Abstract Three patients with sudden, unmanageable exacerbation of acne vulgaris were shown to have Gram-negative folliculitis due to Pseudomonas aeruginosa. In each patient, the source of the Pseudomonas proved to be an otitis externa infection. In contrast to previous cases of Gram-negative folliculitis due to Proteus, Escherichia coli, or Klebsiella, the anterior nares were not colonized. Treatment of the otitis externa and the Gram-negative folliculitis with acetic acid compresses and topical antibiotics led to prompt resolution without recurrence. (Arch Dermatol 115:1203-1204, 1979) References 1. Fulton JE Jr, McGinley K, Leyden J, et al: Gram-negative folliculitis in acne vulgaris . Arch Dermatol 98:349-353, 1968.Crossref 2. Leyden JJ, Marples RR, Mills OH Jr, et al: Gram-negative folliculitis—a complication of antibiotic therapy in acne vulgaris . Br J Dermatol 88:533-538, 1973.Crossref 3. Williamson P, Kligman AM: A new method for the quantitative investigation of cutaneous bacteria . J Invest Dermatol 45:498-503, 1965.Crossref 4. Wright DN, Dineen M: A model for the study of infections of the otitis externa . Arch Otolaryngol 95:243-247, 1972.Crossref 5. Senturia BH: Diseases of the External Ear. Springfield, Ill, Charles C Thomas Publisher, 1957. 6. Wright DN, Alexander JM: Effect of water on the bacterial flora of swimmers' ears . Arch Otolaryngol 99:15-18, 1974.Crossref 7. Senturia BH, Carr CD: Studies of factors considered responsible for diseases of the external ear . Laryngoscope 68:2052-2079, 1950.
Archives of Dermatology – American Medical Association
Published: Oct 1, 1979
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