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A possible new cause of spa bath folliculitis: Aeromonas hydrophila
Author(s) -
Mulholland Adrian,
YongGee Simon
Publication year - 2008
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/j.1440-0960.2007.00418.x
Subject(s) - medicine , folliculitis , dermatology , aeromonas hydrophila , cellulitis , flucloxacillin , aggregatibacter actinomycetemcomitans , periodontitis , porphyromonas gingivalis , biology , bacteria , genetics , staphylococcus aureus
SUMMARY 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 .