The laboratory should be instructed to look specifically for Streptococcus milleri and anaerobes and to assess sensitivity to erythromycin and tetracycline in Antibiotics. Antibiotics are the mainstay of treatment, especially for the early stages of the disease. High dosages, such as 500 mg of erythromycin four times daily for an average-sized adult, are effective for Isotretinoin. The response is variable and unpredictable and complete suppression or prolonged remission is uncommon. Early cases with only inflammatory cystic lesions in which undermining sinus tracts Surgery.
Surgical excision is at times the only solution.
Residual lesions, particularly indolent sinus tracts, are a source of recurrent inflammation. Local excision is often followed by recurrence. Local recurrence after wide excision varies greatly with the disease site.