Staphylococcal scalded skin syndrome - Staphylococcal Scalded Maqaarka Syndrome
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ilmo yar oo leh Staphylococcal Scalded Maqaarka Syndrome (Staphylococcal scalded skin syndrome)
References
Staphylococcal Scalded Skin Syndrome waa xaalad maqaarku ka daato sunta ay soo saarto bakteeriyada Staphylococcus qaarkood. Waa wax aan caadi ahayn carruurta ka weyn lix sano. Waxa kale oo ay ku dhici kartaa dadka qaangaarka ah ee nidaamka difaaca daciifka ah ama dhibaatooyin kelyo ah oo halis ah. Muuqaalka ugu muhiimsan waa diirka maqaarka oo ballaaran ka dib bararka. Darnaantu waxay u dhaxaysaa dhowr finan ilaa maqaarka oo baahday, kaas oo sababi kara hoos u dhac ba'an oo ku dhaca heerkulka jidhka iyo xasillooni la'aanta cadaadiska dhiigga.
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.
Wiil yar oo 10 bilood jira ayaa soo galay isagoo diif ah oo aan si fiican wax u cunin. Dhakhaatiirtu waxay sheegeen in uu yahay caabuq xagga neef-mareenka sare ah. Laba maalmood ka dib, wuu soo noqday sababtoo ah ma soo rayn oo wuxuu lahaa dhibaatooyin cusub sida wejiga oo bararay iyo maqaarka maqaarka oo xanaaqsan oo ku wareegsan afka. Labadii maalmood ee xigtay, wiilkii wuu ka sii daray. Gacmihiisii iyo lugihiisii baa bararay, maqaarkiisuna wuxuu bilaabay inuu soo baxo. Markii lagu soo noqday cisbitaalka, dhakhaatiirtu waxay arkeen finan cas oo ka muuqda wajigiisa iyo laalaabka maqaarkiisa, kaas oo bararsan marka la taabto. Waxay ka heleen staphylococcal scalded skin syndrome (SSSS) waxayna ku bilaabeen antibiyootiga xididka.
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.
Gabar 2 jir ah ayaa la soo baxday finan jirkeeda oo dhan ka soo baxay in ka badan 48 saacadood, ka dib qaniinyada cayayaanka ee wajigeeda maalin ka hor. Inta lagu guda jiro baaritaanka, waxaa ku dhacay finan baahsan oo ka kooban kuuskuus yar yar oo isku darsaday, markii si fudud loo xoqay, maqaarkeeda waxaa ka muuqday calaamadaha Nikolsky. Ma jirin calaamado muujinaya finanka saameeya xuub-xabeedka. Tijaabooyin lagu sameeyay dhiigeeda ma muujin wax calaamad ah oo caabuq ah.
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.
Xanuunka waxaa keena exotoxins epidermolytic (exfoliatin) A iyo B, kuwaas oo uu sii daayo S. aureus. Saadaasha staphylococcal scalded maqaarka syndrome (staphylococcal scalded skin syndrome) ee caruurtu waa mid aad u fiican, iyadoo xalin dhamaystiran 10 maalmood gudahooda ee daawaynta, oo aan lahayn nabar weyn. Si kastaba ha ahaatee, staphylococcal scalded maqaarka syndrome (staphylococcal scalded skin syndrome) waa in si taxadir leh looga soocaa necrolysis epidermal sun ah, kaas oo sidda saadaal xumo.
○ ogaanshaha iyo daawaynta
Si xun u ogaanshaha sida nabarrada canbaarta ah sida maqaarka maqaarka, iyo codsashada boomaatada isteeroodhku waxay sii xumaynaysaa nabarrada. Fadlan u raadi daryeel caafimaad sida ugu dhakhsaha badan marka aad marsanayso cadarka antibiyootiga.
#Bacitracin
#First-generation cephalosporins (e.g. Cefradine)
#Bacterial culture
#Third-generation cephalosporins (e.g. Cefditoren Pivoxil)