Staphylococcal scalded skin syndrome
☆ An den 2022 Stiftung Warentest Resultater aus Däitschland war d'Zefriddenheet vum Konsument mam ModelDerm nëmme liicht manner wéi mat bezuelte Telemedizin Konsultatiounen.
E Puppelchen mat Staphylococcal scalded skin syndrome
References
Staphylococcal Scalded Skin Syndrome ass eng Bedingung wou d'Haut verschwënnt wéinst Toxine produzéiert vu verschiddenen Aarte vu Staphylococcus Bakterien. Et ass ongewéinlech bei Kanner iwwer sechs. Et kann och bei Erwuessener mat geschwächtem Immunsystem oder eeschte Nierproblemer optrieden. D'Haaptrei Fonktioun ass extensiv Haut Peeling no Entzündung. D'Gravitéit rangéiert vun e puer Bléiser bis verbreet Hautverloscht, wat e schwéiere Réckgang vun der Kierpertemperatur an Instabilitéit am Blutdrock verursaache kann.
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.
En 10 Méint ale Jong koum mat enger Laf Nues eran an huet net gutt giess. D'Dokteren hunn gesot datt et eng iewescht Atmungsinfektioun war. Zwee Deeg méi spéit ass hien zréck komm, well et him net besser gouf an nei Problemer wéi geschwollen Gesiicht an irritéiert Haut ronderëm de Mond hat. An den nächsten zwee Deeg huet de Jong sech verschlechtert. Seng Äerm a Been sinn opgeschwollen a seng Haut huet ugefaangen ze kommen. Zréck am Spidol hunn d'Dokteren e roude Hautausschlag op sengem Gesiicht an an de Falten vu senger Haut gemierkt, déi blanchéiert beim Touch. Si diagnostizéiert him mat staphylococcal scalded skin syndrome (SSSS) an ugefaang him op Antibiotiken duerch eng Vene.
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.
En 2 Joer aalt Meedchen huet sech mat engem Ausschlag iwwer hire Kierper gewisen, deen sech iwwer 48 Stonnen entwéckelt huet, no Insektebissen op hirem Gesiicht den Dag virdrun. Wärend der Untersuchung hat si e verbreeten Ausschlag aus klenge Knollen, déi zesumme fusionéiert sinn, a wann se liicht reift, huet hir Haut Zeeche vum Nikolsky Zeechen gewisen. Et waren keng Unzeeche vum Ausschlag, deen hir Schleimhäute beaflosst. Tester op hirem Blutt hunn keng Zeeche vun enger Infektioun gewisen.
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.
De Syndrom gëtt duerch epidermolytesch Exotoxine (Exfoliatin)A a B induzéiert, déi vum S. aureus entlooss ginn. D’Prognose vum staphylococcal scalded skin syndrome bei Kanner ass excellent, mat enger kompletter Resolutioun bannent 10 Deeg vun der Behandlung, an ouni signifikante Narben. Wéi och ëmmer, staphylococcal scalded skin syndrome muss suergfälteg differenzéiert vun gëfteg Epidermal Nekrolyse, déi eng schlecht Prognose huet.
○ Diagnos a Behandlung
Misdiagnostik wéi Ekzeme Läsionen wéi atopesch Dermatitis, an Uwendung vun Steroid Salbe verschäerft d'Läsiounen. Gitt w.e.g. medezinesch Opmierksamkeet sou séier wéi méiglech beim Uwendung vun Antibiotike Salbe.
#Bacitracin
#First-generation cephalosporins (e.g. Cefradine)
#Bacterial culture
#Third-generation cephalosporins (e.g. Cefditoren Pivoxil)