Proctitis - streptococcal

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Streptococcal proctitis; Perianal streptococcal cellulitis

The infection is treated with antibiotics for about 10 days, depending on how well and quickly it appears to be working. Penicillin is the most frequently used antibiotic in children who are not allergic. Topical (applied directly to the skin) treatment with mupirocin may be used along with other antibiotics, but should not be the only treatment.

Rapid recovery is expected with antibiotic treatment. It is important to contact your health care provider if recovery does not occur rapidly on antibiotics.

• Acute glomerulonephritis (kidney disease)
• Necrotizing fasciitis (severe skin and soft tissue infection)
• Bleeding, discharge
• Bloodstream or other streptococcal infections (including heart, joint, bone, and others)
• Anal scarring, fistula, or abscess formation

Call your health care provider if your child complains of pain in the rectal area, painful bowel movements, or other symptoms of streptococcal proctitis.

If your child is receiving antibiotics for streptococcal proctitis, and the area of redness is expanding, or the discomfort or fever are increasing, then call your health care provider immediately. Your health care provider can help answer other questions that you might have about streptococcal proctitis.

Review Date: 11/18/2005
Reviewed By: John Goldenring, MD, MPH, Department of Pediatrics, Children's Hospital, San Diego, CA. Review provided by VeriMed Healthcare Network.