A boil starts as a hard, red, painful lump usually less than an inch in size. Over the next few days, the lump becomes softer, larger, and more painful. Soon a pocket of pus forms on the top of the boil. Signs of a severe infection are

the skin around the boil becomes red, painful, and swollen;
more boils may appear around the original one;
a fever develops;
the lymph nodes in the area become swollen.
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