A five-year-old male with perianal erythema accompanied by anal pain upon defecation, affliction.
Anal and pharyngeal swabs were collected and a rapid test for the detection of Streptococcus was performed, which was positive in the anal, and GABHS increased in the rectal culture.
Treatment with oral penicillin was initiated.
After 20 days he returns because, despite initially improving, erythema has reappeared less intensely accompanied by constipation and fissures on examination.
Topical mupirocin was prescribed with partial improvement of the clinical picture after four days. Topical clotrimazole was administered due to suspicion of fungal superinfection, with final resolution of the symptoms.
