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Pseudomonas folliculitis in Arabian baths.
Alejandro Molina-Leyva1, Maria Ruiz-Ruigomez
1Department of Dermatology, San Cecilio University Hospital, 2a Avenida Doctor Olóriz 16, Granada, Spain. alejandromolinaleyva@gmail.com
Dermatology Online Journal
|September 10, 2013
Summary
A painful skin rash, or pseudomonas folliculitis, can develop after visiting hot tubs. This bacterial infection is caused by Pseudomonas aeruginosa, often found in contaminated water systems.
Area of Science:
- Dermatology
- Infectious Diseases
- Microbiology
Background:
- Pseudomonas folliculitis is a bacterial infection affecting hair follicles.
- Common reservoirs include inadequately cleaned hot tubs and whirlpools with complex piping.
- Pseudomonas aeruginosa can thrive in biofilms even with sufficient chlorine levels.
Observation:
- A 35-year-old man developed a painful, localized skin eruption on his upper trunk after visiting an Arabian bath.
- Physical examination revealed papulopustules centered on hair follicles with surrounding redness.
- A clinical diagnosis of pseudomonas folliculitis was made.
Findings:
- Pseudomonas aeruginosa was successfully isolated from a pustule culture.
- This confirmed the clinical diagnosis of bacterial folliculitis.
Implications:
- Highlights the risk of Pseudomonas folliculitis transmission from contaminated recreational water facilities.
- Emphasizes the importance of proper water hygiene and maintenance in preventing bacterial infections.
- Suggests potential for biofilm formation to protect bacteria from disinfectants.
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