Endemic Superficial Pyoderma in Children

doi:10.1001/archderm.1973.01620250005001

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Vol. 108 No. 4, October 1973

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Endemic Superficial Pyoderma in Children

Adnan S. Dajani, MD; Patricia Ferrieri, MD; Lewis Wannamaker, MD

Arch Dermatol. 1973;108(4):517-522.

Abstract

Prospective epidemiologic observations were made over a three-yearperiod on children living in an area where superficial pyodermais prevalent. Most children (81%) developed skin infection.There was no sex predilection. There was a tendency for morefrequent episodes of pyoderma in children 2 to 5 years of ageas compared to older children. Disease was often noted on exposedbody surfaces, especially on lower extremities. Serial cultureson 15 untreated lesions indicated that spontaneous healing occurredover a range of 2 to 23 days (mean 9.6 days). Group A β-hemolyticstreptococci and staphylococci were most commonly isolated organisms.These two bacterial genera coexisted in most instances; however,data are presented to suggest a primary role for streptococciand a subsidiary one for staphylococci in pathogenesis of pyoderma.

Author Affiliations

Minneapolis

From the departments of pediatrics and microbiology, University of Minnesota Medical School, Minneapolis. Dr. Dajani is now with the Children's Hospital of Michigan, Detroit.

Footnotes

Accepted for publication May 10, 1973.

Reprint requests to Children's Hospital of Michigan, 3901 BeaubienBlvd, Detroit 48201 (Dr. Dajani).

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