Staphylococcal scalded skin syndrome - Sendwòm Po Scalded Staphylococcal
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Yon tibebe ki gen Sendwòm Po Scalded Staphylococcal (Staphylococcal scalded skin syndrome)
References
Staphylococcal Scalded Skin Syndrome se yon kondisyon kote po a koule akòz toksin ki pwodui pa sèten kalite bakteri Staphylococcus. Li pa komen nan timoun ki gen plis pase sis. Li ka rive tou nan granmoun ki gen sistèm iminitè febli oswa pwoblèm ren grav. Karakteristik prensipal la se dekale anpil apre enflamasyon. Gravite varye ant kèk ti anpoul ak pèt po toupatou, sa ki ka lakòz gwo gout nan tanperati kò ak enstabilite nan san presyon.
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.
Yon ti gason 10 mwa te antre ak nen k ap koule epi li pa t manje byen. Doktè yo te di ke se te yon enfeksyon respiratwa anwo. De jou apre, li te retounen paske li pa t ap vin pi byen epi li te gen nouvo pwoblèm tankou figi anfle ak po irite nan bouch la. Pandan de jou kap vini yo, ti gason an te vin pi mal. Bra l ak janm li anfle epi po l te kòmanse dekole. Retounen nan lopital la, doktè yo remake yon gratèl wouj sou figi l 'ak nan pli yo nan po l', ki blanchi lè yo manyen. Yo te dyagnostike l 'ak staphylococcal scalded skin syndrome (SSSS) epi yo te kòmanse l' sou antibyotik nan yon venn.
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.
Yon ti fi 2-zan te parèt ak yon gratèl sou tout kò l 'ki te devlope plis pase 48 èdtan, apre mòde ensèk sou figi l' jou anvan an. Pandan egzamen an, li te gen yon gratèl toupatou ki te fòme ak ti monte desann ansanm, epi lè yon ti kras fwote, po li te montre siy Nikolsky. Pa te gen okenn siy gratèl la ki afekte manbràn mikez li yo. Tès san li pa t montre okenn siy enfeksyon.
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.
Sendwòm nan pwovoke pa ekzotoksin epidermolitik (exfoliatin) A ak B, ki lage pa S. aureus. Pwonostik sendwòm po scalded staphylococcal (staphylococcal scalded skin syndrome) nan timoun yo ekselan, ak rezolisyon konplè nan 10 jou apre tretman, epi san sikatris enpòtan. Sepandan, sendwòm po scalded staphylococcal (staphylococcal scalded skin syndrome) dwe diferansye ak anpil atansyon soti nan nekroliz epidèm toksik, ki pote yon pronostik pòv.
○ Dyagnostik ak Tretman
Misdiagnosis kòm blesi ekzema tankou dèrmatoz atopik, ak aplikasyon nan odè esteroyid agrave blesi. Tanpri chèche swen medikal pi vit posib pandan w ap aplike odè antibyotik.
#Bacitracin
#First-generation cephalosporins (e.g. Cefradine)
#Bacterial culture
#Third-generation cephalosporins (e.g. Cefditoren Pivoxil)