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Perianal infection with group A streptococcus.

¹West Middlesex Hospital, Isleworth.

Archives of Disease in Childhood

|November 1, 1987

Summary

Pediatric anal fissures typically resolve with conservative treatment. However, two cases show infection with Group A Streptococcus, causing perianal skin inflammation and excoriation.

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Area of Science:

Pediatric Gastroenterology
Infectious Diseases
Dermatology

Background:

Anal fissures are common in children and usually self-limiting.
Standard treatment involves stool softeners and topical anesthetics.
Infection is an uncommon complication of anal fissures.

Observation:

Two pediatric cases of anal fissure with unusual perianal skin findings are presented.
The affected perianal skin was erythematous and excoriated.
Cultures were taken from the perianal skin lesions.

Findings:

Lancefield group A beta-hemolytic streptococci were isolated from the perianal skin cultures in both cases.
This suggests a bacterial etiology for the observed skin changes.
The identified bacteria are a common cause of skin and soft tissue infections.

Implications:

This highlights the potential for streptococcal infection in pediatric anal fissures.
Prompt identification and treatment of such infections may be necessary.
Further investigation into the incidence of bacterial infection in pediatric anal fissures is warranted.

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