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An anal abscess is an infected cavity filled with pus near the anus or rectum. An anal fistula (also called fistula-in-ano) is a small tunnel that tracks from an opening inside the anal canal to an outside opening in the skin near the anus. according to a recent study in taiwan, escherichia coli was the major pathogen responsible for perianal abscess in patients without a history of diabetes mellitus, whereas klebsiella pneumoniae was found to be responsible in patients with diabetes. Pneumoniae, a gram-negative short bacillus, causes invasive infections such as pneumonia and urinary tract infections, and is also known to be. Perianal abscess in children is found almost exclusively in boys and is infrequently associated with systemic signs of sepsis. 20 antibiotics are not needed after operation, unless marked cellulitis, immunosuppression, valvular heart disease, signs of systemic infection, or dm exist. An anal abscess is an infected cavity filled with pus found near the anus or rectum. Ninety percent of abscesses are the result of an acute infection in the internal glands of the anus. Occasionally, bacteria, fecal material or foreign matter can clog an anal gland and tunnel into the tissue around the anus or rectum, where it may then collect in a cavity called an abscess. Streptococcus agalactiae (also known as group b streptococcus or gbs) is a gram-positive coccus (round bacterium) with a tendency to form chains (as reflected by the genus name streptococcus). It is a beta-hemolytic, catalase-negative, and facultative anaerobe. Agalactiae is the species designation for the only species of streptococci belonging to the group b of the rebecca lancefield.