Streptococcal intertrigo: an underrecognized condition in children

Group A beta-hemolytic streptococci have been implicated in a variety of common childhood cutaneous infections. Infants and young children may be particularly susceptible to a form of streptococcal intertrigo that has heretofore been underrecognized in this population. Manifesting as intense, fiery-...

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Bibliographic Details
Published inPediatrics (Evanston) Vol. 112; no. 6 Pt 1; p. 1427
Main Authors Honig, Paul J, Frieden, Ilona J, Kim, Ho Jin, Yan, Albert C
Format Journal Article
LanguageEnglish
Published United States 01.12.2003
Subjects
Diagnosis, Differential
Female
Humans
Infant
Intertrigo - diagnosis
Intertrigo - physiopathology
Male
Skin Diseases, Bacterial - diagnosis
Skin Diseases, Bacterial - physiopathology
Streptococcal Infections - diagnosis
Streptococcal Infections - physiopathology
Streptococcus pyogenes - isolation & purification
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Summary:Group A beta-hemolytic streptococci have been implicated in a variety of common childhood cutaneous infections. Infants and young children may be particularly susceptible to a form of streptococcal intertrigo that has heretofore been underrecognized in this population. Manifesting as intense, fiery-red erythema and maceration in the intertriginous folds of the neck, axillae, or inguinal spaces, the condition is characterized by a distinctive foul odor and an absence of satellite lesions. Specific clinical features help differentiate this condition from its clinical mimics. Topical and oral antibiotic therapy with or without concomitant low-potency topical steroid application is generally curative.
ISSN:1098-4275
DOI:10.1542/peds.112.6.1427