Superficial pyoderma with firm crusts composed of necrotic tissue and inspissated pus seated upon shallow ulcers. A term used to denote diffuse inflammation of parenchyma without necrosis or sharp localization of pus. The central crusted area on the nose represents a small area of echthyma, and is surrounded by erythematous skin of cellulitis. An acute streptococcal infection with well demarcated cellulitis attended by fever, malaise, weakness, and anorexia, etc. Diagnosis of this condition is usually made by gram stain, and culture and sensitivity of tissue fluids.
Bacteremia is common.
The erythema of the perianal region in this patient is due to streptococcal cellulits. The patient complained of pain and pruritus for several days. This condition is usually due to infection by streptococcus or staphylococcus. It is a common problem characterized by erythema and induration of the perianal skin, and patient complaints of associated pain and pruritus. The diagnosis confirmed by culture.