Perianal streptococcal dermatitis: Difference between revisions
Neil.m.young (talk | contribs) m (Neil.m.young moved page Perianal Streptococcal infection to Perianal streptococcal dermatitis: Perianal streptococcal dermatitis) |
Neil.m.young (talk | contribs) No edit summary |
||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
*Skin infection caused by group A beta-hemolytic strep | |||
*See in ages 6 mos - 10 yrs | |||
==Clinical Features== | ==Clinical Features== | ||
[[File:Perianal streptococcal dermatitis.png|thumb]] | |||
On physical exam<ref>Brilliant LC. Perianal streptococcal dermatitis. Am Fam Physician. 2000; 61(2):391-393.</ref>: | |||
*Bright red, sharply demarcated, perianal rash | |||
*Spead to the vulva or penis | |||
*Subcutaneous involvement suggestive of cellulitis is normally absent | |||
*Absence of systemic signs of infection | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Neonatal rashes DDX}} | |||
==Diagnosis== | ==Diagnosis== | ||
*Rapid strep test | |||
==Management== | ==Management== | ||
*[[Amoxicillin]]<ref>Barzilai A and Choen HA. Isolation of group A streptococci from children with perianal cellulitis and from their siblings. Pediatr Infect Dis J. 1998; 17:358–360.</ref> | |||
**40 mg/kg divided TID x 10 days | |||
AND | |||
*[[Mupirocin]] | |||
**2% TID x 10 days | |||
==Disposition== | ==Disposition== | ||
*Discharge home | |||
*Close f/u recommended as recurrence can occur in up to 39% of cases<ref>Kokx NP, Comstock JA, and Facklam RR. Streptococcal perianal disease in children. Pediatrics. 1987; 80:659–663.</ref> | |||
==See Also== | ==See Also== | ||
*[[Streptococcal pharyngitis]] | |||
*[[Strep. Groups A, B, C, G]] | |||
==External Links== | ==External Links== | ||
Revision as of 18:33, 28 February 2016
Background
- Skin infection caused by group A beta-hemolytic strep
- See in ages 6 mos - 10 yrs
Clinical Features
On physical exam[1]:
- Bright red, sharply demarcated, perianal rash
- Spead to the vulva or penis
- Subcutaneous involvement suggestive of cellulitis is normally absent
- Absence of systemic signs of infection
Differential Diagnosis
Neonatal Rashes
- Acne
- Atopic dermatitis
- Candidiasis
- Contact dermatitis
- Diaper dermatitis
- Erythema toxicum neonatorum
- Impetigo
- Mastitis
- Milia
- Miliaria
- Mongolian spots
- Omphalitis
- Perianal streptococcal dermatitis
- Psoriasis
- Pustular melanosis
- Seborrheic dermatitis
- Sucking blisters
- Tinea capitis
Diagnosis
- Rapid strep test
Management
- Amoxicillin[2]
- 40 mg/kg divided TID x 10 days
AND
- Mupirocin
- 2% TID x 10 days
Disposition
- Discharge home
- Close f/u recommended as recurrence can occur in up to 39% of cases[3]
See Also
External Links
References
- ↑ Brilliant LC. Perianal streptococcal dermatitis. Am Fam Physician. 2000; 61(2):391-393.
- ↑ Barzilai A and Choen HA. Isolation of group A streptococci from children with perianal cellulitis and from their siblings. Pediatr Infect Dis J. 1998; 17:358–360.
- ↑ Kokx NP, Comstock JA, and Facklam RR. Streptococcal perianal disease in children. Pediatrics. 1987; 80:659–663.