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Perianal Cellulitis: Cutaneous Group A Streptococcal Disease

Perianal Cellulitis: Cutaneous Group A Streptococcal Disease Abstract • Five case reports of perianal cellulitis caused by group A β-hemolytic streptococci are presented. These reports illustrate delays in diagnosis and therapy of this condition that may present as chronic diaper dermatitis, perirectal fissures, painful defecation, fecal hoarding behavior, or protocolitis. One patient had associated guttate psoriasis. In children especially, guttate psoriasis should alert physicians to culture perirectal as well as pharyngeal sites for group A streptococci. (Arch Dermatol 1988;124:702-704) References 1. Amren DP, Anderson AS, Wannamaker LW: Perianal cellulitis associated with group A streptococci . AJDC 1966;112:546-552. 2. Hirschfeld AJ: Two family outbreaks of perianal cellulitis associated with group A beta-hemolytic streptococci . Pediatrics 1970;46:779-801. 3. Wannamaker LW: Group A streptococcal infections , in Feigin RD, Cherry JD (eds): Textbook of Pediatric Infectious Diseases . Philadelphia, WB Saunders Co, 1981, pp 986-995. 4. Whyte HJ, Baughman RD: Acute guttate psoriasis streptococcal infection . Arch Dermatol 1964;89:350-356.Crossref 5. Winfield JM: Psoriasis as a sequelae to acute inflammations of the tonsil: A clinical note . J Cutan Dis 1916;34:441. 6. Guss C, Larsen JG: Group A beta-hemolytic streptococcal proctocolitis . Pediatr Infect Dis 1984;3:442-443.Crossref 7. Figueroa-Colón R, Grunow JE, Torres-Pinedo R, et al: Group A streptococcal proctitis and vulvovaginitis in a prepubertal girl . Pediatr Infect Dis 1984;3:439-442.Crossref 8. Spear RM, Rothbaum RJ, Keating JP, et al: Perianal streptococcal cellulitis . J Pediatr 1985;107:557-559.Crossref 9. Richman DD, Breton SJ, Goldmann DA: Scarlet fever and group A streptococcal surgical wound infection traced to an anal carrier . J Pediatr 1977;90:387-390.Crossref 10. Schaffner W, Lefkowitz LB, Goodman JS, et al: Hospital outbreak of infections with group A streptococci traced to an asymptomatic anal carrier . N Engl J Med 1969;280:1224-1225.Crossref 11. McKee WM, Caprio JM, Roberts CE Jr, et al: Anal carriage as the probable source of a streptococcal epidemic . Lancet 1966; 2:1007-1009.Crossref 12. Rosenberg EW, Noah PW, Zanolli MD, et al: Use of rifampin with penicillin and erythromycin in the treatment of psoriasis . J Am Acad Dermatol 1986;14:761-764.Crossref 13. Ferrieri P, Adnan SD, Wannamaker LW, et al: Natural history of impetigo: I. Site sequence of acquisition and familial patterns of spread of cutaneous streptococci . J Clin Invest 1972; 51:2851-2862.Crossref 14. Fraser DG: Selection of an oral erythromycin product . Am J Hosp Pharm 1980;37:1199-1205. 15. Derrick CW, Reilly KM, Stallworth JR: Erythromycin in the treatment of streptococcal infections . Pediatr Infect Dis 1986; 5:172-176.Crossref 16. Derrick CW, Reilly KM: Erythromycin, lincomycin, and clindamycin . Pediatr Clin North Am 1983;30:63-69. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Perianal Cellulitis: Cutaneous Group A Streptococcal Disease

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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1988.01670050046018
Publisher site
See Article on Publisher Site

Abstract

Abstract • Five case reports of perianal cellulitis caused by group A β-hemolytic streptococci are presented. These reports illustrate delays in diagnosis and therapy of this condition that may present as chronic diaper dermatitis, perirectal fissures, painful defecation, fecal hoarding behavior, or protocolitis. One patient had associated guttate psoriasis. In children especially, guttate psoriasis should alert physicians to culture perirectal as well as pharyngeal sites for group A streptococci. (Arch Dermatol 1988;124:702-704) References 1. Amren DP, Anderson AS, Wannamaker LW: Perianal cellulitis associated with group A streptococci . AJDC 1966;112:546-552. 2. Hirschfeld AJ: Two family outbreaks of perianal cellulitis associated with group A beta-hemolytic streptococci . Pediatrics 1970;46:779-801. 3. Wannamaker LW: Group A streptococcal infections , in Feigin RD, Cherry JD (eds): Textbook of Pediatric Infectious Diseases . Philadelphia, WB Saunders Co, 1981, pp 986-995. 4. Whyte HJ, Baughman RD: Acute guttate psoriasis streptococcal infection . Arch Dermatol 1964;89:350-356.Crossref 5. Winfield JM: Psoriasis as a sequelae to acute inflammations of the tonsil: A clinical note . J Cutan Dis 1916;34:441. 6. Guss C, Larsen JG: Group A beta-hemolytic streptococcal proctocolitis . Pediatr Infect Dis 1984;3:442-443.Crossref 7. Figueroa-Colón R, Grunow JE, Torres-Pinedo R, et al: Group A streptococcal proctitis and vulvovaginitis in a prepubertal girl . Pediatr Infect Dis 1984;3:439-442.Crossref 8. Spear RM, Rothbaum RJ, Keating JP, et al: Perianal streptococcal cellulitis . J Pediatr 1985;107:557-559.Crossref 9. Richman DD, Breton SJ, Goldmann DA: Scarlet fever and group A streptococcal surgical wound infection traced to an anal carrier . J Pediatr 1977;90:387-390.Crossref 10. Schaffner W, Lefkowitz LB, Goodman JS, et al: Hospital outbreak of infections with group A streptococci traced to an asymptomatic anal carrier . N Engl J Med 1969;280:1224-1225.Crossref 11. McKee WM, Caprio JM, Roberts CE Jr, et al: Anal carriage as the probable source of a streptococcal epidemic . Lancet 1966; 2:1007-1009.Crossref 12. Rosenberg EW, Noah PW, Zanolli MD, et al: Use of rifampin with penicillin and erythromycin in the treatment of psoriasis . J Am Acad Dermatol 1986;14:761-764.Crossref 13. Ferrieri P, Adnan SD, Wannamaker LW, et al: Natural history of impetigo: I. Site sequence of acquisition and familial patterns of spread of cutaneous streptococci . J Clin Invest 1972; 51:2851-2862.Crossref 14. Fraser DG: Selection of an oral erythromycin product . Am J Hosp Pharm 1980;37:1199-1205. 15. Derrick CW, Reilly KM, Stallworth JR: Erythromycin in the treatment of streptococcal infections . Pediatr Infect Dis 1986; 5:172-176.Crossref 16. Derrick CW, Reilly KM: Erythromycin, lincomycin, and clindamycin . Pediatr Clin North Am 1983;30:63-69.

Journal

Archives of DermatologyAmerican Medical Association

Published: May 1, 1988

References