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Journal of the American Academy of Dermatology
Volume 57, n° 4
pages 596-600 (octobre 2007)
Doi : 10.1016/j.jaad.2007.04.004
accepted : 7 April 2007
Reports

Hot tub folliculitis or hot hand–foot syndrome caused by Pseudomonas aeruginosa
 

Yue Yu, MD a, Amy S. Cheng, MD a, , Lawrence Wang, MD a, W. Michael Dunne, MD b, Susan J. Bayliss, MD a, c
a Departments of Internal Medicine, Washington University School of Medicine, St Louis, Missouri 
b Department of Pathology and Immunology, Division of Laboratory Medicine, Washington University School of Medicine, St Louis, Missouri 
c Departments of Internal Medicine, Division of Dermatology, and Pediatrics, Washington University School of Medicine, St Louis, Missouri 

Correspondence to: Amy S. Cheng, MD, 660 S Euclid Ave, Box 8123, St Louis, MO 63110.
Abstract

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.

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 Funding sources: None.
 Conflicts of interest: None declared.
 Reprints not available from the authors.



© 2007  American Academy of Dermatology, Inc.@@#104156@@