II. Epidemiology

  1. Affects children ages 6 months to 10 years

IV. Risk Factors: Exposure to infection

V. Symptoms

  1. Painful Defecation
  2. Blood streaked stools associated with Anal Fissures
  3. Perianal Pruritus

VI. Signs

  1. Bright red, sharply demarcated perianal rash
  2. Local spread to genitalia may occur
  3. No associated fever or systemic signs
  4. Yellow crust or mucoid discharge may be present

VIII. Labs

  1. Rapid Strep Test or Strep culture of perianal area

IX. Management

  1. Systemic antibiotics
    1. No Penicillin Allergy
      1. Penicillin or
      2. Amoxicillin 40 mg/kg/day divided tid for 10 days or
    2. Penicillin Allergy
      1. Clindamycin or
      2. Erythromycin
  2. Topical antibiotic
    1. Mupirocin (Bactroban) 2% tid for 10 days

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