[Group A beta-hemolytic Streptococcus: an unusual etiology of perianal dermatitis in an adult?]. / Le streptocoque beta-hémolytique du groupe a: une étiologie exceptionnelle de dermite péri-anale chez l'adulte?
Ann Dermatol Venereol
; 125(12): 902-4, 1998 Dec.
Article
en Fr
| MEDLINE
| ID: mdl-9922865
ABSTRACT
BACKGROUND:
Perianal dermatitis usually occurs in children between 1 and 8 years of age. We report a sixth case in an adult. CASE REPORT A 33 year-old woman complained of perianal itching which quickly extended to the vulva and persisted in spite of anti-hemorrhoid and anti-fungal treatments. After 12 days, she had painful defecation, a well demarcated perianal and vulvar erythema and anal collection. Culture from a perianal swab isolated group A beta-hemolytic Streptococcus (ABHS). After surgical treatment of the collection and a 7 days oral amoxicillin regimen, the patient recovered with no recurrence.DISCUSSION:
Symptoms of perianal dermatitis are unspecific, leading to delayed diagnosis and underestimated frequency. Symptoms consist in perianal erythema. Swab culture shows ABHS. The mechanism of colonization of perianal area is not well defined. Although treatment with oral penicillin is usually effective, failures and relapses have also been reported. Complications such as deep infection or abcess formation are infrequent. A bacterial swab should be made in patients with persisting perianal erythma.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Perineo
/
Infecciones Estreptocócicas
/
Streptococcus pyogenes
/
Enfermedades Cutáneas Bacterianas
Tipo de estudio:
Etiology_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
Fr
Revista:
Ann Dermatol Venereol
Año:
1998
Tipo del documento:
Article