Group A streptococcal infections in children typically present as pharyngitis but can manifest as skin infections. In infants, streptococcal skin infections can be difficult to differentiate from other skin conditions such as seborrheic or atopic dermatitis. Additionally, if another family member has a streptococcal infection or is a carrier, treating only the patient may lead to recurrence. Here, we report a case of recurrent streptococcal skin infection in a one-month-old infant with dry skin. The patient's five-year-old brother had minor nasal symptoms, and a throat swab tested positive for Streptococcus, identifying him as the source. The infant and his brother were both treated with antibiotics, and their conditions resolved, with no further recurrence. This case illustrates the importance of screening and treating family members in infants with streptococcal skin infections.
Keywords: group a streptococcus; household transmission; pharyngitis; streptococcal pyoderma; streptococcus pyogenes.
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