Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Recreationally Associated Pseudomonas aeruginosa Folliculitis: Report of an Epidemic

Recreationally Associated Pseudomonas aeruginosa Folliculitis: Report of an Epidemic Abstract • An epidemic of Pseudomonas aeruginosa folliculitis occurred in 117 persons. An indoor swimming pool at a dude ranch was the source of the infection. Recognition of the epidemic occurred through four patients who reported to our clinic with a characteristic syndrome of follicular pustular eruptions and associated symptoms. Inadequate disinfection of the water was causative. Many affected persons had prolonged contact with the organism because swimsuits were worn for several hours after exposure. Early diagnosis and epidemiological investigation are important in treating this disorder. (Arch Dermatol 1984;120:1304-1307) References 1. Pseudomonas dermatitis . City Health Information 1982;1: 2-3. 2. McCausland WJ, Cox PJ: Pseudomonas infection traced to motel whirlpool . J Environ Health 1975;37:455-459. 3. Skin rash associated with pool exposure—Minnesota . MMWR 1975;24:166-171. 4. Pool-associated rash illness—North Carolina . MMWR 1975; 24:349-350. 5. Washburn J, Jacobson JA, Marston E, et al: Pseudomonas aeruginosa rash associated with a whirlpool . JAMA 1976;235:2205-2207.Crossref 6. Sausker WF, Aeling JL, Fitzpatrick JE, et al: Pseudomonas folliculitis acquired from a health spa whirlpool . JAMA 1978;239:2362-2365.Crossref 7. Rash associated with use of whirlpool—Maine . MMWR 1979; 28:182-184. 8. Burkhart CG, Shapiro R: Pseudomonas folliculitis . Cutis 1980;25:642-643. 9. Outbreak of Pseudomonas aeruginosa serotype O:9 associated with a whirlpool . MMWR 1981;30:329-331. 10. Smith GC: Methods for preventing Pseudomonas folliculitis . Cutis 1981;29:378-381. 11. Hopkins RS, Abbott DO, Wallace LE: Follicular dermatitis outbreak caused by Pseudomonas aeruginosa associated with a motel's indoor swimming pool . Public Health Rep 1981;96:246-249. 12. Khabbaz RF, McKinley TW, Goodman R, et al: Pseudomonas aeruginosa serotype O:9: New cause of whirlpool-associated dermatitis . Am J Med 1983;74:73-78.Crossref 13. Silverman AR, Nieland ML: Hot tub dermatitis: A familial outbreak of Pseudomonas folliculitis . J Am Acad Dermatol 1983;8:153-156.Crossref 14. Grogan JB: Pseudomonas aeruginosa carriage in patients . J Trauma 1966;6:639-643.Crossref 15. Marples MJ: The Ecology of the Human Skin . Springfield, Ill, Charles C Thomas Publisher, 1965, p 690. 16. Cetin ET, Toreci K, Agbaba O, et al: Study of oral, nasal and skin flora in an investigation on hospital infection . Pathol Microbiol 1971;37:324-332. 17. Pillsbury DM, Rebell G: The bacterial flora of the skin . J Invest Dermatol 1952;18:173-186. 18. Aly R, Maibach HI, Shinefield H, et al: Survival of pathogenic microorganisms on human skin . J Invest Dermatol 1972; 58:205-210.Crossref 19. McBride ME, Duncan WC, Knox JM: Physiological and environmental control of gram-negative bacteria on skin . Br J Dermatol 1975;93:191-199.Crossref 20. Duncan WC, McBride ME, Knox JM: Experimental production of infections in humans . J Invest Dermatol 1970;54:319-323.Crossref 21. Singh G: Pseudomonas infections of skin: An experimental study . Int J Dermatol 1974;13:90-93.Crossref 22. Liu PV: Biology of Pseudomonas aeruginosa . Hosp Pract 1973;11:138-147. 23. Morihara K: Pseudomonas aeruginosa elastase . JBiol Chem 1965;240:3295-3304. 24. Liu PV, Abe Y, Bates JL: The role of various fractions of Pseudomonas aeruginosa in its pathogenesis . J Infect Dis 1961;108:218.Crossref 25. Liu PV: Effects of lecithinase and protease . J Infect Dis 1966;116:112.Crossref 26. Hall JH, Callaway JL, Tindall J, et al: Pseudomonas aeruginosa in dermatology . Arch Dermatol 1968;97:312-324.Crossref 27. Hojyo-Tomoka MT, Marples RR, Kligman AM: Pseudomonas infection in superhydrated skin . Arch Dermatol 1973;107:723-727.Crossref 28. 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 29. Savage TB, Stratton LP: Bacteriological evaluation of two test methods for chlorine in swimming pools . Appl Microbiol 1971; 22:809-811. 30. Suggested Health and Safety Guidelines for Public Spas and Hot Tubs , Dept of Health and Human Services publication 99-960. Atlanta, Centers for Disease Control, 1981. 31. Suggested Ordinances and Regulations Concerning Public Swimming Pools . Atlanta, Joint Committee on Swimming Pools in cooperation with Public Health Service, US Dept of Health and Human Services, 1964. 32. Standard Methods for the Examination of Water and Waste Waters , ed 15. New York, American Public Health Association, American Water Works Association, Water Pollution Control Federation, 1981. 33. Kush BJ, Hoadley AW: A preliminary survey of the association of Pseudomonas aeruginosa with commercial whirlpool bath waters . Am J Public Health 1980;70:279-281.Crossref 34. Young VM, Moody MR: Serotyping of Pseudomonas aeruginosa . J Infect Dis 1974;130:547-552. 35. Moody MR, Young VM, Kenton DM, et al: Pseudomonas aeruguinosa in a center for cancer research: I. Distribution of intraspecies types from human and environmental sources . J Infect Dis 1972;125:95-101.Crossref 36. Jacobson JA, Hoadley AW, Farmer JJ: Pseudomonas aeruginosa serogroup II and pool-associated skin rash . Am J Public Health 1976;66:1092-1093.Crossref 37. Chandrasekar PH, Rolston KVI, Kannangara DW, et al: Hot tub-associated dermatitis due to Pseudomonas aeruginosa: Case report and review of the literature . Arch Dermatol 1984;120:1337-1340.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Recreationally Associated Pseudomonas aeruginosa Folliculitis: Report of an Epidemic

Archives of Dermatology , Volume 120 (10) – Oct 1, 1984

Loading next page...
 
/lp/american-medical-association/recreationally-associated-pseudomonas-aeruginosa-folliculitis-report-qjDSZdneXd
Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1984.01650460044017
Publisher site
See Article on Publisher Site

Abstract

Abstract • An epidemic of Pseudomonas aeruginosa folliculitis occurred in 117 persons. An indoor swimming pool at a dude ranch was the source of the infection. Recognition of the epidemic occurred through four patients who reported to our clinic with a characteristic syndrome of follicular pustular eruptions and associated symptoms. Inadequate disinfection of the water was causative. Many affected persons had prolonged contact with the organism because swimsuits were worn for several hours after exposure. Early diagnosis and epidemiological investigation are important in treating this disorder. (Arch Dermatol 1984;120:1304-1307) References 1. Pseudomonas dermatitis . City Health Information 1982;1: 2-3. 2. McCausland WJ, Cox PJ: Pseudomonas infection traced to motel whirlpool . J Environ Health 1975;37:455-459. 3. Skin rash associated with pool exposure—Minnesota . MMWR 1975;24:166-171. 4. Pool-associated rash illness—North Carolina . MMWR 1975; 24:349-350. 5. Washburn J, Jacobson JA, Marston E, et al: Pseudomonas aeruginosa rash associated with a whirlpool . JAMA 1976;235:2205-2207.Crossref 6. Sausker WF, Aeling JL, Fitzpatrick JE, et al: Pseudomonas folliculitis acquired from a health spa whirlpool . JAMA 1978;239:2362-2365.Crossref 7. Rash associated with use of whirlpool—Maine . MMWR 1979; 28:182-184. 8. Burkhart CG, Shapiro R: Pseudomonas folliculitis . Cutis 1980;25:642-643. 9. Outbreak of Pseudomonas aeruginosa serotype O:9 associated with a whirlpool . MMWR 1981;30:329-331. 10. Smith GC: Methods for preventing Pseudomonas folliculitis . Cutis 1981;29:378-381. 11. Hopkins RS, Abbott DO, Wallace LE: Follicular dermatitis outbreak caused by Pseudomonas aeruginosa associated with a motel's indoor swimming pool . Public Health Rep 1981;96:246-249. 12. Khabbaz RF, McKinley TW, Goodman R, et al: Pseudomonas aeruginosa serotype O:9: New cause of whirlpool-associated dermatitis . Am J Med 1983;74:73-78.Crossref 13. Silverman AR, Nieland ML: Hot tub dermatitis: A familial outbreak of Pseudomonas folliculitis . J Am Acad Dermatol 1983;8:153-156.Crossref 14. Grogan JB: Pseudomonas aeruginosa carriage in patients . J Trauma 1966;6:639-643.Crossref 15. Marples MJ: The Ecology of the Human Skin . Springfield, Ill, Charles C Thomas Publisher, 1965, p 690. 16. Cetin ET, Toreci K, Agbaba O, et al: Study of oral, nasal and skin flora in an investigation on hospital infection . Pathol Microbiol 1971;37:324-332. 17. Pillsbury DM, Rebell G: The bacterial flora of the skin . J Invest Dermatol 1952;18:173-186. 18. Aly R, Maibach HI, Shinefield H, et al: Survival of pathogenic microorganisms on human skin . J Invest Dermatol 1972; 58:205-210.Crossref 19. McBride ME, Duncan WC, Knox JM: Physiological and environmental control of gram-negative bacteria on skin . Br J Dermatol 1975;93:191-199.Crossref 20. Duncan WC, McBride ME, Knox JM: Experimental production of infections in humans . J Invest Dermatol 1970;54:319-323.Crossref 21. Singh G: Pseudomonas infections of skin: An experimental study . Int J Dermatol 1974;13:90-93.Crossref 22. Liu PV: Biology of Pseudomonas aeruginosa . Hosp Pract 1973;11:138-147. 23. Morihara K: Pseudomonas aeruginosa elastase . JBiol Chem 1965;240:3295-3304. 24. Liu PV, Abe Y, Bates JL: The role of various fractions of Pseudomonas aeruginosa in its pathogenesis . J Infect Dis 1961;108:218.Crossref 25. Liu PV: Effects of lecithinase and protease . J Infect Dis 1966;116:112.Crossref 26. Hall JH, Callaway JL, Tindall J, et al: Pseudomonas aeruginosa in dermatology . Arch Dermatol 1968;97:312-324.Crossref 27. Hojyo-Tomoka MT, Marples RR, Kligman AM: Pseudomonas infection in superhydrated skin . Arch Dermatol 1973;107:723-727.Crossref 28. 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 29. Savage TB, Stratton LP: Bacteriological evaluation of two test methods for chlorine in swimming pools . Appl Microbiol 1971; 22:809-811. 30. Suggested Health and Safety Guidelines for Public Spas and Hot Tubs , Dept of Health and Human Services publication 99-960. Atlanta, Centers for Disease Control, 1981. 31. Suggested Ordinances and Regulations Concerning Public Swimming Pools . Atlanta, Joint Committee on Swimming Pools in cooperation with Public Health Service, US Dept of Health and Human Services, 1964. 32. Standard Methods for the Examination of Water and Waste Waters , ed 15. New York, American Public Health Association, American Water Works Association, Water Pollution Control Federation, 1981. 33. Kush BJ, Hoadley AW: A preliminary survey of the association of Pseudomonas aeruginosa with commercial whirlpool bath waters . Am J Public Health 1980;70:279-281.Crossref 34. Young VM, Moody MR: Serotyping of Pseudomonas aeruginosa . J Infect Dis 1974;130:547-552. 35. Moody MR, Young VM, Kenton DM, et al: Pseudomonas aeruguinosa in a center for cancer research: I. Distribution of intraspecies types from human and environmental sources . J Infect Dis 1972;125:95-101.Crossref 36. Jacobson JA, Hoadley AW, Farmer JJ: Pseudomonas aeruginosa serogroup II and pool-associated skin rash . Am J Public Health 1976;66:1092-1093.Crossref 37. Chandrasekar PH, Rolston KVI, Kannangara DW, et al: Hot tub-associated dermatitis due to Pseudomonas aeruginosa: Case report and review of the literature . Arch Dermatol 1984;120:1337-1340.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Oct 1, 1984

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month