Tag Archive: perianal streptococcal dermatitis

So, it turns out the red ring around CB’s rectum was not due to a yeast infection. We still believe the infection formed from the chigger bite on CB’s penis. We think he scratched it and got it infected and then passed that infection to his bottom. For the past almost 2 weeks, the ring has been present, his rectum became increasingly itchy, his pee and poop accidents became a daily to 2x a day thing, his diapers were completely full or overflowing at night, and he mentioned having a headache a few times. We took him to urgent care since we are out-of-state right now and had him tested for strep. Yep, that is what he has. It is perianal streptococcal dermatitis. Since CB reacted to amoxicillin with a rash covering his entire body after taking it to treat an ear infection when we was <2, we asked the Dr to prescribe something else. She prescribed him azithromycin. It is day 4 of taking the medication and the ring and itchiness are definitely improving. He also had no accidents today and the slight rash on his bottom that has been present since January seems to be improving. We also got confirmation that HB also has strep and started him on azithromycin, as well. In addition to having the rash after taking amoxicillin, CB also developed a yeast infection. CB is taking probiotics so this should help combat a yeast infection from starting from starting the antibiotics. I have also started giving CB & HB goat’s milk yogurt to just help ensure the yeast infection does not form.  We have introduced dairy on occasion over the last 2-2.5 months. So far, CB hasn’t shown a reaction. The exposure has been very limited though. Hopefully, giving him the yogurt to fight off a potential yeast infection will not backfire and cause another issue.

The other interesting thing is that we were trying to get a comprehensive parasitology x3 stool test from CB to send to the lab to determine yeast, parasite, and bacteria levels within CB’s gut. We requested this test before this whole thing started. Oh well, we will wait till CB’s system is better and then take the stool test and finally complete the OAT (organic acids test) urine test. The lab is sending us some urine bags so we can collect the urine samples during the night while CB has a diaper on. It has been impossible to get CB to pee first thing in the morning, which is the requirement for the OAT test.