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Dermatology (Expert Forum)
Lesions/Folliculitis
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center
Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.
Lesions/Folliculitis
by 345medhelpFAN, Sep 27, 2002 12:00AM
Hello - I have written before about recurrent folliculitis. I was first colonized/picked it up at a lake in summer 2000. I have tried everthing. In the past two years I have been on a couple different antibiotics - Ceflex, Dixoclyinie, Minocin, Levaquin, and Eyrthromicin. Only the Ceflex and Dixocycline were actually prescribed for the skin infections, the other where due to other illnesses... I have also tried Bactroban Nasal for extend period of times and Bactricin. When using the nasal products there is a submission of the folliculitis. This tells me the colonization is in my nose, but it doesn't work 100% and it comes right back. I also don't notice any improvement by using Hibiclens or other similar products. But its been over 2 years and I still get lesions and bumps in and around my swimsuit area and some on my arms and other places, but mainly swimsuit area.
Would a nose culture to determine what bacteria and which antibiotic work best be a good idea?
I don't want to give up or do nothing - what would you recommend?
I know it sounds stupid, but it mental drives me crazy and I just want relief.
Would a nose culture to determine what bacteria and which antibiotic work best be a good idea?
I don't want to give up or do nothing - what would you recommend?
I know it sounds stupid, but it mental drives me crazy and I just want relief.
Doctor's Answer
by Alan Rockoff, MD, Sep 27, 2002 12:00AM
, Sep 27, 2002 12:00AM
I'm afraid that there isn't much I can think of to do besides what you've already done. Folliculitis often goes rolling merrily along, despite regular treatment.
If you get suppression with nasal Bactroban, I would suggest continuing that. A nasal culture may be of some value, but a negative culture wouldn't by itself prove anything for certain. A positive culture might conceivably auggest a different antibiotic, but that seems like a long shot. Still a nasal culture is simple enough.
No matter how much you hate these lesions, please don't squeeze them.
Best.
Dr. Rockoff
If you get suppression with nasal Bactroban, I would suggest continuing that. A nasal culture may be of some value, but a negative culture wouldn't by itself prove anything for certain. A positive culture might conceivably auggest a different antibiotic, but that seems like a long shot. Still a nasal culture is simple enough.
No matter how much you hate these lesions, please don't squeeze them.
Best.
Dr. Rockoff
