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Streptococcal skin diseases in children
1Department of Dermatology, School of Medicine, University of California, San Francisco 94143-0316.
Seminars in Dermatology
|March 1, 1992
Summary
Streptococcal skin infections in children are common and caused by direct infection, toxins, or immune responses. Virulent strains reemerging since the 1980s have impacted disease epidemiology and treatment.
Area of Science:
- Pediatrics
- Dermatology
- Infectious Diseases
Background:
- Streptococcal infections remain a significant pediatric health concern.
- Cutaneous manifestations arise from direct infection, toxin-mediated, or immune-mediated processes.
- Recent epidemiological shifts are linked to the emergence of more virulent streptococcal strains.
Purpose of the Study:
- To review current streptococcal skin infections in children.
- To update on impetigo bacteriology and rheumatic fever resurgence.
- To present streptococcal toxic shock-like syndrome and discuss therapeutic strategies.
Main Methods:
- Literature review of streptococcal pediatric skin infections.
- Analysis of epidemiological changes since the 1980s.
- Evaluation of therapeutic recommendations and diagnostic tests.
Main Results:
- Impetigo bacteriology has evolved.
- Rheumatic fever shows a resurgence.
- Streptococcal toxic shock-like syndrome is a new invasive manifestation.
- Increased virulence of streptococcal strains impacts disease patterns.
Conclusions:
- Understanding evolving streptococcal strains is crucial for pediatric dermatology.
- Prompt diagnosis and treatment are essential for managing streptococcal skin diseases.
- Rapid diagnostic tests aid in timely therapeutic interventions.