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Pseudomonas Folliculitis Differential Diagnoses

  • Author: Charles B Toner, MD; Chief Editor: Dirk M Elston, MD  more...
 
Updated: Nov 19, 2015
 
 

Diagnostic Considerations

Also consider the following:

Differential Diagnoses

 
 
Contributor Information and Disclosures
Author

Charles B Toner, MD Assistant Professor, Department of Dermatology, Uniformed Services University of the Health Sciences, F Edward Hebert School of Medicine; Mohs Surgeon, Skin Cancer Surgery Center; Mohs Surgeon, Charles County Dermatology; Mohs Surgeon, Georgia Dermatology and Skin Cancer Center

Charles B Toner, MD is a member of the following medical societies: American Academy of Dermatology, American College of Mohs Surgery, Association of Military Surgeons of the US, Association of Military Dermatologists, American Medical Association, American Society for Dermatologic Surgery

Disclosure: Nothing to disclose.

Coauthor(s)

Stephen J Krivda, MD Assistant Professor of Dermatology, Uniformed Services University of the Health Sciences; Chief of the Integrated Department of Dermatology, Chief of Dermatology Service, Director of Dermatopathology, Staff Dermatopathologist, Walter Reed Army Medical Center; Head, Department of Dermatology, Staff Dermatologist and Dermatopathologist, National Naval Medical Center

Stephen J Krivda, MD is a member of the following medical societies: American Academy of Dermatology, Association of Military Dermatologists, American Society of Dermatopathology, Phi Beta Kappa

Disclosure: Nothing to disclose.

Specialty Editor Board

Michael J Wells, MD, FAAD Associate Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine

Michael J Wells, MD, FAAD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, Texas Medical Association

Disclosure: Nothing to disclose.

Lester F Libow, MD Dermatopathologist, South Texas Dermatopathology Laboratory

Lester F Libow, MD is a member of the following medical societies: American Academy of Dermatology, American Society of Dermatopathology, Texas Medical Association

Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD Professor and Chairman, Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina College of Medicine

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Additional Contributors

Leonard Sperling, MD Chair, Professor, Department of Dermatology, Uniformed Services University of the Health Sciences

Leonard Sperling, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

References
  1. Gregory DW, Schaffner W. Pseudomonas infections associated with hot tubs and other environments. Infect Dis Clin North Am. 1987 Sep. 1(3):635-48. [Medline].

  2. Highsmith AK, Le PN, Khabbaz RF, Munn VP. Characteristics of Pseudomonas aeruginosa isolated from whirlpools and bathers. Infect Control. 1985 Oct. 6(10):407-12. [Medline].

  3. McCausland WJ. Pseudomonas aeruginosa rash associated with whirlpool. JAMA. 1976 Nov 29. 236(22):2490-1. [Medline].

  4. Price D, Ahearn DG. Incidence and persistence of Pseudomonas aeruginosa in whirlpools. J Clin Microbiol. 1988 Sep. 26(9):1650-4. [Medline].

  5. Ratnam S, Hogan K, March SB, Butler RW. Whirlpool-associated folliculitis caused by Pseudomonas aeruginosa: report of an outbreak and review. J Clin Microbiol. 1986 Mar. 23(3):655-9. [Medline].

  6. Rose HD, Franson TR, Sheth NK, Chusid MJ, Macher AM, Zeirdt CH. Pseudomonas pneumonia associated with use of a home whirlpool spa. JAMA. 1983 Oct 21. 250(15):2027-9. [Medline].

  7. Jacobson JA. Pool-associated Pseudomonas aeruginosa dermatitis and other bathing-associated infections. Infect Control. 1985 Oct. 6(10):398-401. [Medline].

  8. Lacour JP, el Baze P, Castanet J, Dubois D, Poudenx M, Ortonne JP. Diving suit dermatitis caused by Pseudomonas aeruginosa: two cases. J Am Acad Dermatol. 1994 Dec. 31(6):1055-6. [Medline].

  9. Saltzer KR, Schutzer PJ, Weinberg JM, Tangoren IA, Spiers EM. Diving suit dermatitis: a manifestation of Pseudomonas folliculitis. Cutis. 1997 May. 59(5):245-6. [Medline].

  10. Bottone EJ, Perez AA 2nd, Oeser JL. Loofah sponges as reservoirs and vehicles in the transmission of potentially pathogenic bacterial species to human skin. J Clin Microbiol. 1994 Feb. 32(2):469-72. [Medline].

  11. Frenkel LM. Pseudomonas folliculitis from sponges promoted as beauty aids. J Clin Microbiol. 1993 Oct. 31(10):2838. [Medline].

  12. Maniatis AN, Karkavitsas C, Maniatis NA, Tsiftsakis E, Genimata V, Legakis NJ. Pseudomonas aeruginosa folliculitis due to non-O:11 serogroups: acquisition through use of contaminated synthetic sponges. Clin Infect Dis. 1995 Aug. 21(2):437-9. [Medline].

  13. Böni R, Nehrhoff B. Treatment of gram-negative folliculitis in patients with acne. Am J Clin Dermatol. 2003. 4(4):273-6. [Medline].

  14. Roser DJ, van den Akker B, Boase S, Haas CN, Ashbolt NJ, Rice SA. Pseudomonas aeruginosa dose response and bathing water infection. Epidemiol Infect. 2014 Mar. 142(3):449-62. [Medline].

  15. Lutz JK, Lee J. Prevalence and antimicrobial-resistance of Pseudomonas aeruginosa in swimming pools and hot tubs. Int J Environ Res Public Health. 2011 Feb. 8(2):554-64. [Medline]. [Full Text].

  16. Berger RS, Seifert MR. Whirlpool folliculitis: a review of its cause, treatment, and prevention. Cutis. 1990 Feb. 45(2):97-8. [Medline].

  17. Agger WA, Mardan A. Pseudomonas aeruginosa infections of intact skin. Clin Infect Dis. 1995 Feb. 20(2):302-8. [Medline].

  18. Ratnam S, Hogan K, March SB, Butler RW. Whirlpool-associated folliculitis caused by Pseudomonas aeruginosa: report of an outbreak and review. J Clin Microbiol. 1986 Mar. 23(3):655-9. [Medline].

  19. Evans MR, Wilkinson EJ, Jones R, Mathias K, Lenartowicz P. Presumed Pseudomonas folliculitis outbreak in children following an outdoor games event. Commun Dis Public Health. 2003 Apr. 6(1):18-21. [Medline].

  20. Fox AB, Hambrick GW Jr. Recreationally associated Pseudomonas aeruginosa folliculitis. Report of an epidemic. Arch Dermatol. 1984 Oct. 120(10):1304-7. [Medline].

  21. Yu Y, Cheng AS, Wang L, Dunne WM, Bayliss SJ. Hot tub folliculitis or hot hand-foot syndrome caused by Pseudomonas aeruginosa. J Am Acad Dermatol. 2007 Oct. 57(4):596-600. [Medline].

  22. Gustafson TL, Band JD, Hutcheson RH Jr, Schaffner W. Pseudomonas folliculitis: an outbreak and review. Rev Infect Dis. 1983 Jan-Feb. 5(1):1-8. [Medline].

  23. Malterud K, Thesen J. [Whirlpool and pseudomonas infection--a local outbreak]. Tidsskr Nor Laegeforen. 2007 Jun 28. 127(13):1779-81. [Medline].

  24. Mena KD, Gerba CP. Risk assessment of Pseudomonas aeruginosa in water. Rev Environ Contam Toxicol. 2009. 201:71-115. [Medline].

  25. MMWR. An outbreak of Pseudomonas folliculitis associated with a waterslide--Utah. MMWR Morb Mortal Wkly Rep. 1983 Aug 19. 32(32):425-7. [Medline].

  26. Tate D, Mawer S, Newton A. Outbreak of Pseudomonas aeruginosa folliculitis associated with a swimming pool inflatable. Epidemiol Infect. 2003 Apr. 130(2):187-92. [Medline].

  27. Centers for Disease Control and Prevention. Healthy Swimming/Recreational Water. Your Disinfection Team: Chlorine & pH. Available at http://www.cdc.gov/healthywater/swimming/pools/disinfection-team-chlorine-ph.html. Accessed: September 12, 2014.

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Erythematous papulopustules of pseudomonas folliculitis. Courtesy of Mark Welch, MD.
Erythematous papulopustules of pseudomonas folliculitis, with significant perilesional flare. Courtesy of Andy Montemarano, MD.
Pseudomonas folliculitis. Courtesy of Hon Pak, MD.
 
 
 
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