Bacteriology and antibiotic treatment of perineal suppurative hidradenitis

The Bacteriology of Skin Lesions in Patients with Hidradenitis Suppurativa Is Associated with Previous Antibiotic Treatment in the Community Setting: A Referral Center Experience

“…Clindamycin has been found to be the most effective agent for the treatment of soft-tissue infections caused by gram-positive cocci and anaerobes [28]. Our study showed a relatively high (36.2%) resistance rate for clindamycin among streptococcal and staphylococcal species, in accordance with rates reported in other studies (24.5–55%) [20, 25]. Furthermore, long-term oral and topical use of clindamycin has been shown to be associated with rapid emergence of resistant gram-positive bacteria worldwide [29-33].…”

Coagulase-negative staphylococci are the most common bacteria found in cultures from the deep portions of hidradenitis suppurativa lesions, as obtained by carbon dioxide laser surgery

“…In 1988, Highet et al . found Streptococcus milleri to be the most frequently isolated bacterium from HS 2 . We have not been able to reproduce that result.…”

Perifolliculitis capitis abscedens et suffodiens: an unusual case triggered by trauma

“…Keratin and organisms from the damaged hair follicles can then initiate a neutrophilic and granulomatous response 2,4 . Bacterial infection is most likely secondary in the course of the disease 5 . The most frequent isolated organisms are coagulase‐positive Staphylococcus aureus and haemolytic Staphylococcus albus 2 .…”