Symptoms:

Symptoms of hot tub folliculitis can be seen within several hours to 2 days after coming into contact with the bacteria.

• It first appears as an itchy, bumpy, red rash.
• Bumps may develop into dark red, tender nodules.
• Bumps may become filled with pus.

The rash may be thicker under swimsuit areas, where the material has held the contaminated water in contact with the skin for a longer period of time.

Those who shared the hot tub may have the same rash.

Signs and tests:

Your health care provider can usually make this diagnosis based on a physical exam and knowing you have recently been in a hot tub. Testing is usually unnecessary.

Treatment:

Treatment may not be needed, as the mild form of the disease usually clears on its own. Anti-itch medications may be used.

In severe cases, your health care provider may prescribe an antibiotic such as ciprofloxacin.

Expectations (prognosis):

This condition usually clears without scarring. It may recur if the infected hot tub is not cleaned.

Complications:

• Abscess formation (rare)
• Discomfort

Calling your health care provider:

Call your health care provider if you develop symptoms of hot tub folliculitis.

Prevention:

Careful attention to controlling the acid levels and chlorine content of the hot tub may help to prevent hot tub folliculitis.