Hi.
Recurrent boils may be a marker of an underlying immunosuppressed state or
diabetes. The fact that you have SLE makes me think that you must be on glucocorticoids, and some other immunosuppressant drugs to control your disease, which would make you susceptible to infections and also diabetes. So I would advise the following in my patient:
1) If your SLE is under control, your physician/
rheumatologist may reduce the drug doses as per need to control the infection.
2) look for diabetes by checking you fasting blood glucose and post prandial blood glucose levels; if high this needs to be controlled
3) control the present infection with an adequate course of antibiotics like amoxicillin/clavulinic acid (
augmentin for example), draining of the pus collection if required, and dressing.
4) if you have nasal carriage of
staphylococcus aureus, this makes you predisposed to recurrent boils, and this needs to be eradicated.
With these measures, the infection can be controlled.
Thank you.