A possible new cause of spa bath folliculitis: Aeromonas hydrophila
- 3 January 2008
- journal article
- case report
- Published by Wiley in Australasian Journal of Dermatology
- Vol. 49 (1), 39-41
- https://doi.org/10.1111/j.1440-0960.2007.00418.x
Abstract
A 34-year-old man presented with a pubic eruption of 4 weeks duration, affecting both himself and his partner. He had been treated unsuccessfully with intravenous and oral dicloxacillin. The eruption was a severely inflammatory folliculitis, with haemo-serous exudate and marked oedema. A clinical diagnosis of herpes simplex virus folliculitis was disproved when routine bacteriology isolated Aeromonas hydrophila and multiple viral polymerase chain reaction studies were negative. Histology demonstrated a chronic folliculitis with no organisms present. Both he and his partner were treated with oral ciprofloxacin 500 mg bd for 6 weeks with clinical clearance of infection, but both developed a scarring alopecia. Infection was attributed to possible contamination of a poorly maintained home spa bath with A. hydrophila.Keywords
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