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Perianal streptococcal infection - Skin in Infant/Neonate
See also in: Anogenital
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Perianal streptococcal infection - Skin in Infant/Neonate

See also in: Anogenital
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Contributors: Craig N. Burkhart MD, Dean Morrell MD, Lowell A. Goldsmith MD, MPH, Nancy Esterly MD
Other Resources UpToDate PubMed

Synopsis

Perianal streptococcal cellulitis, or perianal streptococcal dermatitis, is a fairly common, often unrecognized variant of cutaneous streptococcal infection. It may present as chronic diaper dermatitis, or alternatively, as an acute symptomatic cellulitis. Affected children usually range in age from 6 months to 10 years. This condition is rare during the neonatal period.

Presenting symptoms include perianal pruritus, painful defecation, fecal hoarding behavior or incontinence. Guttate psoriasis can appear as a sign of occult perianal streptococcal infection. Post-streptococcal acute nephritis and rheumatism can occur as a result of untreated perianal streptococcal infection. Fever, acral scarlatiniform desquamation, and extension of erythema to involve the genitalia and proximal thighs have all been reported.

Codes

ICD10CM:
A49.1 – Streptococcal infection, unspecified site

SNOMEDCT:
238412006 – Perianal streptococcal infection of newborn

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Last Updated: 05/13/2015
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Perianal streptococcal infection - Skin in Infant/Neonate
See also in: Anogenital
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Perianal streptococcal infection : Erythema, Perianal pain, Anal pruritus, Painful skin lesion
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