[儿童肛周链球菌性皮炎]

[Perianal streptococcal dermatitis in children].

作者信息

van Zeijl J H, Korver C R

机构信息

Afd. Medische Microbiologie, St. Laurentius Ziekenhuis, Roermond.

出版信息

Ned Tijdschr Geneeskd. 1996 Nov 2;140(44):2191-3.

PMID:8984357

Abstract

Perianal dermatitis caused by Streptococcus pyogenes (beta-haemolytic Lance-field group A) was diagnosed in four children, three boys aged I, 6 and 8 years and a girl aged 2 years. Perianal itching in children is most frequently attributed to enterobiasis (Enterobius vermicularis); fissures due to scratching can complicate this situation. Perianal streptococcal dermatitis can effectively be treated with oral penicillin, in combination with local antibiotic application (fucidin, mupirocin).

摘要

4名儿童被诊断为化脓性链球菌（β-溶血性A群兰斯菲尔德菌组）引起的肛周皮炎，其中3名男孩分别为1岁、6岁和8岁，1名女孩为2岁。儿童肛周瘙痒最常见的原因是蛲虫病（蠕形住肠线虫）；搔抓引起的肛裂会使情况复杂化。口服青霉素联合局部应用抗生素（夫西地酸、莫匹罗星）可有效治疗肛周链球菌性皮炎。