Pseudomonas folliculitis is acquired in the community, especially exposure to contaminated water such as hot tubs, bath tubs, and water slides. From the name itself, its etiologic agent is Pseudomonas aeruginosa . Bumps from Pseudomonas folliculitis have been manifested after wearing diving suits, use of contaminated bathing goods such as sponges and sometimes, this is also asymptomatic.
Pseudomonas Folliculitis Symptoms
At first, pseudomonas folliculitis appears to be itchy tiny bumps which progresses to dark red, inflamed nodules and to some extent, lesion contain pus and may appear to be blister-like nodes. The bumps or rashes from pseudomonas folliculitis may erupt and the trunk and the upper parts of the arms and legs may be involved. The rash can also be extensive affecting all body parts except the palms and soles. Headache, vomiting, anorexia, nausea, headache, sore eyes and fever may be experienced by the client.
The folliculitis rash is severe in areas covered by a bathing suit and where areas that were exposed to the contaminated water for a longer period of time.
After exposure to the causative agent, it would take approximately two hours before signs and symptoms occur. Moreover, bumps involved with pseudomonas folliculitis are self limiting and may not be treated. Medications are given to relieve and control itchiness.
Pseudomonas folliculitis Diagnosis
Reviewing the medical health history is helpful in diagnosing pseudomonas folliculitis. A recent exposure to hot tubs approximately two days before the appearance of rash and other persons using the same tub and also having rashes and eruption may confirm pseudomonas folliculitis
In doubtful cases, Pus culture often reveals the presence of
Pseudomonas aeruginosa. Without knowing the health history, pseudomonas folliculitis may be hard to differentiate with staphylococcal folliculitis.
Bodies of water such as hot tubs and whirlpools are favored by pseudomonas aeruginosa because:
- Growth of the said microorganisms is enhanced in warm water temperatures.
- Warm temperature from hot tubs and whirlpools open the pores of the hair follicles, providing access to the bacteria.
- The normal flora of the skin provides nourishment to Pseudomonas aeruginosa where growth and multiplication are supported.
- Water turbulence hinders efficient disinfectant level especially in wooden whirlpools.
Pseudomonas folliculitis prevention
Maintaining the acidity and disinfectant levels will prevent growth and proliferation of Pseudomonas aeruginosa. By preventing this, cases of Pseudomonas folliculitis will also decrease.
Risk Factors for Hot Tub Folliculitis
Pseudomonas folliculitis is more susceptible to people who frequently use hot tubs, share one hot tub and also prolonged exposure to contaminated water.
Pseudomonas folliculitis treatment
In most cases, pseudomonas folliculitis spontaneously heals. However, persistence and recurrence of this may need medical treatment. Usually, a dermatologist prescribes topical cream to directly address the problem. Leaving it alone may cause more itchiness and may also leaves scars and abscesses.
If pustules reach seven to ten days without resolution or improvement, asking for a medical advice is necessary. Some of the advices he or she may give are:
- Vinegar compress application to the infected area for twenty minutes, two to four times a day may help this in healing.
- Applying topical creams such as silver sulfadiazine may be prescribed to drain pustules.
- Oral antibiotics such as ciprofloxacin are given in severe cases of pseudomonas folliculitis.
As a whole, pseudomonas folliculitis has a good prognosis especially when immediate treatment is done during the onset of the illness. This may be emotionally distressful but patience and support of the family and other social network may help the client. Having adequate knowledge about pseudomonas folliculitis is essential for the client and his or her significant others.
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