Perianal streptococcal cellulitis

Perianal streptococcal cellulitis o se siama o le nono ma le tumutumu. O le faʻamaʻi e mafua mai i siama o le streptococcus.

Perianal streptococcal cellulitis e masani ona tupu i tamaiti. E masani ona aliali mai i le taimi poʻo le tuanaʻi o le faʻaʻi o le faʻaʻi, nasopharyngitis, poʻo le siama o le paʻu streptococcal (impetigo).

O le paʻu faataamilo i le anus ono afaina ai ao solo e se tamaititi le eria pe a uma ona faʻaaoga le faleuila O le faʻamaʻi e mafai foi ona tupu mai le valu le eria ma tamatamaʻilima e iai siama mai le gutu poʻo le isu.

Faʻailoga e ono aofia ai:

• Fiva
• Paʻu, tiga, pe tafetotoi ile gaioiga o gofie
• Mumu mumu faataamilo i le totoga

O le a suʻesuʻe e le tausi soifua maloloina le tamaititi ma fesili e uiga i auga.

O suʻega e mafai ona faia e aofia ai:

• Aganuʻu lapisi faʻamau
• Aganuu paʻu mai le itu sasaʻo
• Faʻasaʻo aganuʻu

O le faʻamaʻi e togafitia ma vailaʻau faʻafomaʻi antibiotic mo le tusa o le 10 aso, fuafua i le lelei ma le vave latou galulue. O le Penicillin o le vailaʻau e masani ona faʻaaogaina i tamaiti.

O vailaʻau faʻapitoa e mafai ona faʻaogaina i le paʻu ma e masani ona faʻaaogaina faʻatasi ma isi vailaʻau, ae le tatau ona naʻo le pau lea o togafitiga. Mupirocin o se masani masani vailaʻau vailaʻau faʻaaogaina mo lenei tulaga.

Tamaiti e masani ona vave maua vave ile togafitiga o vailaʻau. E taua le faʻafesoʻotaʻi o lau tautua pe a fai e le vave faʻamalolo lau tama i vailaʻau oona.

Faʻalavelave e seasea tupu, ae mafai ona aofia ai:

• Faʻamamaina o le anal, fistula, poʻo le aoga
• Toto, lafoaʻi
• Toto poʻo isi faʻamaʻi pipisi (e aofia ai le fatu, soʻoga, ma ponaivi)
• Faamaʻi fatugaʻo (glomerulonephritis matuitui)
• Paʻu ogaoga ma paʻu vaivai sela (necrotizing fasciitis)

Valaʻau i lau tama mea e fai pe a faitio lau tama i le tiga i le itu saʻo, tiga o le manava, poʻo isi faʻailoga o le perianal streptococcal cellulitis.

A faʻapea o inu lau tama i vailaʻau o fualaʻau ma maua ai le faʻamaʻi mumu, pe faʻalauteleina le le toʻilalo poʻo le fiva, valaʻau loa lau fomaʻi.

O le fufuluina ma le faʻaeteete o lima e mafai ona fesoasoani e puipuia ai lenei faʻamaʻi ma isi faʻamaʻi e mafua mai siama e feaveaʻi i le isu ma le faʻaʻi.

Ina ia taofia le toe foʻi mai i le maʻi, ia mautinoa ia maeʻa uma e lau tama vailaʻau e faatonuina e le tautua.

Streptococcal proctitis; Proctitis - streptococcal; Perianal streptococcal dermatitis

Paller AS, Mancini AJ. Siama, mycobacterial, ma faʻamaʻi pipisi o le paʻu. I: Paller AS, Mancini AJ, eds. Hurwitz Togafitiga Pediatric Dermatology. 5th ed. Filatelefia, PA: Elsevier; 2016: mata 14.

Shulman ST, Reuter CH. Vaega A streptococcus. I le: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Tusitusiga o Pediatrics. 21 ed. Filatelefia, PA: Elsevier; 2020: chap 210