Pseudomonas folliculitis in Adult
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Synopsis
Clinically, Pseudomonas folliculitis is characterized by tender or pruritic folliculocentric papules preferentially localized to the trunk, buttocks, and extremities. Inflammation of Montgomery's follicles of the breast has also been described in one outbreak in Alaska. Symptoms typically develop within 1-4 days after exposure to the contaminated water source. Infection can be associated with mild fever, malaise, lymphadenopathy, and leukocytosis. The cutaneous eruption usually fades within 7-14 days without therapy.
Water sources contaminated with Pseudomonas are also associated with outbreaks of painful plantar nodules termed the Pseudomonas hot-foot syndrome. These patients may or may not have a concomitant folliculitis.
There is no geographic distribution of Pseudomonas folliculitis. However, since hot tubs and natural hot springs are common activities of travelers and since pyodermas (purulent skin diseases) are among the most frequently reported complaints in returning travelers, a high degree of clinical suspicion is warranted.
Codes
ICD10CM:L73.8 – Other specified follicular disorders
SNOMEDCT:
402921005 – Pseudomonas aeruginosa folliculitis
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- Bacterial folliculitis
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Last Reviewed:10/21/2018
Last Updated:10/21/2018
Last Updated:10/21/2018
Pseudomonas folliculitis in Adult