Pseudomonas aeruginosa folliculitis occurs in patients exposed to contamina
ted water. Most outbreaks are associated with whirlpools. The infection is
characterized by follicular, erythematous papules and pustules located on i
mmersed body surfaces. Most reported cases are the result of recreational w
ater use, occur in a diffuse pattern, and are devoid of green pustular pigm
ent changes. The case described occurred in a football player after whirlpo
ol treatment for an ankle strain. Green pustules and a localized affected a
rea are unusual aspects of this case.