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September 1974

Perirectal Abscess in Children

Author Affiliations

From Children's Mercy Hospital, University of Missouri School of Medicine, Kansas City. Drs. Enberg and Cox are now with the Eddy Clinic, Hays, Kan.

Am J Dis Child. 1974;128(3):360-361. doi:10.1001/archpedi.1974.02110280090011

Perirectal abscess was evaluated in 29 children, aged 1 month to 14 years, in a retrospective study from 1965 to 1973. Staphylococcus aureus, isolated in ten cases (35%), was the most common etiologic agent. Escherichia coli and other enteric organisms were also frequently isolated. Fistula in ano occurred less commonly than expected when compared to adults. Management consisted of prompt needle aspiration, Gram stain for presumptive bacteriologic diagnosis, and early surgical drainage. Antibiotics were used in 20 cases (69%) without apparent benefit or harm.