PERINEAL STREPTOCOCCAL DISEASE

Courtesy of O. Dale Collins, MD
perineal streptococcal disease


It has recently been suggested to summarize GABHS-induced (Group A Beta hemolytic Streptococcus) vulvovaginal and penile infections together with PSD under the inclusive term 'perineal streptococcal disease' because these conditions coincide, share important clinical characteristics and, therefore, represent manifestations of the same disease.

Clinical

Children 1-8 years of age may develop redness, tenderness and pain on defecation in the perianal area. Adults may be affected as well [BJD 1996;135;796]. A culture showing infection by group A beta hemolytic streptococcus is diagnostic. Perianal dermatitis has been known to precipitate guttate psoriasis. It has also been reported to precipitate a fever, acral desquamation and extension of the erythema to the genitalia and proximal thighs [PD 1999;16;23]. It is assumed in this patient that the group A beta Strep produced a pyrogenic exotoxin. In one report, half of children has positive throat cultures.

Treatment

An oral antibiotic such asa penicillin or erythromycin is effective. Mupirocin has also been used. Relapse is common.

Additional Pictures

Painful perianal and gluteal cleft rash in a teenage boy. History is that is started after some insect bites. Culture showed heavy Group A beta hemolytic Strep and light E. Coli.
perineal streptococcal disease

RegionalDerm

Homepage | FAQs | Contact Dr. White


It is not the intention of RegionalDerm.com to provide specific medical advice, diagnosis or treatment. RegionalDerm.com only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on RegionalDerm.com is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on RegionalDerm.com should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.