title: Streptococcal intertrigo: an underrecognized condition in children.
abstract: 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.
authors.affiliation: Department of Pediatrics and Dermatology, Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia 19104, USA.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Honig
authors.forename: Ilona J
authors.initials: IJ
authors.lastname: Frieden
authors.forename: Ho Jin
authors.initials: HJ
authors.lastname: Kim
authors.forename: Albert C
authors.initials: AC
authors.lastname: Yan
mesh_terms: 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*