What Do We Know About Bacterial Infections in Hidradenitis Suppurativa?—A Narrative Review

<b>Background/Objectives</b>: Hidradenitis suppurativa is an inflammatory skin condition of the pilosebaceous unit of a chronic, painful, and progressive nature. It affects intertriginous parts of the body, including the axillae, groin, submammary region, and anogenital region. The risk...

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Main Authors: Zuzanna Świerczewska, Wioletta Barańska-Rybak
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:Antibiotics
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Online Access:https://www.mdpi.com/2079-6382/14/2/142
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author Zuzanna Świerczewska
Wioletta Barańska-Rybak
author_facet Zuzanna Świerczewska
Wioletta Barańska-Rybak
author_sort Zuzanna Świerczewska
collection DOAJ
description <b>Background/Objectives</b>: Hidradenitis suppurativa is an inflammatory skin condition of the pilosebaceous unit of a chronic, painful, and progressive nature. It affects intertriginous parts of the body, including the axillae, groin, submammary region, and anogenital region. The risk of infection in HS patients is not well understood. Thus, presenting the most recent findings in the study of bacterial infections in relation to hidradenitis suppurativa was the objective of this review. <b>Methods</b>: The presented article is a narrative review. The PubMed and Scopus databases were searched for articles applicable to this review. All types of study design were included in this review. <b>Results</b>: Among reported infections in patients with HS, Fournier’s gangrene, osteomyelitis, <i>Clostridium difficile</i> infection, and biofilm were significant. Attention should also be paid to post-procedural infections. <b>Conclusions</b>: A wide range of bacterial infections, from localized purulent infections to serious systemic consequences, can affect patients with HS. Comorbid diseases like diabetes mellitus and obesity change the cutaneous microbiota and produce a pro-inflammatory systemic milieu, which makes the disease more severe and makes HS patients more susceptible to infections. Additionally, those with untreated or unmanaged HS are more likely to experience infectious complications.
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spelling doaj-art-8b69e46786904efda60bcfffc6d433182025-08-20T02:44:55ZengMDPI AGAntibiotics2079-63822025-02-0114214210.3390/antibiotics14020142What Do We Know About Bacterial Infections in Hidradenitis Suppurativa?—A Narrative ReviewZuzanna Świerczewska0Wioletta Barańska-Rybak1Department of Dermatology, Venereology, and Allergology, Faculty of Medicine, Medical University of Gdańsk, Smoluchowskiego 17, 80-214 Gdańsk, PolandDepartment of Dermatology, Venereology, and Allergology, Faculty of Medicine, Medical University of Gdańsk, Smoluchowskiego 17, 80-214 Gdańsk, Poland<b>Background/Objectives</b>: Hidradenitis suppurativa is an inflammatory skin condition of the pilosebaceous unit of a chronic, painful, and progressive nature. It affects intertriginous parts of the body, including the axillae, groin, submammary region, and anogenital region. The risk of infection in HS patients is not well understood. Thus, presenting the most recent findings in the study of bacterial infections in relation to hidradenitis suppurativa was the objective of this review. <b>Methods</b>: The presented article is a narrative review. The PubMed and Scopus databases were searched for articles applicable to this review. All types of study design were included in this review. <b>Results</b>: Among reported infections in patients with HS, Fournier’s gangrene, osteomyelitis, <i>Clostridium difficile</i> infection, and biofilm were significant. Attention should also be paid to post-procedural infections. <b>Conclusions</b>: A wide range of bacterial infections, from localized purulent infections to serious systemic consequences, can affect patients with HS. Comorbid diseases like diabetes mellitus and obesity change the cutaneous microbiota and produce a pro-inflammatory systemic milieu, which makes the disease more severe and makes HS patients more susceptible to infections. Additionally, those with untreated or unmanaged HS are more likely to experience infectious complications.https://www.mdpi.com/2079-6382/14/2/142hidradenitis suppurativaacne inversainfectionsbacteria
spellingShingle Zuzanna Świerczewska
Wioletta Barańska-Rybak
What Do We Know About Bacterial Infections in Hidradenitis Suppurativa?—A Narrative Review
Antibiotics
hidradenitis suppurativa
acne inversa
infections
bacteria
title What Do We Know About Bacterial Infections in Hidradenitis Suppurativa?—A Narrative Review
title_full What Do We Know About Bacterial Infections in Hidradenitis Suppurativa?—A Narrative Review
title_fullStr What Do We Know About Bacterial Infections in Hidradenitis Suppurativa?—A Narrative Review
title_full_unstemmed What Do We Know About Bacterial Infections in Hidradenitis Suppurativa?—A Narrative Review
title_short What Do We Know About Bacterial Infections in Hidradenitis Suppurativa?—A Narrative Review
title_sort what do we know about bacterial infections in hidradenitis suppurativa a narrative review
topic hidradenitis suppurativa
acne inversa
infections
bacteria
url https://www.mdpi.com/2079-6382/14/2/142
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