This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of hot tub induced folliculitis in athletes

Kafchinski, Lisa

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University of Missouri: MOspace

Hot Tub Folliculitis in Athletes Page 1 of 2   11.20.08 Hot Tub Folliculitis in Athletes Background  1. Common during rehabilitation treatments using hot tubs 2. Typically self-limited condition lasting 7-10 days 3. No limitation on participation  o Lesions should be covered with occlusive dressing before using hot tubs  Pathophysiology 1. Pathology of disease  o Pseudomonas aeruginosa subtype O:11  2. Risk factors  o Skin abrasions o Inadequate chlorination of hot tubs  Diagnostics 1. History  o Recent use of hot tubs o Pruritic lesions o Systemic symptoms: fever, chills, lymphadenopathy  2. Physical exam  o Well defined follicular lesions, may be green o More common in areas covered by bathing suits  Differential Diagnosis 1. Impetigo 2. Acne 3. Cellulitis 4. Scabies 5. Insect bites  6. Miliaria rubra  Therapeutics 1. Supportive treatment with anti-pruritics 2. No treatment needed if no systemic involvement  3. Immunocompromised athlete or those with systemic symptoms:  o Ciprofloxacin 500mg BID for 7 days  Prevention  1. Adequate chlorination and pH regulation of hot tubs 2. Cover abrasions/cuts with occlusive dressings          Hot Tub Folliculitis in Athletes Page 2 of 2   11.20.08 References 1. Adams BB. Dermatologic disorders of the athlete. Sports Med. 2002; 32(5):309-21. 2. Freiman A, Barankin B, Elpem DJ. Sports dermatology part 2: swimming and other aquatic sports. CMAJ. 2004 Nov 23; 171(11):1339-41. Review.    Author:  Lisa Kafchinski, RN, University of Nevada Reno FPRP  Editor:  Carol Scott, MD, University of Nevada Reno FPRP 

Hot tub folliculitis in athletes

https://mospace.umsystem.edu/xmlui/bitstream/10355/13729/1/HotTubFolliculitisAthletes.pdf

Hot tub folliculitis in athletes

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University of Missouri: MOspace