Perianal infection with group A streptococcus 1169 Perianal infection with group A streptococcus
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چکیده
Anal fissure in childhood usually heals quickly after treatment with stool softeners and a local anaesthetic ointment; infection does not usually occur. Two cases are reported in which Lancefield group A , haemolytic streptococci were isolated from cultures from the perianal skin, which was erythematous and excoriated. streptocci were grown from culture of a perianal swab. She was asymptomatic after one week of oral treatment with phenoxymethylpenicillin. Neither child was systemically unwell, but both had suffered considerable discomfort. Bacterial cultures from other sites were not available. There were no signs of sexual interference.
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Dr. Antonio Ledo, Castellana 167, E-28046 Madrid (Spain) In 1966 Amren et al. [1] reported 10 cases of perianal erythema caused by group A ß-hemolytic streptococci. Usually it is observed in prepuberal males and is characterized by well-demarcated perianal erythema without satellite lesions. Occasionally patients have fissures, painful defecation with secondary constipation and rectal bleeding....
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