Hot tub folliculitis or hot hand-foot syndrome caused by Pseudomonas aeruginosa.
Pseudomonas aeruginosa is a ubiquitous gram-negative rod that can cause a well-recognized, acquired skin infection from bacterial colonization of contaminated water called "hot tub folliculitis." We report an outbreak of pseudomonas skin infection associated with the use of a hot tub at a pool party in 33 children. In particular, 2 of the children were admitted to our hospital; both presented with high leukocyte counts, intermittent low grade fevers, and painful, erythematous nodules and papules on their palms and soles. One of the 2 children also presented with small erythematous pustular lesions on the face and trunk, which led to the diagnosis. Cultures from these pustules grew P aeruginosa. Thirty two other children at this pool/hot tub party developed similar lesions of varying severity 6 to 48 hours after the party. These findings were most consistent with the diagnosis of pseudomonas folliculitis/hot hand.
Department of Internal Medicine, Washington University School of Medicine, St Louis, Missouri, USA.
Yue
Y
Yu
Amy S
AS
Cheng
Lawrence
L
Wang
W Michael
WM
Dunne
Susan J
SJ
Bayliss
D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D002939:Ciprofloxacin / Q000627:therapeutic use; D004196:Disease Outbreaks; D005260:Female; D005499:Folliculitis / Q000453:epidemiology / Q000209:etiology / Q000382:microbiology*; D005533:Foot Dermatoses / Q000453:epidemiology / Q000382:microbiology; D006229:Hand Dermatoses / Q000453:epidemiology / Q000382:microbiology; D006801:Humans; D006875:Hydrotherapy; D008297:Male; D011552:Pseudomonas Infections / Q000150:complications* / Q000188:drug therapy / Q000453:epidemiology; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification*; D011998:Recreation; D017192:Skin Diseases, Bacterial / Q000453:epidemiology / Q000382:microbiology*; D014871:Water Microbiology
D000900:Anti-Bacterial Agents; D002939:Ciprofloxacin