Staphylococcal scalded skin syndrome
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Trabi b'Staphylococcal scalded skin syndrome
References
Staphylococcal Scalded Skin Syndrome hija kundizzjoni fejn il-ġilda titfa’ minħabba tossini prodotti minn ċerti tipi ta’ batterji Staphylococcus. Mhux komuni fi tfal ta 'aktar minn sitt snin. Jista' jseħħ ukoll f'adulti b'sistemi immuni mdgħajfa jew problemi serji tal-kliewi. Il-karatteristika ewlenija hija t-tqaxxir estensiv tal-ġilda wara l-infjammazzjoni. Is-severità tvarja minn ftit folji għal telf mifrux tal-ġilda, li jista 'jikkawża tnaqqis qawwi fit-temperatura tal-ġisem u instabbiltà fil-pressjoni tad-demm.
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.
Tifel ta’ 10 xhur daħal b’imnieħer inixxi u ma jiekolx tajjeb. It-tobba qalu li kienet infezzjoni tan-nifs ta’ fuq. Jumejn wara, ġie lura għax ma kienx qed jitjieb u kellu problemi ġodda bħal wiċċ minfuħ u ġilda irritata madwar il-ħalq. Matul il-jumejn ta’ wara, it-tifel mar għall-agħar. Dirgħajh u saqajh nefħu u l-ġilda tiegħu bdiet tinqala’. Lura l-isptar, it-tobba nnutaw raxx aħmar fuq wiċċu u fil-jingħalaq tal-ġilda tiegħu, li bajda meta tmiss. Iddijanjostikawh b’ staphylococcal scalded skin syndrome (SSSS) u bdew jieħdu l-antibijotiċi minn ġol-vina.
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.
Tifla ta’ sentejn dehret b’raxx ma’ ġisimha kollu li kien żviluppa fuq 48 siegħa, wara gdim ta’ insetti fuq wiċċha l-ġurnata ta’ qabel. Waqt l-eżami, hija kellha raxx mifrux magħmul minn ħotob żgħar li ngħaqdu flimkien, u meta jingħorok ħafif, il-ġilda tagħha wriet sinjali tas-sinjal Nikolsky. Ma kien hemm l-ebda sinjali tar-raxx li jaffettwa l-membrani mukużi tagħha. It-testijiet fuq demmha ma wrew l-ebda sinjali ta’ infezzjoni.
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.
Is-sindromu huwa indott minn eżotossini epidermolitiċi (exfoliatin) A u B, li huma rilaxxati minn S. aureus. Il-pronjosi ta' staphylococcal scalded skin syndrome fit-tfal hija eċċellenti, b'riżoluzzjoni sħiħa fi żmien 10 ijiem mit-trattament, u mingħajr ċikatriċi sinifikanti. Madankollu, staphylococcal scalded skin syndrome għandu jiġi differenzjat bir-reqqa minn nekroliżi epidermali tossika, li għandha pronjosi ħażina.
○ Djanjosi u Trattament
Dijanjosi ħażina bħala leżjonijiet ekżema bħal dermatite atopika, u l-applikazzjoni ta 'ingwent sterojdi jaggravaw il-leżjonijiet. Jekk jogħġbok fittex attenzjoni medika kemm jista 'jkun malajr waqt li tapplika l-ingwent antibijotiku.
#Bacitracin
#First-generation cephalosporins (e.g. Cefradine)
#Bacterial culture
#Third-generation cephalosporins (e.g. Cefditoren Pivoxil)