Streptococcal intertrigo: an underrecognized condition in children

Pediatrics. 2003 Dec;112(6 Pt 1):1427-9. doi: 10.1542/peds.112.6.1427.

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.

Publication types

  • Case Reports

MeSH terms

  • Diagnosis, Differential
  • Female
  • Humans
  • Infant
  • Intertrigo / diagnosis*
  • Intertrigo / physiopathology
  • Male
  • Skin Diseases, Bacterial / diagnosis*
  • Skin Diseases, Bacterial / physiopathology
  • Streptococcal Infections / diagnosis*
  • Streptococcal Infections / physiopathology
  • Streptococcus pyogenes / isolation & purification*