Staphylococcal scalded skin syndrome
☆ Në rezultatet e Stiftung Warentest 2022 nga Gjermania, kënaqësia e konsumatorit me ModelDerm ishte vetëm pak më e ulët se sa me konsultimet e paguara të telemjekësisë.
Një foshnjë me Staphylococcal scalded skin syndrome
References
Staphylococcal Scalded Skin Syndrome është një gjendje ku lëkura derdhet për shkak të toksinave të prodhuara nga disa lloje të baktereve Staphylococcus. Është e pazakontë tek fëmijët mbi gjashtë vjeç. Mund të ndodhë edhe te të rriturit me sistem imunitar të dobësuar ose probleme serioze me veshkat. Karakteristika kryesore është qërimi i gjerë i lëkurës pas inflamacionit. Ashpërsia varion nga disa flluska deri te humbja e gjerë e lëkurës, e cila mund të shkaktojë rënie të rënda të temperaturës së trupit dhe paqëndrueshmëri të presionit të gjakut.
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.
Një djalë 10 muajsh hyri me rrufë dhe nuk hante mirë. Mjekët thanë se ishte një infeksion i rrugëve të sipërme të frymëmarrjes. Dy ditë më vonë, ai u kthye sepse nuk po përmirësohej dhe kishte probleme të reja si ënjtje e fytyrës dhe lëkurë të irrituar rreth gojës. Gjatë dy ditëve në vijim, djali u përkeqësua. Krahët dhe këmbët e tij u frynë dhe lëkura filloi t'i shkëputej. Pas në spital, mjekët vunë re një skuqje të kuqe në fytyrën e tij dhe në palosjet e lëkurës së tij, e cila zbardhte kur prekej. Ata e diagnostikuan atë me staphylococcal scalded skin syndrome (SSSS) dhe e filluan me antibiotikë përmes venës.
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.
Një vajzë 2-vjeçare u shfaq me një skuqje në të gjithë trupin e saj që ishte zhvilluar mbi 48 orë, pas pickimit të insekteve në fytyrën e saj një ditë më parë. Gjatë ekzaminimit, ajo kishte një skuqje të përhapur të përbërë nga gunga të vogla që bashkoheshin së bashku, dhe kur fërkohej lehtë, lëkura e saj shfaqte shenja të shenjës së Nikolsky. Nuk kishte shenja të skuqjes që prekte mukozën e saj. Testet në gjakun e saj nuk treguan asnjë shenjë infeksioni.
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.
Sindroma induktohet nga ekzotoksinat epidermolitike (eksfoliatin)A dhe B, të cilat çlirohen nga S. aureus. Prognoza e staphylococcal scalded skin syndrome tek fëmijët është e shkëlqyer, me zgjidhje të plotë brenda 10 ditëve nga trajtimi dhe pa cikatrice të konsiderueshme. Megjithatë, staphylococcal scalded skin syndrome duhet të diferencohet me kujdes nga nekroliza epidermale toksike, e cila ka një prognozë të dobët.
○ Diagnoza dhe trajtimi
Diagnoza e gabuar si lezione ekzemë si dermatiti atopik dhe aplikimi i pomadës steroide përkeqëson lezionet. Ju lutemi kërkoni kujdes mjekësor sa më shpejt të jetë e mundur gjatë aplikimit të pomadës antibiotike.
#Bacitracin
#First-generation cephalosporins (e.g. Cefradine)
#Bacterial culture
#Third-generation cephalosporins (e.g. Cefditoren Pivoxil)