Staphylococcal scalded skin syndrome
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Jariri mai Staphylococcal scalded skin syndrome
References
Staphylococcal Scalded Skin Syndrome shine yanayin da fata ke zubarwa saboda gubar da wasu nau'ikan kwayoyin cutar Staphylococcus ke samarwa. Yana da sabon abu a cikin yara sama da shida. Hakanan yana iya faruwa a cikin manya waɗanda ke da raunin tsarin rigakafi ko kuma matsalolin koda mai tsanani. Babban fasalin shine babban bawon fata bayan kumburi. Tsanani ya bambanta daga ƴan blisters zuwa yaɗuwar fata, wanda zai iya haifar da faɗuwar zafin jiki mai tsanani da rashin kwanciyar hankali a hawan jini.
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.
Wani yaro dan wata 10 ne ya shigo da hanci ba ya cin abinci sosai. Likitoci sun ce ciwon sama ne na numfashi. Bayan kwana biyu, ya dawo saboda baya samun sauki kuma ya sami sabbin matsaloli kamar kumbura fuska da bacin rai a bakin baki. A cikin kwanaki biyun, yaron ya tsananta. Hannunsa da kafafunsa sun kumbura, fatarsa ta fara fita. Komawa asibitin likitocin suka ga wani jajayen jajaye a fuskarsa da tarkacen fatarsa, wanda idan aka taba shi sai ya balle. Sun gano shi da staphylococcal scalded skin syndrome (SSSS) sannan suka fara masa maganin kashe kwayoyin cuta ta jijiyoyi.
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.
Wata yarinya ‘yar shekara 2 ta bayyana da kurji a duk jikinta wanda ya tashi sama da sa’o’i 48, biyo bayan cizon kwari a fuskarta a jiya. A lokacin jarrabawar, ta sami kurji mai yaduwa wanda ya ƙunshi ƙananan ƙullun da suka haɗu tare, kuma lokacin da aka shafa shi da sauƙi, fatarta ta nuna alamun Nikolsky. Babu alamun kurjin da ke shafar mucosa. Gwajin jininta bai nuna alamun kamuwa da cutar ba.
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.
Ana haifar da ciwon ta hanyar epidermolytic exotoxins (exfoliatin) A da B, wanda S. aureus ya saki. Hasashen staphylococcal scalded skin syndrome a cikin yara yana da kyau, tare da cikakken ƙuduri a cikin kwanaki 10 na jiyya, kuma ba tare da tabo mai mahimmanci ba. Duk da haka, dole ne a bambanta staphylococcal scalded skin syndrome a hankali daga necrolysis na epidermal mai guba, wanda ke ɗauke da tsinkaye mara kyau.
○ Diagnosis da Magani
Bambance-bambance a matsayin eczema raunuka irin su atopic dermatitis, da aikace-aikacen maganin shafawa na steroid yana kara lalacewa. Da fatan za a nemi kulawar likita da wuri-wuri yayin shafa maganin maganin rigakafi.
#Bacitracin
#First-generation cephalosporins (e.g. Cefradine)
#Bacterial culture
#Third-generation cephalosporins (e.g. Cefditoren Pivoxil)