Symptoms of hot tub folliculitis can be seen within several hours to 2 days after coming into contact with the bacteria.
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.
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.
Habif TP. Bacterial infections. In: Habif TP, ed. Clinical Dermatology. 5th ed. St. Louis, Mo: Mosby Elsevier; 2009:chap 9.
Pasternack MS, Swartz MN. Cellulitis, necrotizing fasciitis, and subcutaneous tissue infections. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 90.
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