{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T12:43:04Z","timestamp":1772196184450,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,4,25]],"date-time":"2013-04-25T00:00:00Z","timestamp":1366848000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2013,5]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>Although perianal streptococcal dermatitis (PSD<\/jats:styled-content>) is well known in children, it has only rarely been documented in adults. The incidence and necessity for treatment may be underestimated. We have retrospectively identified adult patients with perianal streptococcal dermatitis.<\/jats:p><\/jats:sec>Method<\/jats:title>Patients with streptococcal anal dermatitis were identified from a prospective office database. Treatment was with oral antibiotics according to the organism sensitivity. Additional concomitant anorectal disease was treated according to standard guidelines. Patients were compared with a control group, without eczema or erythema, for the presence of \u03b2\u2010haemolysing S<\/jats:styled-content>treptococci<\/jats:italic> on perianal swab. Demographic and microbiological data were assessed and compared between and within treatment and control groups.<\/jats:p><\/jats:sec>Results<\/jats:title>Fifty\u2010three (22 female) patients older than 20 (mean\u00a0=\u00a049) years of age were diagnosed with perianal streptococcal dermatitis between 2005 and 2009. In most cases group B \u03b2\u2010haemolytic S<\/jats:styled-content>treptococci<\/jats:italic> were found. Fifty patients received antibiotics for 14\u00a0days. In 28 of 33 patients who had a post\u2010treatment swab, the result was negative. Five patients showed S<\/jats:styled-content>treptococci<\/jats:italic> of different groups in the post\u2010treatment swab. Of the 50 patients, 21 (42%) had no further anorectal complaint and 29 (58%) required continuing treatment for another anorectal condition. In the control group \u03b2\u2010haemolysing S<\/jats:styled-content>treptococcus<\/jats:italic> was found in 34%. Men over 60\u00a0years of age more often required no further anorectal treatment compared with women (P\u00a0<\/jats:italic><\u00a00.05).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Perianal streptococcal dermatitis occurs in adult patients more often than reported. It is mainly caused by group B \u03b2\u2010haemolysing S<\/jats:styled-content>treptococcus<\/jats:italic>. Its diagnosis is important because it can cause serious systemic infections, especially in the elderly and in newborns. Antibiotics resolve the condition in a high proportion of patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12089","type":"journal-article","created":{"date-parts":[[2012,12,5]],"date-time":"2012-12-05T22:54:46Z","timestamp":1354748086000},"page":"602-607","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Perianal streptococcal dermatitis in adults: its association with pruritic anorectal diseases is mainly caused by group B S<\/scp>treptococci<\/i>"],"prefix":"10.1111","volume":"15","author":[{"given":"V.","family":"Kahlke","sequence":"first","affiliation":[{"name":"Proctological Office Kiel Department of Proctological Surgery Park Klinik Kiel Kiel Germany"},{"name":"School of Medicine Christian\u2010Albrechts\u2010University Kiel Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Jongen","sequence":"additional","affiliation":[{"name":"Proctological Office Kiel Department of Proctological Surgery Park Klinik Kiel Kiel Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. G.","family":"Peleikis","sequence":"additional","affiliation":[{"name":"Proctological Office Kiel Department of Proctological Surgery Park Klinik Kiel Kiel Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. A.","family":"Herbst","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergology HELIOS Klinikum Erfurt Erfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,4,25]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.1996.d01-1082.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00105-010-1977-9"},{"key":"e_1_2_8_4_1","first-page":"902","article-title":"Group A beta\u2010hemolytic Streptococcus: an unusual etiology of perianal dermatitis in an adult?","volume":"125","author":"Bafounta ML","year":"1998","journal-title":"Ann Dermatol Venereol"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-008-9237-0"},{"key":"e_1_2_8_6_1","first-page":"546","article-title":"Perianal cellulitis associated with group A streptococci","volume":"112","author":"Amren DP","year":"1966","journal-title":"Am J Dis Child"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.106.2.276"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1024\/0369-8394.94.38.1467"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.70.2.145"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1988.01670050046018"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.inf.0000048907.22286.b5"},{"key":"e_1_2_8_12_1","first-page":"1223","article-title":"Prevalence of group B streptococcal colonization in pregnant women and their newborns based on the results of examination of patients in the Obstetric and Gynecology Department of the National Research Institute of Mother and Child\u2013a pilot study","volume":"74","author":"Kowalska B","year":"2003","journal-title":"Ginekol Pol"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-007-7251-0"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1086\/322696"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.12089","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.12089","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,20]],"date-time":"2025-04-20T09:03:21Z","timestamp":1745139801000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.12089"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,25]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013,5]]}},"alternative-id":["10.1111\/codi.12089"],"URL":"https:\/\/doi.org\/10.1111\/codi.12089","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4,25]]},"assertion":[{"value":"2012-06-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-09-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-04-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}