Staphylococcal scalded skin syndrome
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In anno 2022 Stiftung Warentest ex Germania provenit, satisfactio consumptoria cum ModelDerm paulo minus fuit quam cum consultationibus telemedicinis solutis.
In anno 2022 Stiftung Warentest ex Germania provenit, satisfactio consumptoria cum ModelDerm paulo minus fuit quam cum consultationibus telemedicinis solutis.
Infans cum syndroma cutis scaldatum (Staphylococcal scalded skin syndrome)
relevance score : -100.0%
ReferencesStaphylococcica cutis exsanguinans (Staphylococcal Scalded Skin Syndrome) conditio est ubi cutis diffunditur propter toxina quae per quasdam species bacteria Staphylococcus producta sunt. Raro in pueris sub sex annis. Etiam in adultis fieri potest cum systemate immuni debilitato vel gravibus morbis renum. Praecipuum signum est ampla cutis decorticata post inflammationem. Severitas a paucis pustulis variatur ad damnum cutis late diffusa, quod hypothermiam in corpore et instabilitatem pressionis sanguinis causare potest.
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.
Puer X menses natus est cum liquescit naso et non bene cenans. Medici dixerunt eam contagionem respiratoriam superiorem esse. Biduo post, reversus est, quia melior non questus est, et novas difficultates quasi tumens os habebat et cutis circa os irritata erat. Postero biduo puer ingravescebat. Brachia et crura intumescebant, et cutis eius processit. Retro ad nosocomium, medici temerarium in facie et in sinibus pellis, quae tactum albatum rubeum animadverterunt. Eum agnoverunt cum staphylococcal scalded skin syndrome (SSSS) et eum in antibioticis per venam inceperunt.
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.
Puella duorum annorum generalem eruptionem cutis cum 48 horis evolutionis, in contextu morsuum insecti in facie pridie, se manifestavit. In examinatione, micropapularis eruptionis generalis cum areae confluentibus et signo Nikolsky observata est. Nullae mucosae areae affectae sunt. Cultura sanguinis negativa est.
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.
Syndroma epidermolyticis exotoxinis (exfoliatin)A et B inducitur, quae per S. aureus (Staphylococcus aureus) solvuntur. Prognosis staphylococcal scalded skin syndrome in pueris optima est, cum tota resolutione intra 10 dies curationis, et sine cicatrice significativa. Nihilominus, staphylococcal scalded skin syndrome diligenter distingui debent ab necrolysi toxici epidermali, quae prognosin pauperem fert.
○ Diagnosis et curatio
Misdiagnosis sicut eczema laesiones sicut dermatitis atopicae, et applicatio unguenti steroidis laesiones exacerbat. Quaere, quaeso, quam primum operam medicinae adhibendo unguenti antibiotico.
#Bacitracin
#First-generation cephalosporins (e.g. Cefradine)
#Bacterial culture
#Third-generation cephalosporins (e.g. Cefditoren Pivoxil)