Perianal Streptococcal Dermatitis Due to <i>Streptococcus dysgalactiae</i> ssp. <i>Equisimilis</i> in a Man Who Has Sex with Men

Maatouk, Ismaël; Moutran, Roy

doi:10.1111/jsm.12243

Cited by 3 publications

(9 citation statements)

References 13 publications

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“…These cases add to the limited existing cases of GBS, GCS, and GGS PSD described worldwide in the literature. 1,2-7,27-29…”

Section: Discussionmentioning

confidence: 99%

“…1,3–6 In some of these cases, transmission occurred through oral-anal sexual contact. 3,4 In a review of 53 adult patients with PSD, Kahlke et al 1 found 9 cases of GGS PSD. Scheiba and Hartschuh 6 reported 2 cases of men with GGS PSD, with the unusual features of flat erythema extending over much of the buttocks, intermittent course, and fevers.…”

Section: Discussionmentioning

confidence: 99%

“…These cases add to the limited existing cases of GBS, GCS, and GGS PSD described worldwide in the literature. 1,[2][3][4][5][6][7][27][28][29] There is some controversy over the clinical significance of GBS found in vulvar and vaginal swabs in nonpregnant adult women. In a retrospective case review of 100 symptomatic women with GBS-positive vulvar or vaginal swabs, patients responded poorly to erythromycin but improved on other treatments, such as antifungals when Candida was isolated.…”

Section: Discussionmentioning

confidence: 99%

“…PSD is largely a pediatric condition, although several adult cases have been reported and may be underdiagnosed. 1-9 The incidence reported in the literature ranges from 1 in 200 10 to 1 in 2000 11 pediatric office visits. There have been several reports of outbreaks in daycares and transmission among siblings and family members.…”

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confidence: 99%

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The ABCs of Perineal Streptococcal Dermatitis

Zhang

Haber

2016

J Cutan Med Surg

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Perineal streptococcal dermatitis (PSD) is largely known to be caused by group A β-hemolytic Streptococcus (GAS). We would like to bring cases of non-GAS PSD to the attention of dermatologists, as there are implications for workup and therapy. We report 3 pediatric cases of PSD: 1 caused by GAS, 1 caused by group B β-hemolytic Streptococcus (GBS), and 1 associated with group C β-hemolytic Streptococcus (GCS). GBS and GCS are very rarely reported in pediatric cases of PSD. The literature on non-GAS PSD is reviewed, which additionally revealed several instances of PSD caused by group G β-hemolytic Streptococcus (GGS) and Staphylococcus aureus. GBS, GCS, GGS, and S aureus are significant causes of PSD to consider, particularly among adult patients, based on our encountered cases and the literature. If using rapid antigen tests to expedite the diagnosis of GAS, we recommend supplementing with a lesional swab for bacterial culture and sensitivity as the rapid antigen test does not detect non-GAS organisms. Therapy should be tailored to the microbiologic cause.

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“…These cases add to the limited existing cases of GBS, GCS, and GGS PSD described worldwide in the literature. 1,2-7,27-29…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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The ABCs of Perineal Streptococcal Dermatitis

Zhang

Haber

2016

J Cutan Med Surg

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“…However, the term “cellulitis” was later considered inaccurate, since inflammation involves only the skin[4,20]. The more appropriate term of “perianal streptococcal dermatitis” was introduced by Krol[20] in 1990 and used both in pediatric[8,9,12,13,17,19,20,22,24,34-36,39-47,49,51-53,55] and adult cases[71-75]. The terms “anitis”[13,55] and “anusitis”[67] were also used, but only in a few papers.…”

Section: Definitions and Terms Usedmentioning

confidence: 99%

Perianal infectious dermatitis: An underdiagnosed, unremitting and stubborn condition

Serban

2018

WJCP

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Perianal infectious dermatitis (PID) represents a superficial inflammation of the perianal skin, which is of bacterial origin (classically, group A beta-hemolytic streptococci). This narrative review aims to critically review and summarize the available scientific literature regarding pediatric PID, being the first of its kind, to the best of the author’s knowledge. It also reports the first cases of Romanian children with PID. Multiple databases were subjected to systematic literature search (from 1966 to April 30, 2018) to identify studies and case reports of children with PID. As such, this review provides updated information about essential aspects of PID (epidemiology, etiology, pathogenesis, as well as clinical features, required investigations and therapeutic options) and of diagnostic pitfalls. Although a well-defined entity, PID remains largely underdiagnosed. PID may mimic other common conditions with skin manifestations (like candidiasis, pinworms, eczema, irritant dermatitis, anal fissure, hemorrhoids, Crohn’s disease, psoriasis, seborrheic dermatitis, zinc deficiency dermatosis and even sexual abuse), with consequent unnecessary, sometimes expensive and invasive investigations and futile therapies, which cause patients and families discomfort and distress. Since PID has an unremitting course, early recognition is imperative, as it allows for prompt and efficacious antibiotic therapy. However, PID represents a stubborn condition and, even if properly treated, its recurrence rate remains high. Further well-designed prospective randomized controlled trials, with adequate follow-up, are required in order to formulate the optimum personalized antibiotic therapy (oral alone or in association with topical medication), able to prevent recurrences. Awareness of this condition by healthcare professionals should improve patient outcomes.

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Streptococcus dysgalactiae-associated penile bacterial disease in an elderly man acquired by fellatio: case report and literature review of penile and perianal Streptococcus dysgalactiae in men acquired by anilingus and fellatio

Manica

Cohen²

2018

Dermatology Online Journal

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Perianal Streptococcal Dermatitis Due to Streptococcus dysgalactiae ssp. Equisimilis in a Man Who Has Sex with Men

Cited by 3 publications

References 13 publications

The ABCs of Perineal Streptococcal Dermatitis

The ABCs of Perineal Streptococcal Dermatitis

Perianal infectious dermatitis: An underdiagnosed, unremitting and stubborn condition

Streptococcus dysgalactiae-associated penile bacterial disease in an elderly man acquired by fellatio: case report and literature review of penile and perianal Streptococcus dysgalactiae in men acquired by anilingus and fellatio

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