Perianal Streptococcal Dermatitis

Aka: Perianal Streptococcal Dermatitis, Perianal Streptococcal Cellulitis, Chronic Perianal Cellulitis

advertisement

II. Epidemiology

  1. Affects children ages 6 months to 10 years

III. Cause

  1. Group A Beta-hemolytic Streptococcus

IV. Risk Factors: Exposure to infection

  1. Group A Streptococcus Pharyngeal Carrier
  2. Impetigo

V. Symptoms

  1. Painful Defecation
  2. Blood streaked stools associated with Anal Fissures
  3. Perianal Pruritus

VI. Signs

  1. Bright red, sharply demarcated perianal rash
  2. Local spread to genitalia may occur
  3. No associated fever or systemic signs
  4. Yellow crust or mucoid discharge may be present

VII. Differential Diagnosis

  1. Irritant Diaper Dermatitis
  2. Candida Diaper Dermatitis
  3. Pinworm Infestation
  4. Seborrheic Dermatitis
  5. Inflammatory Bowel Disease

VIII. Labs

  1. Rapid Strep Test or Strep culture of perianal area

IX. Management

  1. Systemic Antibiotics
    1. No Penicillin Allergy
      1. Penicillin or
      2. Amoxicillin 40 mg/kg/day divided tid for 10 days or
    2. Penicillin Allergy
      1. Clindamycin or
      2. Erythromycin
  2. Topical Antibiotic
    1. Mupirocin (Bactroban) 2% tid for 10 days

X. References

  1. Brilliant (2000) Am Fam Physician 61(2):391-7 [PubMed]

Images: Related links to external sites (from Bing)

These images are a random sampling from a Bing search on the term "Perianal Streptococcal Dermatitis." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images

Related Studies

Related Topics in Pediatrics

advertisement