Bacterial Folliculitis: Causes, Tests, and Recovery Time - Dermatology

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Folliculitis


I have developed a rash on my neck and chest that has lasted for 13 days without improvement.
It is only on my neck and chest, and it is neither painful nor itchy.
Yesterday, I visited a dermatologist in Taipei who used a scalpel to take a sample of the pus for testing.
The diagnosis is bacterial folliculitis.
I would like to know if the pus can be tested for various skin diseases? How long does it typically take for folliculitis to heal?

Feng, 20~29 year old female. Ask Date: 2017/02/02

Dr. Wu Yuxin reply Dermatology


It is not possible to test for other issues; the duration for bacterial culture to yield results can vary and depends on the severity of the condition.

Reply Date: 2017/02/02

More Info


Bacterial folliculitis is a common skin condition characterized by the inflammation of hair follicles, often caused by bacterial infections, most commonly Staphylococcus aureus. It can manifest as small, red bumps or pus-filled blisters around hair follicles, typically on areas of the body where hair is present, including the neck and chest. In your case, the lesions have persisted for 13 days without pain or itching, which is somewhat atypical for an acute infection but not impossible.

When a doctor performs a procedure to collect pus from the lesions, they are usually looking for specific bacteria that may be causing the infection. The pus can indeed be tested for various skin conditions, including bacterial infections, fungal infections, and sometimes even viral infections, depending on the clinical suspicion. The results of these tests can help determine the appropriate treatment.

As for recovery time, bacterial folliculitis can vary in duration depending on several factors, including the severity of the infection, the specific bacteria involved, and the individual's immune response. In many cases, mild cases of folliculitis can resolve on their own within a week or two. However, if the infection is more severe or if there are underlying factors such as diabetes or immunosuppression, it may take longer to heal. Treatment typically involves topical or oral antibiotics, depending on the severity of the infection.

In your situation, since the lesions have not improved after 13 days, it is crucial to follow up with your dermatologist. They may recommend a course of antibiotics or other treatments based on the culture results. If the condition does not improve with standard treatment, further evaluation may be necessary to rule out other underlying conditions.

In summary, bacterial folliculitis is a treatable condition, but the duration of recovery can vary. The pus collected for testing can provide valuable information about the specific bacteria causing the infection and guide treatment. If you have concerns about the persistence of your symptoms or the effectiveness of the treatment, do not hesitate to reach out to your healthcare provider for further evaluation and management.

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