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Furunculosis

Infectious Diseases · NLM MeSH · updated 2026-10-29 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 5 min read

A persistent skin infection marked by the presence of furuncles, often chronic and recurrent.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (864 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A persistent skin infection marked by the presence of furuncles, often chronic and recurrent. In humans, the causative agent is various species of staphylococcus. In salmonid fish (salmonids), the pathogen is aeromonas salmonicida.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Boils; Furuncles.

Where it fits in the MeSH classification

Broader topics
Staphylococcal Skin Infections; Fish Diseases
Narrower topics
Carbuncle
See also
Carbuncle

Related concepts

  • Staphylococcus
  • Salmonids
  • Aeromonas Salmonicida

Research landscape

PubMed indexes 1,609 records tagged with the MeSH heading “Furunculosis” (counts retrieved 2026-10-29). 78 of them (4.8%) were published from 2020 onward, and the busiest period so far is through 1999 with 1,161 records.

Reviews account for 73 records (4.5%) and meta-analyses for 3. Randomized controlled trials number 9 (0.6%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 1,161 records; 2000-2009: 186 records; 2010-2019: 184 records; 2020 onward: 78 records1,161through 19991862000-20091842010-2019782020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19991,161
2000-2009186
2010-2019184
2020 onward78
Share of records by publication typeReviews: 4.5 percent; Meta-analyses: 0.2 percent; Randomized controlled trials: 0.6 percentReviews4.5% (73)Meta-analyses0.2% (3)Randomized controlled trials0.6% (9)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 1,609 PubMed records
TypeRecordsShare
Reviews734.5%
Meta-analyses30.2%
Randomized controlled trials90.6%

Method: PubMed query "Furunculosis"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-29.

Reading the evidence in infectious diseases

Infectious disease evidence combines microbiology, epidemiology and clinical trials. Laboratory studies identify pathogens and how they cause harm; surveillance and outbreak investigations describe who is affected and how infection spreads; trials establish whether treatments and vaccines work. Results depend on place and time, because pathogens evolve and resistance patterns and population immunity change. Check when and where the data were collected, how cases were defined and how up to date the evidence is.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Alterations of the gut microbiome of largemouth bronze gudgeon (Coreius guichenoti) suffering from furunculosis
Li T, Long M, Ji C, Shen Z, Gatesoupe FJ, Zhang X, et al.
2016Research article
Design not recorded in structured metadata
65cc by
PMID 27465687 · DOI · PMC4964610
Acanthus montanus: an experimental evaluation of the antimicrobial, anti-inflammatory and immunological properties of a traditional remedy for furuncles
Okoli CO, Akah PA, Onuoha NJ, Okoye TC, Nwoye AC, Nworu CS
2008Research article
Design not recorded in structured metadata
49cc by
PMID 18538006 · DOI · PMC2453109
Tissue-specific responses of oxidative stress biomarkers and antioxidant defenses in rainbow trout Oncorhynchus mykiss during a vaccination against furunculosis
Tkachenko H, Kurhaluk N, Grudniewska J, Andriichuk A
2014Research article
Design not recorded in structured metadata
46cc by
PMID 24599827 · DOI · PMC4072067
Aeromonas piscicola in Chilean Salmon Farming: Genomic Insights, Phenotypic Traits, Virulence and Field Immune Response
Mancilla M, Ojeda A, Yuivar Y, Grandón M, Valderrama S, Oyarzún M, et al.
2026Research article
Design not recorded in structured metadata
0cc by
PMID 42075730 · DOI · PMC13118686

Alterations of the gut microbiome of largemouth bronze gudgeon (Coreius guichenoti) suffering from furunculosis [1]

Research article Li T, Long M, Ji C, Shen Z, Gatesoupe FJ, Zhang X, et al. · · 2016 · cited 65 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
High-throughput sequencing was applied to compare the intestinal microbiota in largemouth bronze gudgeon either healthy or affected by furunculosis.
Closing excerpt
salmonicida among the farmed fish, and the gut appeared as a probable infection source for furunculosis in largemouth bronze gudgeon.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (198 words)

High-throughput sequencing was applied to compare the intestinal microbiota in largemouth bronze gudgeon either healthy or affected by furunculosis. Proteobacteria, Actinobacteria, Tenericutes, Firmicutes and Bacteroidetes were detected as the predominant bacterial phyla in the gut of both diseased and healthy fish. The abundance of Proteobacteria differed significantly between the two groups of fish, mainly due to the overwhelming prevalence of Aeromonas in the diseased fish (81% ± 17%), while the genus was unevenly spread among the apparently healthy fish (33% ± 33%). The bacterial diversity in the intestine of diseased fish was markedly lower than in healthy fish. Analysis revealed the significant dissimilarity between the gut microbiota of diseased and healthy fish. The bacterial profiles in the gut were further characterized with the 28 phylotypes that were shared by the two groups. In diseased fish, two shared OTUs (OTU0001 and OTU0013) were closely related to Aeromonas salmonicida, their total proportion exceeding 70% of the sequences in diseased fish, while averaging 5.2% ± 4.6% in the healthy fish. This result suggested the presence of healthy carriers of pathogenic A. salmonicida among the farmed fish, and the gut appeared as a probable infection source for furunculosis in largemouth bronze gudgeon.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 27465687 · DOI · PMC4964610

Acanthus montanus: an experimental evaluation of the antimicrobial, anti-inflammatory and immunological properties of a traditional remedy for furuncles [2]

Research article Okoli CO, Akah PA, Onuoha NJ, Okoye TC, Nwoye AC, Nworu CS · · 2008 · cited 49 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundAcanthus montanus (Nees) T.
Closing excerpt
Phytochemical constituents such as alkaloids and carbohydrates may be responsible for these pharmacological activities.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (304 words)

BackgroundAcanthus montanus (Nees) T. Anderson (Acanthaceae) is a shrub widespread in Africa, the Balkans, Romania, Greece and Eastern Mediterranean. It is used in African traditional medicine for the treatment of urogenital infections, urethral pain, endometritis, urinary disease, cystitis, leucorrhoea, aches and pains. In southeastern Nigeria, the root is popular and acclaimed highly effective in the treatment of furuncles. This study was undertaken to experimentally evaluate the antimicrobial and anti-inflammatory properties of the root extract as well as its effect on phagocytosis and specific cell-mediated immune response which may underlie the usefulness of the roots in treatment of furuncles.MethodsThe aqueous root extract (obtained by hot water maceration of the root powder) was studied for effects on the growth of clinically isolated strains of Pseudomonas aeruginosa and Staphylococcus aureus. The anti-inflammatory activity was investigated using acute topical edema of the mouse ear induced by xylene, acute paw edema induced by agar in rats, formaldehyde arthritis in rats, vascular permeability induced by acetic acid in mice and heat- and hypotonicity-induced haemolysis of ox red blood cells (RBCs). Also evaluated were the effects on in vivo leukocyte migration induced by agar, phagocytic activity of macrophages on Candida albicans and specific cell-mediated immune responses (delayed type hypersensitivity reaction (DTHR) induced by sheep red blood cell (SRBC)). The acute toxicity and lethality (LD50) in mice and phytochemical constituents of the extract were also determined.ResultsThe extract moderately inhibited the growth of the test organisms and significantly (P ConclusionThe effectiveness of the root of A. montanus in the treatment of furuncles may largely derive from mobilization of leukocytes to the site of the infection and activation of phagocytic activity as well as suppression of exacerbated immune responses by its constituents. Antimicrobial and anti-inflammatory activities are likely contributory mechanisms. Phytochemical constituents such as alkaloids and carbohydrates may be responsible for these pharmacological activities.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 18538006 · DOI · PMC2453109

Tissue-specific responses of oxidative stress biomarkers and antioxidant defenses in rainbow trout Oncorhynchus mykiss during a vaccination against furunculosis [3]

Research article Tkachenko H, Kurhaluk N, Grudniewska J, Andriichuk A · · 2014 · cited 46 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The present study was conducted to evaluate the effects of vaccination against furunculosis on responses of oxidative stress and antioxidant defenses in rainbow trout Oncorhynchus mykiss muscle, gills, liver, and brain tissues.
Closing excerpt
However, muscle and brain tissue are capable of restoring its pro- and antioxidant balance after vaccination.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (159 words)

The present study was conducted to evaluate the effects of vaccination against furunculosis on responses of oxidative stress and antioxidant defenses in rainbow trout Oncorhynchus mykiss muscle, gills, liver, and brain tissues. The oxidative stress markers (malondialdehyde and carbonyl derivatives of protein oxidative destruction levels), antioxidant defenses (superoxide dismutase, catalase, glutathione reductase, and glutathione peroxidase), and total antioxidant capacity in different tissues of rainbow trout were measured. Our data showed that exposure of trout to vaccine against furunculosis produced changes (either increase or decrease) in oxidative stress and antioxidant enzymes responses, and these responses showed marked organ differences, associated with tissue patterns. Our study demonstrated that vaccinated trout showed alteration in antioxidant defenses and oxidative stress responses, with higher severity in the liver, compared with other tissues. Our data also suggest that vaccination against furunculosis induced lipid peroxidation in gill and liver tissues. However, muscle and brain tissue are capable of restoring its pro- and antioxidant balance after vaccination.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 24599827 · DOI · PMC4072067

Aeromonas piscicola in Chilean Salmon Farming: Genomic Insights, Phenotypic Traits, Virulence and Field Immune Response [4]

Research article Mancilla M, Ojeda A, Yuivar Y, Grandón M, Valderrama S, Oyarzún M, et al. · · 2026

Abstract reading summary — source excerpts
Opening excerpt
The incidence of furunculosis in juvenile Atlantic salmon, Salmo salar, has increased in recent years in Chile, with isolates of Aeromonas salmonicida being the primary cause.
Closing excerpt
piscicola strains which exhibit a comparable virulence level.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (203 words)

The incidence of furunculosis in juvenile Atlantic salmon, Salmo salar, has increased in recent years in Chile, with isolates of Aeromonas salmonicida being the primary cause. However, in some cases, molecular diagnostics failed to identify the etiological agent. We previously demonstrated that a proportion of undiagnosed cases was produced by a new A. salmonicida strain. In those cases where the pathogen remained unidentified, we isolated colonies with an A. salmonicida-like appearance. Subsequent phylogenetic analysis presented in this work grouped those A. salmonicida-like isolates within the Aeromonas piscicola clade. Whole genome sequencing confirmed the taxonomic affiliation, giving additional insights into virulence and antibiotic resistance markers. Indeed, one of the strains showed reduced susceptibility to oxytetracycline. Virulence potential was assessed by in vivo testing in S. salar, which resulted in disease with pathognomonic signs of furunculosis. Although the pathogen presents common antigens with A. salmonicida, the current vaccine triggered only a modest IgM response against A. piscicola in the field. Our results support the hypothesis that the increasing incidence of furunculosis in Chile cannot solely be ascribed to the emergence of the new less-virulent A. salmonicida strain, but may partially result from furunculosis-like infections caused by A. piscicola strains which exhibit a comparable virulence level.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42075730 · DOI · PMC13118686

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Virulence, genomic features, and plasticity of Aeromonas salmonicida subsp. salmonicida, the causative agent of fish furunculosis [5]
    Dallaire-Dufresne S, Tanaka KH, Trudel MV, Lafaille A, Charette SJ · Vet Microbiol · 2014 · cited 148 times (Europe PMC)
  • Research article Aeromonas salmonicida: updates on an old acquaintance [6]
    Menanteau-Ledouble S, Kumar G, Saleh M, El-Matbouli M · Dis Aquat Organ · 2016 · cited 80 times (Europe PMC)
  • Research article Vaccination against atypical furunculosis and winter ulcer disease of fish [7]
    Gudmundsdóttir BK, Björnsdóttir B · Vaccine · 2007 · cited 53 times (Europe PMC)
  • Research article Recurrent furunculosis: a review of the literature [8]
    Demos M, McLeod MP, Nouri K · Br J Dermatol · 2012 · cited 34 times (Europe PMC)
  • Research article From furuncle to axillary web syndrome: shedding light on histopathology and pathogenesis [9]
    Rashtak S, Gamble GL, Gibson LE, Pittelkow MR · Dermatology · 2012 · cited 34 times (Europe PMC)
  • Research article Staphylococcus aureus and Host Immunity in Recurrent Furunculosis [10]
    Nowicka D, Grywalska E · Dermatology · 2019 · cited 28 times (Europe PMC)

References

  1. Li T, Long M, Ji C, Shen Z, Gatesoupe FJ, Zhang X, et al.. Alterations of the gut microbiome of largemouth bronze gudgeon (Coreius guichenoti) suffering from furunculosis. . 2016. PMID 27465687 · DOI · PMC4964610
  2. Okoli CO, Akah PA, Onuoha NJ, Okoye TC, Nwoye AC, Nworu CS. Acanthus montanus: an experimental evaluation of the antimicrobial, anti-inflammatory and immunological properties of a traditional remedy for furuncles. . 2008. PMID 18538006 · DOI · PMC2453109
  3. Tkachenko H, Kurhaluk N, Grudniewska J, Andriichuk A. Tissue-specific responses of oxidative stress biomarkers and antioxidant defenses in rainbow trout Oncorhynchus mykiss during a vaccination against furunculosis. . 2014. PMID 24599827 · DOI · PMC4072067
  4. Mancilla M, Ojeda A, Yuivar Y, Grandón M, Valderrama S, Oyarzún M, et al.. Aeromonas piscicola in Chilean Salmon Farming: Genomic Insights, Phenotypic Traits, Virulence and Field Immune Response. . 2026. PMID 42075730 · DOI · PMC13118686
  5. Dallaire-Dufresne S, Tanaka KH, Trudel MV, Lafaille A, Charette SJ. Virulence, genomic features, and plasticity of Aeromonas salmonicida subsp. salmonicida, the causative agent of fish furunculosis. Vet Microbiol. 2014. PMID 23890675 · DOI
  6. Menanteau-Ledouble S, Kumar G, Saleh M, El-Matbouli M. Aeromonas salmonicida: updates on an old acquaintance. Dis Aquat Organ. 2016. PMID 27304870 · DOI
  7. Gudmundsdóttir BK, Björnsdóttir B. Vaccination against atypical furunculosis and winter ulcer disease of fish. Vaccine. 2007. PMID 17367897 · DOI
  8. Demos M, McLeod MP, Nouri K. Recurrent furunculosis: a review of the literature. Br J Dermatol. 2012. PMID 22803835 · DOI
  9. Rashtak S, Gamble GL, Gibson LE, Pittelkow MR. From furuncle to axillary web syndrome: shedding light on histopathology and pathogenesis. Dermatology. 2012. PMID 22508068 · DOI
  10. Nowicka D, Grywalska E. Staphylococcus aureus and Host Immunity in Recurrent Furunculosis. Dermatology. 2019. PMID 30995649 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-29.

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At a glance

1,609
PubMed records on this heading
5%
published since 2020
73
review articles
9
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-29; they show how much has been written, not how strong the evidence is.

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