Locations Main Campus: Chesterfield, MO 63017   |   Locations
314-434-1500 314-434-1500   |   Contact Us

Multimedia Encyclopedia


 
E-mail Form
Email Results

 
 
Print-Friendly
Bookmarks
bookmarks-menu

Perianal streptococcal cellulitis

Streptococcal proctitis; Proctitis - streptococcal; Perianal streptococcal dermatitis

 

Perianal streptococcal cellulitis is an infection of the anus and rectum caused by Streptococcus bacteria.

Causes

 

Perianal streptococcal cellulitis usually occurs in children, often during or after strep throat, nasopharyngitis, or streptococcal skin infection (impetigo).

Children may infect the skin around the anus while cleaning the area after using the toilet or by scratching with hands that have bacteria from their mouth or nose.

 

Symptoms

 

Symptoms may include:

  • Fever
  • Itching, pain, or bleeding with bowel movements
  • Redness around the anus

 

Exams and Tests

 

The health care provider will examine the child and ask about the symptoms.

Tests that may be done include:

  • Rectal swab culture
  • Skin culture from rectal area
  • Throat culture

 

Treatment

 

The infection is treated with antibiotics for about 10 days, depending on how well and quickly they are working. Penicillin is the most often used antibiotic in children.

Topical medicine can be applied to skin and is commonly used with other antibiotics, but it should not be the only treatment. Mupirocin is a common topical medicine used for this condition.

 

Outlook (Prognosis)

 

Children usually recover quickly with antibiotic treatment. It is important to contact your provider if your child does not get better soon on antibiotics.

 

Possible Complications

 

Complications that may result include:

  • Anal scarring, fistula, or abscess
  • Bleeding, discharge
  • Bloodstream or other streptococcal infections (including heart, joint, and bone)
  • Kidney disease (acute glomerulonephritis)
  • Severe skin and soft tissue infection (necrotizing fasciitis)

 

When to Contact a Medical Professional

 

Call your child's provider if your child complains of pain in the rectal area, painful bowel movements, or other symptoms of perianal streptococcal cellulitis.

If your child is taking antibiotics for this condition and the area of redness gets worse, or the discomfort or fever is increasing, call your provider immediately.

 

Prevention

 

Careful handwashing can help prevent this and other infections caused by bacteria carried in the nose and throat.

To prevent the condition from coming back, be sure your child finishes all the medicine the provider prescribes.

 

 

References

Paller AS, Mancini AJ. Bacterial, mycobacterial, and protozoal infections of the skin. In: Paller AS, Mancini AJ, eds. Hurwitz Clinical Pediatric Dermatology. 5th ed. Philadelphia, PA: Elsevier; 2016:chap 22.

Shulman ST. Group A streptococcus. In: Kliegman RM, Stanton BF, St Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 183.

 

        Self Care

         

          Tests for Perianal streptococcal cellulitis

           

             

            Review Date: 12/10/2015

            Reviewed By: Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School; Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

            The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
            adam.com

             
             
             

             

             

            A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.



            Content is best viewed in IE9 or above, Firefox and Google Chrome browser.