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PEDIATRICS Vol. 112 No. 6 December 2003, pp. 1427-1429

EXPERIENCE AND REASON

Streptococcal Intertrigo: An Underrecognized Condition in Children

Paul J. Honig, MD*, Ilona J. Frieden, MD{ddagger}, Ho Jin Kim, MD§ and Albert C. Yan, MD*

* Department of Pediatrics and Dermatology, Children’s Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
{ddagger} Departments of Pediatrics and Dermatology, University of California-San Francisco, San Francisco, California
§ Department of Dermatology, University of Virginia Hospitals, Richmond, Virginia

Group A ß-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.

Key Words: streptococcal intertrigo • skin infection • children • infants

Abbreviations: GABHS, group A ß-hemolytic streptococci

Received for publication Jan 27, 2003; Accepted May 5, 2003.


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Streptococcal intertrigo
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Pediatrics Online, 22 Jan 2004 [Full text]
Streptococcal Intertrigo
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