Abscesses may be classified as either "skin abscesses" or "internal abscesses". Surgical drainage of the abscess remains part of the standard management of bacterial brain abscesses. These include problems such as cellulitis, hoof abscesses, and septic arthritis. Examples of soft-tissue infections from MRSA include ulcers, impetigo, abscesses, and SSIs. There may also be ulceration, crusting, abscesses, and sinus tracts. These complications include brain abscesses and meningitis. Complications may occur, such as exudative pleural effusion, empyema, and lung abscesses. Skin changes can be non-specific abscesses or ulcerations. Signs and symptoms of neutropenia include fever, painful swallowing, gingival pain, skin abscesses, and otitis. Small abscesses with necrosis are common. Periodontal abscesses may be difficult to distinguish from periapical abscesses. Liver abscesses can occur without previous diarrhea. It is a pathogen of humans found in ovarian abscesses, chronic wounds and vaginal discharge. Treatment includes intravenous fluids, antibiotics, incision and drainage of any abscesses, and possibly intravenous immunoglobulin. It presents as a septicaemia with metastatic abscesses.