title: Eruptive furunculosis following the soak and smear regimen.
abstract: The 'soak and smear' regimen is a highly effective method for localised topical therapy employed by dermatologists for widespread inflammatory skin conditions. The regimen involves application of topical medication under occlusion after soaking in water. Complications from this treatment method are rare. We present a case of multiple, generalised methicillin-resistant Staphylococcus aureus (MRSA)-positive furuncles arising in a patient as an unexpected consequence of therapy. The case highlights an unanticipated risk of a commonly employed treatment amid an epidemic of MRSA in the community.
authors.affiliation: Ronald O Perelman Department of Dermatology, New York University School of Medicine, New York, New York, USA.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Martires
authors.affiliation: Case Western Reserve University, Cleveland, Ohio, USA.
authors.forename: Kumar
authors.identifier: http://orcid.org/0000-0001-8725-6081
authors.initials: K
authors.lastname: Sukhdeo
authors.affiliation: Department of Dermatology, Kaiser Permanente, Los Angeles, California, USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Meinhardt
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002710:Chlorhexidine / Q000627:therapeutic use; D002990:Clobetasol / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000627:therapeutic use; D004485:Eczema / Q000188:drug therapy*; D005667:Furunculosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000187:drug effects*; D016712:Mupirocin / Q000627:therapeutic use; D012293:Rifampin / Q000627:therapeutic use; D013203:Staphylococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000187:drug effects; D016896:Treatment Outcome; D014867:Water / Q000008:administration & dosage
chemical_list: D000900:Anti-Bacterial Agents; D005938:Glucocorticoids; D014867:Water; D002990:Clobetasol; D016712:Mupirocin; D004318:Doxycycline; D002710:Chlorhexidine; D012293:Rifampin