//fpnotebook.com/
Perianal Streptococcal Dermatitis
Aka: Perianal Streptococcal Dermatitis, Perianal Streptococcal Cellulitis, Chronic Perianal Cellulitis
- See Also
- Diaper Dermatitis
- Erysipelas
- Epidemiology
- Affects children ages 6 months to 10 years
- Cause
- Group A Beta-hemolytic Streptococcus
- Risk Factors: Exposure to infection
- Group A Streptococcus Pharyngeal Carrier
- Impetigo
- Symptoms
- Painful Defecation
- Blood streaked stools associated with Anal Fissures
- Perianal Pruritus
- Signs
- Bright red, sharply demarcated perianal rash
- Local spread to genitalia may occur
- No associated fever or systemic signs
- Yellow crust or mucoid discharge may be present
- Differential Diagnosis
- Irritant Diaper Dermatitis
- Candida Diaper Dermatitis
- Pinworm Infestation
- Seborrheic Dermatitis
- Inflammatory Bowel Disease
- Labs
- Rapid Strep Test or Strep culture of perianal area
- Management
- Systemic antibiotics
- No Penicillin Allergy
- Penicillin or
- Amoxicillin 40 mg/kg/day divided tid for 10 days or
- Penicillin Allergy
- Clindamycin or
- Erythromycin
- Topical antibiotic
- Mupirocin (Bactroban) 2% tid for 10 days
- References
- Brilliant (2000) Am Fam Physician 61(2):391-7 [PubMed]