What is Hot Tub Folliculitis?

Hot tub (spa pool) folliculitis is infection of hair follicles caused by bacterium Pseudomonas aeruginosa which often thrives in new, poorly chlorinated, especially wooden hot tubes or whirlpools (Picture 1).

Hot Tub

Picture 1. Hot tub 

Symptoms of Hot Tub Folliculitis

Within eight hours to five days (or even 14 days) of exposure to the bacteria, red, itchy bumps appear that later may develop into small pus-filled blisters (pustules). The rash is likely to be worse in areas where swimsuit holds contaminated water against the skin; face and neck are rarely, and palms and soles are never affected (1). Rarely earache, sore throat or eyes, runny nose, headache, nausea, vomiting, mild fever, breast tenderness, or painful lymph nodes may appear (1). Red wheals up to 3 cm wide may occasionally encircle the bumps (Picture 2), (2).

Picture of Hot Tub Folliculitis

Picture 2. Hot tub folliculitis.
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