title: Greenish-blue staining of underclothing due to Pseudomonas aeruginosa infection of intertriginous dermatitis.
abstract: Intertrigo (intertriginous dermatitis) is an inflammatory condition of the skin folds, induced or aggravated by heat, moisture, maceration, friction, and lack of air circulation. Intertrigo can become secondarily infected. Three cases of intertrigo are described herein which presented with greenish-blue staining of underclothing. Cultures revealed Pseudomonas aeruginosa which is a gram-negative aerobic bacillus that produces the pigments pyocyanin and pyoverdin that responsible for this characteristic hue. All three patients responded to a course of oral ciprofloxacin with resolution of the intertriginous dermatitis. Therefore, greenish-blue staining of clothing is an important indicator for pseudomonal intertrigo.
authors.affiliation: Department of Dermatology, Gaziosmanpasa University School of Medicine, Tokat, Turkey. goknurkalkan@yahoo.com
authors.forename: Goknur
authors.initials: G
authors.lastname: Kalkan
authors.affiliation: Department of Infectious Disease and Clinical Microbiology, Gaziosmanpasa University School of Medicine, Tokat, Turkey.
authors.forename: Fazilet
authors.initials: F
authors.lastname: Duygu
authors.affiliation: Department of Dermatology, Gaziosmanpasa University School of Medicine, Tokat, Turkey.
authors.forename: Yalcin
authors.initials: Y
authors.lastname: Bas
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003020:Clothing; D003116:Color; D005260:Female; D006801:Humans; D007402:Intertrigo / Q000188:drug therapy* / Q000382:microbiology*; D008875:Middle Aged; D011552:Pseudomonas Infections / Q000188:drug therapy* / Q000382:microbiology*; D017192:Skin Diseases, Bacterial / Q000188:drug therapy* / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents