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Case Reports
. 2020 Sep 23;12(9):e10623.
doi: 10.7759/cureus.10623.

Hot Tub-Associated Pseudomonas Folliculitis: A Case Report and Review of Host Risk Factors

Joanne S Jacob  1 , Jaime Tschen  2
Affiliations
Case Reports

Hot Tub-Associated Pseudomonas Folliculitis: A Case Report and Review of Host Risk Factors

Joanne S Jacob et al. Cureus. .

Abstract

Pseudomonas aeruginosa folliculitis is an infection of the skin commonly associated with swimming pool and hot tub use. It often presents as outbreaks affecting multiple individuals using the same contaminated public water facility. We present a case report of a 50-year-old woman who developed pseudomonal folliculitis after using a hot tub with multiple family members. No other family member developed folliculitis. Factors contributing to susceptibility to P. aeruginosa infection are reviewed.

Keywords: cutaneous; diabetes; flora; folliculitis; hot; pool; pseudomonas; tub.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Clinical photo of patient's back
Distribution of papules and pustules seen involves areas occluded by clothing or swim wear, which is characteristic of pseudomonal folliculitis.
Figure 2
Figure 2. Clinical photo of patient's upper buttocks
Consistent with the lesions on the back, distribution of pruritic papules and pustules is on clothing-occluded areas of the patient's skin.
Figure 3
Figure 3. Magnified clinical image of lesions
On closer examination, follicular arrangement of papules and pustules is more evident.
Figure 4
Figure 4. Dermoscopy of a lesion
Dermoscopy of one lesion demonstrated a pustule with a central punctum on an erythematous base.
See this image and copyright information in PMC

References

    1. Prevalence and antimicrobial-resistance of Pseudomonas aeruginosa in swimming pools and hot tubs. Lutz JK, Lee J. Int J Environ Res Public Health. 2011;8:554–564. - PMC - PubMed
    1. Pool-associated Pseudomonas aeruginosa dermatitis and other bathing-associated infections. Jacobson JA. Infect Control. 1985;6:398–401. - PubMed
    1. Current concepts in antimicrobial therapy against resistant gram-negative organisms: extended-spectrum beta-lactamase-producing Enterobacteriaceae, carbapenem-resistant Enterobacteriaceae, and multidrug-resistant Pseudomonas aeruginosa. Kanj SS, Kanafani ZA. Mayo Clin Proc. 2011;86:250–259. - PMC - PubMed
    1. Folliculitis: recognition and management. Luelmo-Aguilar J, Santandreu MS. Am J Clin Dermatol. 2005;5:301–310. - PubMed
    1. A risk assessment of Pseudomonas aeruginosa in swimming pools: a review. Rice SA, van den Akker B, Pomati F, Roser D. J Water Health. 2012;10:181–196. - PubMed

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