Treatment of Gram-Negative (Pseudomonal) Folliculitis of the Trunk Following Contaminated Water Exposure

This protocol addresses folliculitis caused by gram-negative organisms — specifically pseudomonal infection — presenting on the trunk after exposure to contaminated water.

Pseudomonal folliculitis involves the exposed aspects of the trunk and follows an exposure to contaminated water. Identifying and eliminating the source of contamination is a central part of management.

Treatment Approach

Management combines a topical approach with systemic antibiotic therapy when indicated. The condition often follows a self-limited course, though source elimination remains essential — the full structured regimen, including sequencing and criteria for each intervention, is available via the protocol.

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References

DOI: 10.2165/00128071-200405050-00003

Pseudomonal folliculitis involves the exposed aspects of the trunk and follows an exposure to contaminated water.

Dilute acid acetic baths. Ciprofloxacin. Usually resolves spontaneously. Gram negative folliculitis needs to be identified and eliminated from the source of the infection.

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