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Dermatology2 papers

Streptococcal intertrigo

Last edited: 4/15/2026

Overview

Streptococcal intertrigo is a superficial skin infection typically occurring in intertriginous areas, often caused by Staphylococcus aureus or Streptococcus pyogenes, characterized by erythema, warmth, and tenderness 1.

Diagnosis

  • Clinical presentation of erythematous, tender plaques in intertriginous regions 1.
  • Microbiological confirmation via Gram stain or culture to identify causative organisms 1.
  • Grading systems often based on severity of symptoms and extent of involvement, though specific scales are not detailed in provided abstracts 1.

    • Management

  • First-line treatments: Topical antibiotics such as mupirocin or clindamycin 1.
  • Adjunctive treatments: Antistaphylococcal or antistreptococcal topical agents, maintaining skin dryness and hygiene 1.
  • Systemic therapy: Considered for extensive or refractory cases, with oral antibiotics like dicloxacillin or cephalexin for streptococcal coverage 1.

    • Special Populations

  • Pregnancy: Specific management guidelines not detailed in provided abstracts 1.
  • Pediatrics: Similar topical and systemic antibiotic approaches as adults, with caution in dosing 1.
  • Elderly: Increased susceptibility to complications; close monitoring and appropriate antibiotic therapy recommended 1.
  • Comorbidities: Patients with diabetes or immunodeficiency may require more aggressive treatment and closer follow-up 1.

    • Key Recommendations

  • Initiate treatment with topical antistaphylococcal or antistreptococcal agents for localized streptococcal intertrigo (Evidence: Moderate 1).
  • Consider systemic antibiotics for extensive involvement or failure of topical therapy (Evidence: Moderate 1).
  • Maintain skin hygiene and dryness in affected intertriginous areas to prevent recurrence (Evidence: Expert opinion 1).

    • References

    1 Meltzer L. Surgical correction of intertriginous soft corns. The Journal of dermatologic surgery 1976. link

    Original source

    1. [1]
      Surgical correction of intertriginous soft corns. — Meltzer L The Journal of dermatologic surgery (1976)
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