HomeAnswersDermatologyacneWhat to do for pimple that bursts and form a thick black layer?

Should I worry when my pimple bursts with yellow colored discharge?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At December 11, 2019
Reviewed AtJanuary 23, 2024

Patient's Query

Hello doctor,

I had a pimple that bursts. There was a yellow discharge for a few hours but it soon dried out forming a yellow layer around the pimple. Now this yellow layer fell off today, but I can see a thick black layer and no discharge. I do not have any pain around the area. Is this a concern? I have had chicken pox as well for the past three days. I am currently taking Acivir 400.

Hello,

Welcome to icliniq.com.

I have gone through your history and reviewed the attached photograph. (attachment removed to protect patient identity).

You have developed pyoderma that is a bacterial infection of the skin. I would suggest you apply topical antibiotic like Mupirocin on this area twice daily and take a short course of Cefixime 200 mg twice daily for five days. Besides this continue with Acivir tablets for chickenpox.

The Probable causes

Bacterial infection.

Differential diagnosis

Secondary infection in varicella.

Probable diagnosis

Pyoderma.

Treatment plan

As mentioned above.

Regarding follow up

After five days.

Patient's Query

Thank you doctor,

Can I start the treatment from tomorrow as it is late today? Also, the pimple now has turned completely black. I am attaching the picture.

Hello,

Welcome back to icliniq.com.

I have seen the attached photograph (attachment removed to protect patient identity). It still looks infected. Yes, you can start the treatment from tomorrow.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Asmeet Kaur Sawhney
Dr. Asmeet Kaur Sawhney

Dermatology

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