Lancefield group G Streptococcus dysgalactiae subsp. equisimilis: an unusual aetiology of perianal streptococcal dermatitis acquired from heterosexual oral-anal intercourse

Abdolrasouli, Alireza; Hemmati, Yahya; Amin, A; Roushan, Azita; Butler, Ian J.

doi:10.1258/ijsa.2012.012112

Cited by 7 publications

(14 citation statements)

References 12 publications

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“…In both cohorts, GBBHS was the cause of PSD in the majority of cases. GGBHS was cultured second most frequently and has also been described in other reports on adult PSD [3,12,14,15].…”

Section: Discussionmentioning

confidence: 71%

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Perianal streptococcal dermatitis in adults

Kahlke

Feeser²,

Jongen³

et al. 2018

coloproctology

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“…In both cohorts, GBBHS was the cause of PSD in the majority of cases. GGBHS was cultured second most frequently and has also been described in other reports on adult PSD [3,12,14,15].…”

Section: Discussionmentioning

confidence: 71%

“…Sometimes, fissures and even mucopurulent bloody soiling can occur [2]. In adults, however, PSD is more or less unknown, and up until 2013 [2], only a few case reports had been published [11][12][13][14]. In 2013, a series of 53 adult PSD patients was published [2].…”

Section: Discussionmentioning

confidence: 99%

Perianal streptococcal dermatitis in adults

Kahlke

Feeser²,

Jongen³

et al. 2018

coloproctology

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“…These cases add to the limited existing cases of GBS, GCS, and GGS PSD described worldwide in the literature. 1,2-7,27-29…”

Section: Discussionmentioning

confidence: 99%

“…PSD is largely a pediatric condition, although several adult cases have been reported and may be underdiagnosed. 1-9 The incidence reported in the literature ranges from 1 in 200 10 to 1 in 2000 11 pediatric office visits. There have been several reports of outbreaks in daycares and transmission among siblings and family members.…”

mentioning

confidence: 99%

The ABCs of Perineal Streptococcal Dermatitis

Zhang

Haber

2016

J Cutan Med Surg

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Perineal streptococcal dermatitis (PSD) is largely known to be caused by group A β-hemolytic Streptococcus (GAS). We would like to bring cases of non-GAS PSD to the attention of dermatologists, as there are implications for workup and therapy. We report 3 pediatric cases of PSD: 1 caused by GAS, 1 caused by group B β-hemolytic Streptococcus (GBS), and 1 associated with group C β-hemolytic Streptococcus (GCS). GBS and GCS are very rarely reported in pediatric cases of PSD. The literature on non-GAS PSD is reviewed, which additionally revealed several instances of PSD caused by group G β-hemolytic Streptococcus (GGS) and Staphylococcus aureus. GBS, GCS, GGS, and S aureus are significant causes of PSD to consider, particularly among adult patients, based on our encountered cases and the literature. If using rapid antigen tests to expedite the diagnosis of GAS, we recommend supplementing with a lesional swab for bacterial culture and sensitivity as the rapid antigen test does not detect non-GAS organisms. Therapy should be tailored to the microbiologic cause.

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“…In children, the most likely mode of transmission is digital contamination from an infected oropharynx or other skin site infected by GABHS [1]. Cases have been described in adults [2], and recently, a case of PSD caused by Group G Streptococcus has been reported in a heterosexual couple and it was mentioned that the transmission would be due to an oral-anal intercourse [3].…”

Section: Discussionmentioning

confidence: 99%