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- Title
Gram-negative infections in patients with folliculitis decalvans: a subset of patients requiring alternative treatment.
- Authors
Samrao, Aman; Mirmirani, Paradi
- Abstract
Background: Folliculitis decalvans is a neutrophilic cicatricial alopecia whose etiology remains unknown. It is frequently associated with staphylococcal infections. We aimed to determine the rate of gramnegative infections in patients with folliculitis decalvans. Methods: A retrospective chart review was performed of patients with biopsy-proven folliculitis decalvans seen at a tertiary hair referral center. The results of bacterial cultures were evaluated. Subjects were determined to have no infection, gram-positive infections, gram-negative infections, or mixed infections. Results: Thirty-nine subjects were included in the study. Ninety-three cultures were performed. The majority of cultures were positive for staphylococci. Eleven patients (28%) had gram-negative infections of the scalp. Gram-negative infections comprised one-third of all cultures (33%). Conclusion: We present the largest cohort of folliculitis decalvans patients with gram-negative infections, suggesting the need for routine bacterial cultures in patients who are not responsive to standard anti-staphylococcal antibiotics. Awareness of the incidence of these infections may lead to better therapeutic outcomes.
- Subjects
GRAM-positive bacterial infections; GRAM-negative bacterial diseases; FOLLICULITIS; ALTERNATIVE medicine; STAPHYLOCOCCAL diseases
- Publication
Dermatology Online Journal, 2020, Vol 26, Issue 2, p1
- ISSN
1087-2108
- Publication type
Article
- DOI
10.5070/d3262047408