Smriti Shrestha*, Riyaz Shrestha, Prastuti Shrestha
Chronic non-scarring scalp folliculitis is common in younger age group, more so in men. The common causative agents are gram-positive organisms like Pityrosporum acnes and Staphylococcus aureus.
Gram-negative scalp folliculitis caused by Klebsiella is an uncommon entity. Skin and soft tissue infection by Klebsiella alone is rare. It could be caused by bacterial interference and replacement of the Gram-positive flora of the skin, where long-term antibacterial treatments are given. The uncommon occurrence of gram-negative folliculitis can lead to common diagnostic dilemma, and, it severely impairs the quality of life of the patient and worsens disease progression.
In this case, a 22 years man had recurrent scalp folliculitis for 2 years, for which multiple courses of antibiotics were taken. Hence, dermatologists require to be vigilant with high index of suspicion in the recalcitrant cases.
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