Staphylococcal scalded skin syndrome - Syndrome Craiceann Sgaldaichte Staphylococcal
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pàisde le Syndrome Craiceann Sgaldaichte Staphylococcal (Staphylococcal scalded skin syndrome)
References
Is e suidheachadh a th’ ann an Staphylococcal Scalded Skin Syndrome far am bi an craiceann a’ rùsgadh air sgàth tocsainnean air an dèanamh le cuid de sheòrsan bacteria Staphylococcus. Tha e neo-chumanta am measg clann nas sine na sia. Faodaidh e cuideachd tachairt ann an inbhich le siostaman dìon lag no fìor dhuilgheadasan dubhaig. Is e am prìomh fheart feannadh craiceann farsaing às deidh sèid. Tha doimhneachd eadar beagan blisters gu call craiceann farsaing, a dh’ fhaodadh tuiteam mòr ann an teòthachd bodhaig agus neo-sheasmhachd ann am bruthadh-fala adhbhrachadh.
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.
Thàinig balach 10 mìosan a dh'aois a-steach le sròn a' ruith agus gun a bhith ag ithe gu math. Thuirt dotairean gur e galar analach àrd a bh’ ann. Dà latha às deidh sin, thàinig e air ais leis nach robh e a’ fàs nas fheàrr agus bha duilgheadasan ùra aige leithid aodann swollen agus craiceann iriosal timcheall a bheul. Thairis air an ath dhà latha, dh’fhàs am balach na bu mhiosa. Chaidh a ghàirdeanan agus a chasan suas agus thòisich a chraiceann a 'tighinn dheth. Air ais aig an ospadal, mhothaich na dotairean broth dearg air aodann agus ann am pasgain a chraicinn, a bha a’ frasadh nuair a suathadh e. Rinn iad lorg air staphylococcal scalded skin syndrome (SSSS) agus thòisich iad air antibiotics tro veine.
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.
Nochd nighean 2-bliadhna le broth air feadh a bodhaig a bha air fàs thairis air 48 uairean, às deidh bìdean bhiastagan air a h-aodann an latha roimhe. Rè an sgrùdaidh, bha broth farsaing aice air a dhèanamh suas de chnapan beaga a thàinig còmhla, agus nuair a chaidh a suathadh gu h-aotrom, nochd a craiceann comharran de shoidhne Nikolsky. Cha robh comharran sam bith ann gun robh an broth a’ toirt buaidh air na membranan mucous aice. Cha do sheall deuchainnean air an fhuil aice comharran gabhaltachd.
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.
Tha an syndrome air adhbhrachadh le exotoxins epidermolytic (exfoliatin) A agus B, a tha air an leigeil ma sgaoil le S. aureus. Tha an prognosis de syndrome craiceann sgaldaichte staphylococcal (staphylococcal scalded skin syndrome) ann an cloinn sàr-mhath, le fuasgladh iomlan taobh a-staigh 10 latha bho làimhseachadh, agus às aonais sgrìobadh mòr. Ach, feumaidh syndrome craiceann sgaldaichte staphylococcal (staphylococcal scalded skin syndrome) a bhith eadar-dhealaichte gu faiceallach bho necrolysis epidermal puinnseanta, a tha a ‘giùlan droch prognosis.
○ Diagnosis agus Làimhseachadh
Bidh mì-diagnosis mar leòintean eczema leithid dermatitis atopic, agus cleachdadh ointment steroid a’ dèanamh lotan nas miosa. Feuch an iarr thu aire mheidigeach cho luath ‘s a ghabhas fhad ‘s a tha thu a’ cleachdadh acainn antibiotic.
#Bacitracin
#First-generation cephalosporins (e.g. Cefradine)
#Bacterial culture
#Third-generation cephalosporins (e.g. Cefditoren Pivoxil)