Abstract
Gram-negative folliculitis is a complication of treatment of acne or rosaceas with long-term oral antibiotics, usually tetracyclines. It is caused by the replacement of the gram-positive flora of the mucous membranes of the nose with gram-negative bacteria, which is spread to the face. Common causative organisms include Escherichia coli, Pseudomonas aeruginosa, Serratia marcescens, Klebsiella, and Proteus mirabilis. Gram-negative folliculitis should be considered in acne patients who have a flare-up of pustular or cystic lesions while on antibiotics and in patients who have no significant improvement of acne lesions after 3–6 months of antibiotic therapy.
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Tajirian, A.L., Kircik, L.H. (2014). Gram-Negative Folliculitis. In: Zeichner, J. (eds) Acneiform Eruptions in Dermatology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8344-1_7
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DOI: https://doi.org/10.1007/978-1-4614-8344-1_7
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