Perianal streptococcal cellulitis

Non‐Sexually Transmitted Infections of the Vulva

“…It is most commonly seen in children (Krol 1990), but occasionally occurs in adults (Neri et al 1996). The diagnosis is confirmed by swabs and penicillin is the treatment of choice (Marks & Maksimak 1998, Herbst 2003. The diagnosis is confirmed by swabs and penicillin is the treatment of choice (Marks & Maksimak 1998, Herbst 2003.…”

Febrile Perianal Streptococcal Dermatitis

“…The clinical presentation is quite constant, with well‐defined erythema always arising in the perianal area. It is often associated with itching, painful defecation, and constipation, but there is neither fever nor other systemic symptoms, so the term “cellulitis” ( 1–4) seems inappropriate. The condition is frequently misdiagnosed, and its course can be chronic.…”

“…The causative agents are group A ␤-hemolytic streptococci (GAS). Since its first description by Amren et al in 1966 (1) many other cases have been reported (2)(3)(4)(5)(6)(7)(8)(9), so perhaps this entity is not so uncommon as usually considered. The clinical presentation is quite constant, with welldefined erythema always arising in the perianal area.…”

Perianal Streptococcal Cellulitis: Treatment with Topical Mupirocin

“…It is often unsuspected and confused with pso riasis. candidiasis, seborrheic dermatitis, inflammatory bowel disease, pinworm infec tion or a behavioral problem [2], Culture of perianal skin confirms the diagnosis [l|.…”

“…Treatment of this condition with oral penicillin for 10 days is usually successful [2,3], and oral erythromycin is also effective [4], Postreatment culture should dictate the length of therapy [4].…”