What are the Symptoms of Hot Tub Folliculitis and Its Treatment

Hot Tub Folliculitis

Hot tub folliculitis is one of the most common type of folliculitis or the inflammation of the hair follicle that is caused by an infection. The condition is caused by the Pseudomonas aeruginosa bacterium which is commonly found in infected hot tubs, whirlpools, physiotherapy pools, water slides, loofah sponges or any area that is wet and warm. It is grouped into two types which are the superficial and deep folliculitis.

The condition is characterized by the appearance of rashes, commonly after 72 hours after contamination that. These rashes range from 0.5 to 3 centimeters in diameter and contain a central pustule or a raised bump that has pus or sometimes water.

The rash can appear in any part of the body that came in contact with the contaminated water. Those areas of the body that come in contact with wet clothing usually develop more rashes that go away on its own after a week or 10 days.

More often, kids also acquire the condition since they usually stay inside the tub for a long time. Although personal contact will not spread the infection, it can be prevented if the water’s acidity and chlorine level are strictly managed.

Hot Tub Folliculitis Symptoms

  • Groups of small red raised bumps that surround hair follicles.
  • Skin develops blisters that are filled with pus that often burst and crust over.
  • Affected skin will turn red and inflamed.
  • Tenderness and severe itchiness on the affected area.
  • Fatigue. This happens a few days after the first form of rashes appear.
  • Large swollen masses or bumps can also appear in any part of the body. These bumps may also be filled with pus that can break open and form crusts.
  • Those that have deep folliculitis may often experience pain in the affected area.
  • A hyper pigmented rash can be observed after a week that will disappear after a few months.

Hot Tub Folliculitis Treatment

  • Patients can apply over-the-counter antibacterial wash twice a day.
  • Patients can also soak in a tub of water that is mixed with diluted white vinegar or diluted bleach. The ratio for the diluted vinegar that will be poured into the tub is one part vinegar to four parts of water. One-fourth cup of bleach can also be added in a bathtub that is full of water.
  • Oral and topical antibiotics can also be used.
  • Sometimes, doctors will prescribe topical steroids to control itchiness and swelling.
  • Hyperpigmentation can be treated with topical fading creams.

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