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Faecal incontinence due to perianal cellulitis
H M Goodyear1, L Knowles, J I Harper
1Department of Dermatology, Queen Elizabeth Hospital for Children, London, United Kingdom.
Acta Paediatrica Scandinavica
|November 1, 1991
Insights
Streptococcal perianal cellulitis in a child caused painful bowel movements and incontinence. Prompt antibiotic treatment resolved the symptoms, highlighting the need for early diagnosis of this condition.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
Background:
- Perianal cellulitis is an infection of the skin around the anus.
- Streptococcal infections can affect various body parts, including the perianal region.
Observation:
- A 4-year-old boy experienced 6 weeks of painful defecation and fecal incontinence.
- The symptoms were attributed to streptococcal perianal cellulitis.
Findings:
- A 10-day course of oral penicillin effectively treated the condition.
- The child's symptoms fully resolved after antibiotic therapy.
Implications:
- Early recognition and management of streptococcal perianal cellulitis are crucial.
- This case underscores the importance of considering infectious causes for pediatric anorectal symptoms.
Abstract:
A 4-year-old boy presented with a 6-week history of painful defaecation and faecal incontinence due to streptococcal perianal cellulitis. After treatment with a 10-day course of oral penicillin his symptoms had fully resolved. Early diagnosis and treatment of this under-recognised condition is essential.