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Perianal streptococcal cellulitis is an inflammation of the anus and rectum caused by Streptococcus bacteria.
Alternative NamesStreptococcal proctitis; Proctitis - streptococcal
Causes, incidence, and risk factorsPerianal streptococcal cellulitis usually occurs in children, often with or after "strep throat" (streptococcal pharyngitis), nasopharyngitis, or streptococcal skin infection (impetigo).
Children can infect the skin around the anus while cleaning the area after using the toilet or by scratching with hands contaminated by secretions from their mouth or nose.
Symptoms- Fever
- Itching, pain, or bleeding with bowel movements
- Redness around the anus
- Rectal swab culture
- Skin culture from rectal area
- Throat culture
The infection is treated with antibiotics for about 10 days, depending on how well and quickly it appears to be working. Penicillin is the most often used antibiotic in children who are not allergic to it.
Mupirocin can be applied directly to the skin (topical). It can be used along with other antibiotics, but should not be the only treatment.
Expectations (prognosis)Children usually recover quickly with antibiotic treatment. It is important to contact your health care provider if your child does not get better soon on antibiotics.
Complications- Anal scarring, fistula, or abscess
- Bleeding, discharge
- Bloodstream or other streptococcal infections (including heart, joint, and bone)
- Kidney disease (acute glomerulonephritis)
- Severe skin and soft tissue infection (necrotizing fasciitis)
Call your health care provider if your child complains of pain in the rectal area, painful bowel movements, or other symptoms of perianal streptococcal cellulitis.
If your child is taking antibiotics for this condition and the area of redness gets worse, or the discomfort or fever are increasing, call your health care provider immediately.
PreventionTake a full course of antibiotics to eliminate the bacteria from the affected site. Careful handwashing can help prevent this and other infections caused by bacteria carried in the nose and throat.
ReferencesGerber MA. Group A streptococcus. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 182.
What else can I help you with?
What are perianal ulcers?
PERIANAL ULCERS. Intestinal amebiasis may produce skin infections in the area around the patient's anus (perianal). These ulcerated areas have a "punched-out" appearance and are painful to the touch.
Can you infect someone with a bacterial chest infection?
Cellulitis is a spreading bacterial infection of the skin and tissues beneath the skin. Cellulitis usually begins as a small area of tenderness, swelling, and redness. As this red area begins to enlarge, the person may develop a fever -- sometimes with chills and sweats -- and swollen lymph nodes ("swollen glands") near the area of infected skin.Unlike impetigo, which is a very superficial skin infection, cellulitis refers to an infection also involving the skin's deeper layers: the dermis and subcutaneous tissue. The main bacteria involved in cellulitis are Streptococcus and Staphylococcus ("staph"), the same bacteria that cause many cases of impetigo. MRSA (methicillin-resistant Staph aureus) can also cause cellulitis. Sometimes, other bacteria (for example, Hemophilus influenzae, Pneumococcus, and Clostridium species) may cause cellulitis as well.Where does cellulitis occur?Cellulitis may occur anywhere on the body, but the leg is the most common site of the infection (particularly in the area of the tibia or shinbone and in the foot), followed by the arm, and then the head and neck areas. In special circumstances, such as following surgery or trauma wounds, cellulitis can develop in the abdomen or chest areas. People with morbid obesity can also develop cellulitis in the abdominal skin. Special types of cellulitis are sometimes designated by the location of the infection. Examples include periorbital (around the eye socket) cellulitis, buccal (cheek) cellulitis, and perianal cellulitis. What does cellulitis look like?The signs of cellulitis include redness, warmth, swelling, and pain in the involved tissues. Any skin wound or ulcer that exhibits these signs may be developing cellulitis. Other forms of noninfected inflammation may mimic cellulitis. People with poor leg circulation, for instance, often develop scaly redness on the shins and ankles; this is called "stasis dermatitis" and is often mistaken for the bacterial infection of cellulitis.
Can a perianal abscess cause deferred pain?
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What CPT code is used for rapid perianal strep test?
87802
What is the risk of having perianal skin tags?
Not much, other than possible discomfort.
What are the 7 types of conditions for which an Incision and Drainage procedure may be performed?
Incision and Drainage (I&D) is commonly performed for conditions such as abscesses, particularly skin abscesses, cellulitis with fluctuance, infected cysts, perianal abscesses, empyema in the chest cavity, and infected hematomas. It may also be indicated in cases of infected foreign bodies. This procedure helps relieve pressure, remove pus, and promote healing.
Can a perianal abscess be under the ribs?
No, it cannot. Here is why...Peri = prefix signifying aroundAnal = pertaining to the anus, a.k.a. the "butt hole."Abscess = a localized collection of pus.So a perianal abscess is a localized collection of pus located around the anal opening.
What is a perianal abscess?
A perianal abscess is a painful collection of pus located near the anus. It is usually caused by an infection in the glands around the anus and may require medical intervention such as drainage or antibiotics to treat. Symptoms can include swelling, pain, redness, and fever.
What is the reason fro small recurrent cuts on the perianal area what can it be?
Anal fissures is caused about by constipation and excessive rubbing in that area.
What is the skin of your anus called?
Ah, what a lovely question! The skin around your anus is called the perianal skin. Just like the rest of your skin, it's important to keep it clean and healthy. Remember to be gentle and take care of yourself, my friend.
Why is an anoscopy done?
An anoscopy is typically done to investigate and diagnose conditions affecting the anus and lower rectum, such as hemorrhoids, anal fissures, or anal cancer. It allows a healthcare provider to visually examine the area using a lighted scope called an anoscope.
Sore pea sized lump in rectum?
Perianal Hemotoma , I am sure not spelled correctly, but I am next to absolute certainty I am correct after reading what a doctor described this as to a couple of other patients.
