For how long would you treat Klebsiella aerogenes folliculitis of the face manifesting as a cystic lesion?
Would you combine antibiotics with isotretinoin?
Answer from: at Community Practice
This is an unusual clinical presentation in an immunocompetent patient. Most reported cases of facial gram-negative folliculitis are due to pseudomonas or proteus. Draining a lesion large enough to be called an abscess is indicated, the benefit of unroofing the smaller lesions is less certain. I wou...
My recommendation would be to treat for 7-10 days. It is more typical to see gram-positive organisms causing facial folliculitis so I would choose an antimicrobial that has gram-positive coverage as well if possible, based on sensitivity. Additionally, I would ask the patient (if male, to change to ...