Red, painful “bump” (papule progressing into pustule, and finally erosion/ulcer), centered by hair and surrounded by redness, swollen and warm on touch, is a description of advanced inflammation of hair follicle (Folliculitis).
Obviously, you have been diligent about keeping this lesion clean and treated by topical antibiotic (Neosporyn). If those measures haven’t led to recovery yet, it is indicated to prescribe oral antibiotics.
Folliculitus is most often caused by Staphylococcus aureus infection. We have been seeing quite a few MRSA (Methicillin-resistant Staphylococcus aureus) bacterial infections recently. Therefore, ask your dermatologist and NP to take skin swab culture. Bacteriology tests will determine causative bacteria and their sensitivity to different antibiotics. That is essential in order to prescribe most effective oral antibiotic. Locally, if there is a hair coming out from inflamed follicle, ask NP to remove it, as well as residual pus.
Yours in Optimal Health,
Dr. Jasmina Jankicevic
I had an ulcer right where my vaginal opening was.. it was there for about 4 weeks. i was scared just as you are but it got better. and i had testing done too.. i would give it time use like a hot cloth and soak it with it or sit in the bath tub in hot water.. it will get better
the ulcer is small contained around the center shaft of hair on top of the red irritated bump, should I continue to compresses?