Group A Streptococcal Paronychia and Blistering Distal Dactylitis in Children: Diagnostic Accuracy of a Rapid Diagnostic Test and Efficacy of Antibiotic Treatment

Camille Jung; Jamil Amhis; Corinne Levy; Vincent Salabi; Berkani Nacera; Rahmani Samia; Philippe Bidet; Said Aberrane; Stéphane Bonacorsi; Robert Cohen

doi:10.1093/jpids/piz079

Group A Streptococcal Paronychia and Blistering Distal Dactylitis in Children: Diagnostic Accuracy of a Rapid Diagnostic Test and Efficacy of Antibiotic Treatment

J Pediatric Infect Dis Soc. 2020 Dec 31;9(6):756-759. doi: 10.1093/jpids/piz079.

Authors

Camille Jung^{1

2}, Jamil Amhis³, Corinne Levy^{4

5}, Vincent Salabi³, Berkani Nacera³, Rahmani Samia³, Philippe Bidet^{6

7}, Said Aberrane⁸, Stéphane Bonacorsi^{6

7}, Robert Cohen^{4

5}

Affiliations

¹ Clinical Research Center, CHI Creteil, Creteil, France.
² Department of Pediatrics, CHI Creteil, Creteil, France.
³ Department of Pediatric Surgery, CHI Creteil, Creteil, France.
⁴ Association Clinique et thérapeutique Infantile du Val de Marne, Saint-Maur des Fossés, France.
⁵ Paris Est University, IMRB-GRC GEMINI, Créteil, France.
⁶ Department of Microbiology, Assistance Publique-Hôpitaux de Paris, Robert Debré Hospital, Paris, France.
⁷ Paris Diderot University, Sorbonne Paris Cité, Paris, France.
⁸ Department of Microbiology, CHI Creteil, Creteil, France.

PMID: 31782958
DOI: 10.1093/jpids/piz079

Abstract

Among 174 children with blistering distal dactylitis or paronychia, 36.2% had a positive group A Streptococcus (GAS) rapid detection antigen. For GAS, the outcome for patients who received amoxicillin was favorable in all cases without any surgical procedures; 44.6% of cases due to Staphylococcus aureus infection (38.7%) required surgery.

Keywords: blistering distal dactylitis; children; group A Streptococcus rapid detection antigen; paronychia.

© The Author(s) 2019. Published by Oxford University Press on behalf of The Journal of the Pediatric Infectious Diseases Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

MeSH terms

Anti-Bacterial Agents / therapeutic use
Blister / diagnosis
Blister / drug therapy
Child
Diagnostic Tests, Routine
Humans
Paronychia* / diagnosis
Paronychia* / drug therapy
Streptococcal Infections* / diagnosis
Streptococcal Infections* / drug therapy
Streptococcus pyogenes

Substances

Anti-Bacterial Agents