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Group A Streptococcal Panniculitis

Authors


Address correspondence to Robin P. Gehris, M.D., Chief, Pediatric Dermatologic Surgery, Children's Hospital of Pittsburgh of UPMC, Children's Dermatology Services, Pine Center, Suite 108, 11279 Perry Highway, Wexford, PA 15090, or e-mail: gehrrp@upmc.edu.

Abstract

Infectious panniculitis caused by group A beta-hemolytic streptococcus is rare, especially in immunocompetent patients. Its clinical presentation is usually nonspecific, but skin biopsy may provide information on the source. We describe the case of a previously healthy 2-year-old girl who presented with fever, tachycardia, and diffuse erythematous skin nodule; biopsy revealed a deep lobular neutrophilic panniculitis with gram-positive bacteria.

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