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Published on: September 20, 2018
Infantile Streptococcal Pyoderma: A Case Report
Masazumi Miyahara1, Kyoko Osaki1
1Department of Pediatrics, Okanami General Hospital, Iga, JPN.
Insights
Recurrent Group A streptococcal skin infections in infants can occur if family members are not screened and treated. Treating the infant and carrier family member resolved the infection and prevented recurrence.
Area of Science:
- Pediatrics
- Infectious Diseases
- Dermatology
Background:
- Group A streptococcal infections commonly cause pharyngitis in children but can also lead to skin infections.
- Distinguishing streptococcal skin infections from conditions like seborrheic or atopic dermatitis in infants can be challenging.
- Untreated or inadequately treated streptococcal infections in household contacts can lead to recurrent infections in infants.
Abstract:
Group A streptococcal infections in children typically present as pharyngitis but can manifest as skin infections. In infants, streptococcal skin infections can be difficult to differentiate from other skin conditions such as seborrheic or atopic dermatitis. Additionally, if another family member has a streptococcal infection or is a carrier, treating only the patient may lead to recurrence. Here, we report a case of recurrent streptococcal skin infection in a one-month-old infant with dry skin. The patient's five-year-old brother had minor nasal symptoms, and a throat swab tested positive for Streptococcus, identifying him as the source. The infant and his brother were both treated with antibiotics, and their conditions resolved, with no further recurrence. This case illustrates the importance of screening and treating family members in infants with streptococcal skin infections.
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