Staphylococcal scalded skin syndrome
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Staphylococcal scalded skin syndrome duen haurtxo bat
References
Staphylococcal Scalded Skin Syndrome Staphylococcus bakterio mota jakin batzuek sortutako toxinak azala isurtzen den egoera da. Arraroa da sei urtetik gorako haurrengan. Immunitate-sistema ahulduta edo giltzurrun arazo larriak dituzten helduengan ere gerta daiteke. Ezaugarri nagusia hanturaren ondoren azalaren peeling zabala da. Larritasuna babak gutxi batzuetatik larruazaleko galera hedaturainokoa da, eta horrek gorputz-tenperaturan jaitsiera larriak eta odol-presioaren ezegonkortasuna eragin ditzake.
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.
10 hilabeteko ume bat sartu zen sudurra zihoala eta ondo jaten ez zuela. Medikuek esan zuten goiko arnas infekzio bat zela. Bi egun geroago, hobera ez zegoelako itzuli zen eta arazo berriak zituelako aurpegia puztuta eta aho inguruko larruazal narritatuta. Hurrengo bi egunetan, mutilak okerrera egin zuen. Besoak eta hankak puztu egin ziren eta azala kentzen hasi zitzaion. Ospitalera bueltan, medikuek aurpegian eta azalaren tolesetan erupzio gorri bat nabaritu zuten, ukitzean zuritzen zena. Staphylococcal scalded skin syndrome (SSSS) diagnostikatu zioten eta antibiotikoak hartzen hasi ziren zain batetik.
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.
2 urteko neska bat agertu zen 48 ordu baino gehiagotan garatu zen erupzio batekin gorputz osoan, bezperan aurpegian intsektuen ziztadak jarraituta. Azterketan zehar, kolpe txikiz osatutako erupzio hedatua izan zuen, eta arin igurtziz gero, larruazala Nikolsky seinalearen zantzuak zituen. Ez zegoen bere muki-mintzetan eragiten zuen erupzioaren zantzurik. Haren odolean egindako analisiek ez zuten infekzio zantzurik erakutsi.
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.
S. aureus-ek askatzen dituen A eta B exotoxina epidermolitikoek (esfoliatina) eragiten dute sindromea. Haurren staphylococcal scalded skin syndrome -ren pronostikoa bikaina da, tratamenduaren 10 eguneko epean erabateko ebazpenarekin eta orbain nabarmenik gabe. Dena den, staphylococcal scalded skin syndrome arretaz bereizi behar da nekrolisi epidermiko toxikotik, zeinak pronostiko txarra duen.
○ Diagnostikoa eta Tratamendua
Diagnostiko okerrak ekzema lesio gisa, hala nola dermatitis atopikoa, eta esteroideen pomada aplikatzeak lesioak areagotzen ditu. Mesedez, bilatu mediku-laguntza ahalik eta azkarren pomada antibiotikoa aplikatzen duzun bitartean.
#Bacitracin
#First-generation cephalosporins (e.g. Cefradine)
#Bacterial culture
#Third-generation cephalosporins (e.g. Cefditoren Pivoxil)