A young, physically active male presented to Primary Care with scattered pruritic papules and pustules on his upper and lower extremities, and on his torso. The lesions were diagnosed as folliculitis, a common bacterial infection of the pilosebaceous unit. Folliculitis has several infective and non-infective causes, the most common of which is Staphylococcus aureus bacterial folliculitis. Treatment of folliculitis depends on its cause, severity, and history of recurrence. A culture swab should be taken in order to identify the pathogen, and empirical treatment may be initiated until the results are available. Common bacterial folliculitis may be treated with topical antibiotics, and oral antibiotics may be added for more severe or unresponsive cases. Prophylactic treatment with antibacterial body wash may be useful for individuals who have a history of recurrence.
KeywordsFolliculitis Bacterial folliculitis Pilosebaceous unit Hair follicle Staphylococcus aureas Pseudomonas aeruginosa Hot tub folliculitis Topical antibiotic Oral antibiotic Mupirocin
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