Staphylococcal scalded skin syndrome
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Mwana ali ndi Staphylococcal scalded skin syndrome
References
Staphylococcal Scalded Skin Syndrome ndi chikhalidwe chomwe khungu limatsika chifukwa cha poizoni wopangidwa ndi mitundu ina ya mabakiteriya a Staphylococcus. Si zachilendo kwa ana azaka zopitilira zisanu ndi chimodzi. Zitha kuchitikanso kwa akuluakulu omwe ali ndi chitetezo chofooka kapena mavuto aakulu a impso. Chofunikira chachikulu ndikusenda khungu kotsatira kutupa. Kuopsa kumayambira pa matuza angapo mpaka kutayika kwa khungu, zomwe zingayambitse kutentha kwa thupi komanso kusakhazikika kwa magazi.
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.
Mnyamata wina wa miyezi 10 anabwera ali ndi mphuno ndipo sakudya bwino. Madokotala ananena kuti chinali chapamwamba kupuma matenda. Patatha masiku awiri, anabwereranso chifukwa sanali bwino ndipo anali ndi mavuto atsopano monga kutupa nkhope ndi kukwiya khungu mkamwa. Patapita masiku awiri, mwanayo anakula. Mikono ndi miyendo yake idatupa ndipo khungu lake lidayamba kutsika. Atafika kuchipatalako, madokotala anaona kuti nkhope yake ili ndi zidzolo zofiira, ndipo khungu lake limanyengerera akaligwira. Anamupeza ndi staphylococcal scalded skin syndrome (SSSS) ndikumuyambitsa kumwa maantibayotiki kudzera m'mitsempha.
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.
Mtsikana wina wazaka ziwiri adawonekera ndi zidzolo mthupi lake lonse zomwe zidayamba maola 48, kutsatira kulumidwa ndi tizilombo dzulo lake. Pakupimidwa, anali ndi zidzolo zofala zomwe zimapangidwa ndi tiziphuphu tating'ono tomwe tidalumikizana, ndipo atapaka pang'ono, khungu lake likuwonetsa zizindikiro za Nikolsky. Panalibe zizindikiro za zidzolo zomwe zimakhudza minyewa yake ya mucous. Kuyeza magazi ake sikunasonyeze zizindikiro zilizonse za matenda.
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.
Matendawa amayamba ndi epidermolytic exotoxins (exfoliatin)A ndi B, yomwe imatulutsidwa ndi S. aureus. Matenda a staphylococcal scalded skin syndrome mwa ana ndi abwino kwambiri, ndipo amatha kuthetseratu mkati mwa masiku 10 atalandira chithandizo, komanso popanda zipsera zazikulu. Komabe, staphylococcal scalded skin syndrome iyenera kusiyanitsidwa mosamala ndi poizoni wa epidermal necrolysis, yomwe imakhala ndi matenda osadziwika bwino.
○ Kuzindikira ndi Chithandizo
Kuzindikira molakwika ngati zilonda za chikanga monga atopic dermatitis, ndi kugwiritsa ntchito mafuta odzola a steroid kumawonjezera zotupa. Chonde funsani kuchipatala mwamsanga mukamagwiritsa ntchito mafuta opha tizilombo.
#Bacitracin
#First-generation cephalosporins (e.g. Cefradine)
#Bacterial culture
#Third-generation cephalosporins (e.g. Cefditoren Pivoxil)