Perianal Streptococcal Disease | Figure 4.10 A: Perianal strep (Reprint from Al-Jasser M, Al-Khenaizan S. Cutaneous mimickers of child abuse. Eur J Ped. 2008; 167 (11) : 1221–30) B: Ecthyma (Courtesy of Dr. Paul Getz) C: Strawberry tongue (Reprint from Allen HB. Dermatology Terminology. New York, NY: Springer; 2010) |
(Figure 4.10A) - Perianal GAS infection typically in preschool children
- Presents with a circular band of erythema around anus, ± painful defecation, blood-streaked stools, anal leakage
- Obtain both throat and perianal culture; treat with PCN or erythromycin × 10–14 days
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