Staphylococcal scalded skin syndrome
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Zazakely misy Staphylococcal scalded skin syndrome
References
Ny Staphylococcal Scalded Skin Syndrome dia toe-javatra iray izay mandrotsaka ny hoditra noho ny poizina vokarin'ny karazana bakteria Staphylococcus sasany. Tsy fahita firy izany amin'ny ankizy mihoatra ny enina. Mety hitranga ihany koa amin'ny olon-dehibe manana rafi-kery fanefitra malemy na olana lehibe amin'ny voa. Ny tena zava-dehibe dia ny fihokohan'ny hoditra aorian'ny fivontosana. Ny hamafin'izany dia manomboka amin'ny blisters vitsivitsy ka hatramin'ny fahaverezan'ny hoditra miparitaka be, izay mety hiteraka fihenan'ny hafanan'ny vatana sy ny tsy fandriam-pahalemana amin'ny tosidra.
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.
Zazalahy 10 volana no niditra tamin’ny orony tsy nihinan-kanina. Nilaza ny mpitsabo fa areti-pisefoana ambony io. Roa andro taty aoriana dia niverina indray izy satria tsy nihatsara ary nanana olana vaovao toy ny fivontosan'ny tarehy sy ny hoditra manorisory ny vava. Nandritra ny roa andro, dia niharatsy ilay zazalahy. Nivonto ny tanany sy ny tongony ary nanomboka nipoitra ny hodiny. Niverina teny amin’ny hôpitaly ireo mpitsabo, dia nahatsikaritra fivontosana mena teo amin’ny tarehiny sy teo amin’ny fonon’ny hodiny ny mpitsabo, izay nivalampatra rehefa nokasihina. Nohamarinin'izy ireo fa voan'ny staphylococcal scalded skin syndrome (SSSS) izy ary nanomboka tamin'ny antibiotika tamin'ny lalan-drà.
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.
Zazavavy kely 2 taona no nipoitra teo amin’ny vatany izay nipoitra nandritra ny 48 ora mahery, taorian’ny kaikitry ny bibikely teo amin’ny tarehiny ny omaly. Nandritra ny fizahana azy, dia nisy maimaika niparitaka be natambatra tamin'ny fivontosana kely nitambatra, ary rehefa nokosehina kely dia hita fa misy marika Nikolsky ny hodiny. Tsy nisy soritr'aretina miantraika amin'ny hodiny ny maimaika. Tsy nahitana soritr'aretina ny fitiliana ny rany.
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.
Ny aretina dia vokatry ny exotoxins epidermolytika (exfoliatin) A sy B, izay navoakan'ny S. aureus. Ny prognosis amin'ny staphylococcal scalded skin syndrome amin'ny ankizy dia tena tsara, miaraka amin'ny vahaolana tanteraka ao anatin'ny 10 andro fitsaboana, ary tsy misy scarring lehibe. Na izany aza, ny staphylococcal scalded skin syndrome dia tsy maintsy avahana tsara amin'ny necrolysis epidermis misy poizina, izay mitondra faharatsiana.
○ Diagnose sy Fitsaboana
Ny diso diagnosy toy ny fery eczema toy ny dératitis atopika, ary ny fampiasana menaka steroïde dia mampitombo ny ratra. Mitadiava fitsaboana haingana araka izay azo atao rehefa manosotra menaka antibiotika.
#Bacitracin
#First-generation cephalosporins (e.g. Cefradine)
#Bacterial culture
#Third-generation cephalosporins (e.g. Cefditoren Pivoxil)