Diagnosis: "Hot tub (Pseudomonas) Folliculitis"
|Before TreatmentAfter Treatment
Her parents own a "hot tub".
Spa pool folliculitis, also known as hot tub or pseudomonas folliculitis, is a skin condition that is caused by bacterial (pseudomonal) infection of the hair follicle. It arises hours to a few days after bathing in inadequately disinfected warm water, such as a spa pool, jacuzzi or swimming pool and may affect several exposed individuals.
The result is an eruption of scattered small red itchy or tender bumps, some of which are pustular. They mainly occur in areas that were covered by a swimming suit..
Rarely, some people with spa pool folliculitis feel unwell. They may have earache, sore throat, nausea and vomiting, headache and/or mild fever.
The bacteria responsible, Pseudomonas aeruginosa. She was treated with a 7 day course of ciprofloxin and was seen back in our clinic on day 8 with the eruption almost completely resolved, with only minor post-inflammatory hyperpigmentational changes, as depicted in the 'after treatment' photograph.
Her parents contacted the local hot tub maintenance company and had the hot-tub water chemically "re-treated/disinfected" and the problem was solved.
CME Article on "Hot Tub (Pseudomonas) Folliculitis"
Charles E. Crutchfield III, MD
Clinical Adjunct Associate Professor of Dermatology
University of Minnesota Medical School
Medical Director, Crutchfield Dermatology