Hot Tub Folliculitis (Jacuzzi Folliculitis)
Description
An infection of the base of a hair follicle. Hot tub folliculitis occurs when a patients comes in contact with the bacteria Pseudomonas aeruginosa that can live in the water of some hot tubs. It is more common if the hot tub is made of wood or if the acidity and chlorine content of the water is not strictly controlled. The infection is sometimes worse underneath the swimsuit areas. The infection typically appears 2 days after swimming in the hot tub.
Symptoms
Itching, red bumpy rash, tender bumps, pus filled bumps.
Tests
A history and physical will be done. No other tests are necessary.
Treatment
Many times treatment is not necessary since the infection will resolve on its own. If the symptoms persist or are getting worse an antibiotic that kills Pseudomonas will be used such as ciprofloxacin (Cipro) or levofloxacin (Levaquin). Avoiding contact with the infected hot tub and better control of the acidity and chlorine content of the water can help prevent a recurrence.
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