患者，男，36岁。初起项后皮肤上有粟粒样脓头，抓破后肿痛加剧，色红灼热，病情发展，则脓头增多，溃后如马蜂窝状，范围约11cmxllcm，局部红肿高突，根脚收束，伴发热，纳呆，尿赤,舌红苔黄，脉数有力。该患者的诊断为

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