Blistering Distal Dactylitis Clinical Trial
Official title:
Impact of Antibiotic Treatment of Group A Streptococcal Blistering Distal Dactylitis in Children
Single-center prospective study to assess the clinical course of group A streptococcal blistering distal dactylitis in children after antibiotic treatment.
Blistering distal dactylitis are very common in children. About 60% are caused by
Staphylococcus aureus and some are caused by Group A Streptococcus (GAS) or Streptococcus
pyogenes. While these forms have been known for fifty years, few publications are interested
in it. Some studies have confirmed that a single antibiotic treatment against the SGA allows
the healing of these dactylitis but few surgical teams have adopted this strategy. As all
streptococcal infections, they face the risk of acute complications (septicemia,
streptococcal toxic shock, etc.) or late (post-streptococcal glomerulonephritis, acute
rheumatic fever, etc.). The involvement of the SGA in these dactylitis is easy to demonstrate
through the use of rapid GAS test already widely used in other GAS infections (tonsillitis,
scarlet fever, streptococcal perianal infections).
This study aims to assess the clinical course of positive GAS test blistering distal
dactylitis in children after antibiotic treatment.
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