HistoryThis section has been translated automatically.
Mc Causland 1976
DefinitionThis section has been translated automatically.
Harmless infectious skin disease originally described in the USA and now occurring worldwide. It occurs 8-48 hours after a bath in warm water contaminated with Pseudomonas spp. The disease occurs more frequently during the cold season (note: this is probably related to the increased use of warm communal baths in winter).
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Itchy maculopapular exanthema emphasizing the lateral trunk with follicularly bound red papules and partly pustules. Association with fever, pharyngitis, conjunctivitis, mastitis and axillary lymphadenopathy (bacterial toxin effect). More rare is the simultaneous occurrence of painful papules and nodules on the palms of the hands and/or soles of the feet (whirlpool dermatitis with "hot hands/feets - see also Hot-Foot-Syndrome).
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If spontaneous healing does not occur or if external measures are not sufficient, use Ciprofloxacin (e.g. Ciprobay) 2 times/day 250 mg p.o.
In severe cases use Ceftazidim (e.g. Fortum) 2-3 times/day 1-2 g i.v.
Alternatively (e.g. in case of penicillin allergy): Tobramycin (e.g. Gernebcin) Adults 3-5 mg/kg bw/day i.m. or i.v. distributed over 3 ED (30-60 min. short infusions). Children: 5-7 mg/kg bw/day i.m. or i.v., distributed over 3-4 ED.
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Through whirlpool baths other infections can be transmitted, even if rarely, e.g. atypical mycobacteria.
Case report(s)This section has been translated automatically.
A 35-year-old man, who was complaining of great stress, noticed a sudden itchy rash on his torso. At the same time slight discomfort, pulling of the chest muscles ("like sore muscles", painful knot in the right axilla.
Findings: On the shoulder, upper arms and on the front of the trunk highly red maculopapular exanthema with follicularly bound red papules and few pustules. On the right side dolent axillary lymphadenopathy.
Smear Pustule: abundant Pseudomonas aeruginosa, also Staphylococcus aureus.
On request: New Year's Eve holiday together with 2 friends. Use of the hotel's own whirlpool. Skin symptoms 2 days later.
Therapy: Ciprofloxacin 2 times/day 250 mg p.o. for 5 days and external application of a 0,2% gentamicin lotio for 5 days.
LiteratureThis section has been translated automatically.
- Berrouane YF (2000) Outbreak of severe Pseudomonas aeruginosa infections caused by a contaminated drain in a whirlpool bathtub. Clin Infect Dis 31: 1331-1337
- Edson RS et al (2006) Mycobacterium intermedium granulomatous dermatitis from hot tub exposure. Emerg Infect Dis 12: 821-3
- Schirren CG et al (1992) Whirlpool dermatitis: A new epidemic recreational dermatosis. Dt Ärztebl 89: 1756-1758
Silverman AR et al (1983) Hot tub dermatitis: a familial outbreak of Pseudomonas folliculitis. J Am Acad Dermatol 8:153-156
Yu Y et al (2007) Hot tub folliculitis or hot hand-foot syndrome caused by Pseudomonas aeruginosa. J Am Acad Dermatol 57:596-600
Incoming links (5)Folliculitis gramnegative; Folliculitis superficial; Neutrophilic eccrine hidradenitis; Pseudomonas infections; Whirlpool dermatitis;
Outgoing links (18)Antibiotics; Antiseptic; Ceftazidim; Ciprofloxacin; Conjunctivitis; Gentamicin; Gentamicin cream 0,1%; Hot-foot syndrome; Mastitis; Nontuberculous Mycobacteria; ... Show all
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