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What happens if an abscess bursts under the skin?

Published in Skin Infection Complications 3 mins read

If an abscess bursts under the skin, it can be extremely painful and lead to the infection spreading further.

An abscess is a localized collection of pus, typically caused by a bacterial infection. If not medically drained, it can continue to enlarge and fill with pus until the pressure causes it to rupture. When this happens, the pus, which contains bacteria, is released.

Here’s a breakdown of what typically occurs:

  • Intense Pain: A bursting abscess is often accompanied by a sudden, sharp increase in pain due to the release of pressure and the exposure of sensitive tissues.
  • Pus Discharge: You will likely observe pus and other fluids draining from the site of the rupture. This discharge can be foul-smelling and may continue for some time.
  • Infection Spread: One of the most significant risks is the spread of the infection. The bacteria from the pus can infect surrounding skin and tissue, leading to a larger area of infection (cellulitis). In more severe cases, the bacteria can enter the bloodstream, potentially leading to a life-threatening condition known as sepsis.
  • Slow Healing: Without proper medical care, a burst abscess may not heal effectively. The opening might seal over while some infection remains inside, leading to recurrence or a chronic draining wound.

Why Medical Attention is Crucial

While a burst abscess might temporarily relieve pressure, it does not mean the infection is resolved. Seeking prompt medical attention is vital to prevent serious complications. A healthcare professional can thoroughly clean the wound, ensure all pus is drained, and prescribe antibiotics to fight the infection.

Especially concerning are tooth and other mouth abscesses. These require immediate and specific treatment. An untreated tooth abscess, even if it bursts, can lead to severe, life-threatening complications if the infection spreads to other parts of the body, such as the jaw, brain, or heart.

Potential Outcomes of an Abscess

Understanding the potential paths an abscess can take highlights the importance of timely intervention:

Outcome Description Risks & Complications
Medical Drainage A healthcare professional surgically drains the pus, often with antibiotics. Minimized risk of infection spread, faster healing, reduced pain, lower chance of recurrence.
Natural Burst The abscess ruptures on its own due to internal pressure. Severe pain, infection spread to surrounding tissues (cellulitis) or bloodstream (sepsis), potential for recurrence if not fully cleared.
Untreated (No Drainage) The abscess continues to grow, potentially bursting, or causing systemic issues. Increased pain, higher risk of bursting, persistent infection, life-threatening complications (especially with tooth abscesses leading to sepsis).

In summary, while a bursting abscess might provide immediate relief from pressure, it signifies a worsening situation that requires urgent medical intervention to manage pain, control the infection, and prevent further, potentially severe, health issues.