Peds

Perianal Streptococcal Dermatitis

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Perianal Streptococcal Dermatitis, Perianal Streptococcal Cellulitis, Chronic Perianal Cellulitis

  • Epidemiology
  1. Affects children ages 6 months to 10 years
  • Risk Factors
  • Exposure to infection
  • Symptoms
  1. Painful Defecation
  2. Blood streaked stools associated with Anal Fissures
  3. Perianal Pruritus
  • 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
  • Labs
  1. Rapid Strep Test or Strep culture of perianal area
  • 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