Staphylococcal scalded skin syndrome
☆ እ.ኤ.አ. በ 2022 ከጀርመን የስቲፍቱንግ ዋረንቴስት ውጤቶች ፣ በሞዴልደርም የተገልጋዮች እርካታ ከሚከፈልባቸው የቴሌሜዲኬን ምክሮች በትንሹ ያነሰ ነበር።
References
Staphylococcal Scalded Skin Syndrome በተወሰኑ የስታፊሎኮከስ ባክቴሪያ ዓይነቶች በሚመረተው መርዛማ ንጥረ ነገር ምክንያት ቆዳ የሚንጠባጠብ በሽታ ነው። ከስድስት ዓመት በላይ ለሆኑ ህጻናት ያልተለመደ ነው. የበሽታ መከላከል አቅማቸው የተዳከመ ወይም ከባድ የኩላሊት ችግር ባለባቸው አዋቂዎች ላይም ሊከሰት ይችላል። ዋናው ገጽታ እብጠትን ተከትሎ ሰፊ የቆዳ መፋቅ ነው. የክብደት መጠኑ ከጥቂት ጉድፍቶች እስከ ሰፊ የቆዳ መጥፋት ይደርሳል፣ ይህም የሰውነት ሙቀት ላይ ከፍተኛ ጠብታዎች እና የደም ግፊት አለመረጋጋት ያስከትላል።
Staphylococcal Scalded Skin Syndrome is a disease characterized by denudation of the skin caused by exotoxin producing strains of the Staphylococcus species, typically from a distant site. It usually presents 48 hours after birth and is rare in children older than six years. It may also present in immunocompromised adults or those with severe renal disease. The disorder is characterized by significant exfoliation of skin following cellulitis. The severity may vary from a few blisters to system exfoliation leading to marked hypothermia and hemodynamic instability.
Staphylococcal Scalded Skin Syndrome is a disease characterized by denudation of the skin caused by exotoxin producing strains of the Staphylococcus species, typically from a distant site. It usually presents 48 hours after birth and is rare in children older than six years. It may also present in immunocompromised adults or those with severe renal disease. The disorder is characterized by significant exfoliation of skin following cellulitis. The severity may vary from a few blisters to system exfoliation leading to marked hypothermia and hemodynamic instability.
Staphylococcal scalded skin syndrome (SSSS) and bullous impetigo are infections caused by Staphylococcus aureus. Bullous impetigo is due to the local release of these toxins and thus, often presents with localized skin findings, whereas SSSS is from the systemic spread of these toxins, resulting in a more generalized rash and severe presentation. Both conditions are treated with antibiotics that target S. aureus. These conditions can sometimes be confused with other conditions that result in superficial blistering.
አንድ የ10 ወር ልጅ አፍንጫው ንፍጥ ይዞ ገባ። ዶክተሮች የላይኛው የመተንፈሻ አካላት ኢንፌክሽን እንደሆነ ተናግረዋል. ከሁለት ቀናት በኋላ ተመልሶ መጣ ምክንያቱም እየተሻለው ስላልነበረ እና እንደ ፊት እብጠት እና በአፍ አካባቢ የተበሳጨ ቆዳ ያሉ አዳዲስ ችግሮች ስላጋጠሙት። በቀጣዮቹ ሁለት ቀናት ልጁ እየባሰ መጣ። እጆቹና እግሮቹ አብጠው ቆዳው መውጣት ጀመረ። ወደ ሆስፒታሉ ስንመለስ ዶክተሮቹ በፊቱ ላይ እና በቆዳው እጥፋት ላይ ቀይ ሽፍታ ተመልክተዋል፣ ይህም ሲነካ የሚንኮታኮት ነው። እነሱም staphylococcal scalded skin syndrome (SSSS) ገጥመውታል እና አንቲባዮቲኮችን በደም ሥር ጀመሩት።
A 10-month-old male presented with rhinorrhea and decreased oral intake and was diagnosed with an upper respiratory infection. Two days later, he returned to the clinic due to a lack of improvement and the onset of new symptoms, including facial edema and perioral skin irritation. That evening, he became febrile at 100.4 °F and went to the emergency department at the local children's hospital. No further workup was done and the parents were instructed to continue with the current treatment regimen. Over the next 48 hours, the patient's symptoms worsened with the new onset of bilateral extremity edema and desquamation. The patient was returned to the emergency department. A physical exam was notable for a blanching, desquamating, erythematous rash on the face and creases of the arms, legs, and groin. A positive Nikolsky sign was reported. A clinical diagnosis of staphylococcal scalded skin syndrome (SSSS) was made, and the patient was started on intravenous clindamycin. This case illustrates a severe presentation of SSSS in a pediatric patient, demonstrating the challenges it poses to diagnosis and treatment.
A 10-month-old male presented with rhinorrhea and decreased oral intake and was diagnosed with an upper respiratory infection. Two days later, he returned to the clinic due to a lack of improvement and the onset of new symptoms, including facial edema and perioral skin irritation. That evening, he became febrile at 100.4 °F and went to the emergency department at the local children's hospital. No further workup was done and the parents were instructed to continue with the current treatment regimen. Over the next 48 hours, the patient's symptoms worsened with the new onset of bilateral extremity edema and desquamation. The patient was returned to the emergency department. A physical exam was notable for a blanching, desquamating, erythematous rash on the face and creases of the arms, legs, and groin. A positive Nikolsky sign was reported. A clinical diagnosis of staphylococcal scalded skin syndrome (SSSS) was made, and the patient was started on intravenous clindamycin. This case illustrates a severe presentation of SSSS in a pediatric patient, demonstrating the challenges it poses to diagnosis and treatment.
አንዲት የ2 አመት ልጅ ከ48 ሰአታት በላይ ያደገች ሽፍታ በሰውነቷ ላይ ታየች ፣ይህም በቀደመው ቀን ፊቷ ላይ የነፍሳት ንክሻ ገብቷል። በምርመራ ወቅት, እርስ በርስ በሚዋሃዱ ትናንሽ እብጠቶች የተሰራ ሰፊ ሽፍታ ነበራት, እና በትንሹ ሲታሸት, ቆዳዋ የኒኮልስኪ ምልክት ምልክቶች ይታያል. ሽፍታው በ mucous ሽፋን ላይ ተጽዕኖ የሚያሳድሩ ምልክቶች አልታዩም። በደሟ ላይ የተደረገው ምርመራ ምንም አይነት የኢንፌክሽን ምልክት አላሳየም።
A 2-year-old girl presented a generalised rash with 48 h of evolution, in the context of insect bites on the face on the day before. At observation, she had a generalised micropapular rash with confluent areas and Nikolsky sign. There was no mucosal area affected. Blood cultures were negative.
A 2-year-old girl presented a generalised rash with 48 h of evolution, in the context of insect bites on the face on the day before. At observation, she had a generalised micropapular rash with confluent areas and Nikolsky sign. There was no mucosal area affected. Blood cultures were negative.
ሲንድሮም በኤስ ኦውሬስ በሚለቀቁት ኤፒደርሞሊቲክ ኤክስቶክሲን (ኤክስፎሊያቲን) ኤ እና ቢ ይነሳሳል። በልጆች ላይ የ staphylococcal scalded skin syndrome ትንበያ በጣም ጥሩ ነው, በ 10 ቀናት ውስጥ ህክምናው ሙሉ በሙሉ መፍትሄ ያገኛል, እና ያለ ምንም ጠባሳ. ሆኖም፣ staphylococcal scalded skin syndrome ከመርዛማ ኤፒደርማል ኒክሮሊሲስ በጥንቃቄ መለየት አለበት፣ይህም ደካማ ትንበያ ነው።
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የተሳሳተ ምርመራ እንደ ኤክማሜሽን እንደ atopic dermatitis, እና የስቴሮይድ ቅባት መጠቀሙ ቁስሎችን ያባብሳል. እባክዎን አንቲባዮቲክ ቅባት በሚጠቀሙበት ጊዜ በተቻለ ፍጥነት የሕክምና እርዳታ ያግኙ.
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