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-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.
Honig
Paul J
PJ
Department of Pediatrics and Dermatology, Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia 19104, USA.
Frieden
Ilona J
IJ
Kim
Ho Jin
HJ
Yan
Albert C
AC
D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007223:Infant; D007402:Intertrigo / Q000175:diagnosis* / Q000503:physiopathology; D008297:Male; D017192:Skin Diseases, Bacterial / Q000175:diagnosis* / Q000503:physiopathology; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000503:physiopathology; D013297:Streptococcus pyogenes / Q000302:isolation & purification*