- Affects children ages 6 months to 10 years
- Exposure to infection
- Painful Defecation
- Blood streaked stools associated with Anal Fissures
- Perianal Pruritus
- Bright red, sharply demarcated perianal rash
- Local spread to genitalia may occur
- No associated fever or systemic signs
- Yellow crust or mucoid discharge may be present
- Rapid Strep Test or Strep culture of perianal area
- Systemic Antibiotics
- No Penicillin Allergy
- Penicillin or
- Amoxicillin 40 mg/kg/day divided tid for 10 days or
- Penicillin Allergy
- No Penicillin Allergy
- Topical Antibiotic