a possible abscess are pain, redness, and swelling, as seen on this child's palm and at the base of the fourth finger. This abscess on the young girl has been incised and drained by the doctor. A small pus-filled lesion (pustule) is often seen in the center of a red, tender swollen abscess, as seen on this child’s buttock.
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Picture of Abscess: A tender abscess is displayed on the cheek of this child. Divider line
A tender abscess is displayed on the cheek of this child.
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Treatments Your Physician May Prescribe
Your child's doctor may drain the pus or fluid collection by making a small incision in the skin after it has been numbed. While this can be scary and difficult for you and the child, it will drain a majority of the bacteria, helping the body fight the small amount that remains. This fluid may then be sent to a laboratory for testing (culture), but not necessarily. The culture can tell the doctor not only what type of bacterium is causing the infection but also what antibiotics will work best to treat it. This may take as little as 2–3 days, and your doctor may choose to have your child start oral antibiotics aimed at treating the most common bacteria that cause abscesses. However, if the infection is small and it has been drained, your child's doctor may decide to not treat him or her with oral antibiotics.

If your child's symptoms are not improving or it is determined that the bacterium is not one of the common types, your child's doctor may prescribe different antibiotics. If the doctor prescribes antibiotics, it is important for the child to take the entire course as prescribed, even if he or she is feeling better or the infection appears to be gone after just a few days. Since this can be difficult with young children, your pharmacist may recommend flavoring the medication. If your child has been taking antibiotics and the infection itself or the way he or she is generally feeling has not improved in about 2–3 days, return to see the doctor.

Last Modified: 6 Feb 2008
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