Causes and risk factors
The causative organism is the bacteria Pseudomonas aeruginosa. Bacteria survive in hot tubs, wooden tubs, damp places, etc. The infection occurs when the contaminated water is in contact with skin for a longer period. Predisposing factors include swimming in unclean tanks, prolonged contact with swimming costumes, etc.
Clinical presentation
Patients present with itching and bumpy area on the skin. There is red colored rash. The rash looks like acne. The rash is commonly seen on the abdomen. The eruptions may further develop into dark, red nodules. There can be pus-filled nodules.
Investigations
Medical history by the patient and clinical examination by the dermatologist helps in diagnosis. No specific test is required. CBC may be recommended.
Treatment
No treatment is required for most patients. The infection is self-limiting. Antibiotics may be prescribed. Anti-itch medications may be given. Avoidance of contact with the wet, hot tubs which cause infection is required.
Other Modes of treatment
The other modes of treatment can also be effective in treating hot tub folliculitis. Homoeopathy is a science which deals with individualization and considers a person in a holistic way. This science can be helpful in combating the symptoms. Similarly, the Ayurvedic system of medicine which uses herbal medicines and synthetic derivates are also found to be effective in treating hot tub folliculitis.
Complications
Complications such as abscess may occur.
When to Contact a Doctor
One must consult a doctor if similar signs and symptoms are observed and the rash is not resolving on its own.
Prevention
Controlling the acid levels and chlorine content of the hot tub prevents the disease.
Systems involved
Immune system
Organs involved
Skin
