title: [Whirlpool-dermatitis with "hot hands"].
abstract: METHODS
  A 15-year-old boy presented with painful nodules on his palms and discrete pustules on the forearm. Two days earlier he had taken a bath in a new whirlpool.
  
  
  METHODS
  Bacteriological examination of the pustules revealed Pseudomonas aeruginosa. The cervical and axillary lymph nodes were inconspicuous.
  
  
  METHODS
  The dermal infection with Pseudomonas aeruginosa was treated with i.v. piperacillin 4 g/tazobactam 0,5 g twice daily. Furthermore, the patient received 400 mg ibuprofen twice daily per os. Seven days later all symptoms had resolved.
  
  
  CONCLUSIONS
  Hot tubs are a potential source of cutaneous infections with the gram-negative rod Pseudomonas aeruginosa. The most common clinical manifestation of these infections is "hot tub- or jacuzzi-folliculitis" with pustules mainly on the trunk and lymphadenopathy. In children and adolescents, the clinical picture may differ, with a predominance of tender reddish nodules on the palms or soles named "hot hand/hot foot syndrome". In general, the first-line antibiotic in an infection with pseudomonas aeruginosa is ciprofloxacin but it is not recommended in children and adolescents.
authors.affiliation: Klinik und Poliklinik für Dermatologie und Allergologie der Ludwig-Maximilians-Universität München.
authors.forename: K-A
authors.initials: KA
authors.lastname: Dietrich
authors.affiliation: Klinik und Poliklinik für Dermatologie und Allergologie der Ludwig-Maximilians-Universität München.
authors.forename: T
authors.initials: T
authors.lastname: Ruzicka
authors.affiliation: Klinik und Poliklinik für Dermatologie und Allergologie der Ludwig-Maximilians-Universität München.
authors.forename: T
authors.initials: T
authors.lastname: Herzinger
mesh_terms: D000293:Adolescent; D004359:Drug Therapy, Combination; D006229:Hand Dermatoses / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D006875:Hydrotherapy / Q000009:adverse effects*; D007262:Infusions, Intravenous; D008297:Male; D008826:Microbial Sensitivity Tests; D010397:Penicillanic Acid / Q000008:administration & dosage / Q000031:analogs & derivatives; D010878:Piperacillin / Q000008:administration & dosage; D011552:Pseudomonas Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000635:transmission; D011550:Pseudomonas aeruginosa / Q000187:drug effects; D000078142:Tazobactam; D014871:Water Microbiology
chemical_list: D010397:Penicillanic Acid; D000078142:Tazobactam; D010878:Piperacillin