Abstract Pseudomonas aeruginosa is not a common cause of skin infection. In the pediatric population, it may produce swimmer's ear, a green discoloration of nails, and superinfection of athlete's foot (Gram-negative infection of the toe webs). It may also cause infection in patients with severe burns. Systemic disease is usually seen in debilitated, chronically ill patients, especially in association with malignancy and immunosuppression. Consequently, Pseudomonas is not usually considered in the origin of mundane folliculitis and furunculosis. For the past seven years, however, a slowly increasing number of clinical articles have described a consistent entity—whirlpool or hot tub folliculitis—caused by this organism.1-6 We had the opportunity to deal with a small epidemic of this type of infection and share our experiences to make this better known among pediatricians. Patients.——Eight previously well teenage girls attended an all-night slumber party and spent one to two hours in a privately owned wooden References 1. McCausland WJ, Cox PJ: Pseudomonas infection traced to motel whirlpool . J Environ Health 1975;37:455-459. 2. Pool-associated rash illness—North Carolina . MMWR 1975;24:349-350. 3. Washburn J, Jacobson JA, Marston E, et al: Pseudomonas aeruginosa rash associated with a whirlpool . JAMA 1976;235:2205-2207.Crossref 4. Sausker WF, Aeling JL, Fitzpatrick JE, et al: Pseudomonas folliculitis acquired from a health spa whirlpool . JAMA 1978;239:2362-2363.Crossref 5. Burkhart CG, Shapiro R: Pseudomonas folliculitis: Development after the home use of a personal whirlpool spa . Cutis 1980;25:642-643. 6. Outbreak of Pseudomonas aeruginosa serotype 0:9 associated with a whirlpool . MMWR 1981;30:329-330. 7. Hoadley AW, Ajello A, Masterson N: Preliminary studies of fluorescent pseudomonads capable of growing at 41, C in swimming pool waters . Appl Environ Microbiol 1975;29:527-529. 8. Hojyo-Tomoka MT, Marples RR, Kligman AM: Pseudomonas infection in superhydrated skin . Arch Dermatol 1973;107:723-725.Crossref 9. Leyden JJ, Stewart R, Kligman AM: Experimental inoculation of Pseudomonas aeruginosa and Pseudomonas cepacia on human skin . J Soc Cosmet Chem 1980;31:19-28. 10. Black AP, Keirn MA, Smith JJ, et al: The disinfection of swimming pool water: II. A field study of the disinfection of public swimming pools . Am J Public Health 1970;60:740-750.Crossref
American Journal of Diseases of Children – American Medical Association
Published: Jun 1, 1982
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