A three-year-old male presented with erythema, radial fissures and perianal pain with defecation, afflictl.
Rectal and pharyngeal swabs were collected.
The rapid detection test for Streptococcus is positive for the anal sample and negative for the pharyngeal sample.
Treatment was prescribed with topical mupirocin and oral penicillin for ten days, with complete healing later.
GABHS grew in rectal swab culture.
