Staphylococcal scalded skin syndrome
☆ У резултатима Стифтунг Варентест-а за 2022. из Немачке, задовољство потрошача МоделДерм-ом је само нешто ниже него са плаћеним телемедицинским консултацијама.
Беба са Staphylococcal scalded skin syndrome
References
Staphylococcal Scalded Skin Syndrome је стање у којем се кожа губи због токсина које производе одређене врсте бактерија Стапхилоцоццус. Неуобичајено је код деце старије од шест година. Може се јавити и код одраслих са ослабљеним имунолошким системом или озбиљним проблемима са бубрезима. Главна карактеристика је интензивно љуштење коже након упале. Озбиљност се креће од неколико пликова до широко распрострањеног губитка коже, што може изазвати озбиљне падове телесне температуре и нестабилност крвног притиска.
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.
Дечак од 10 месеци је дошао са цури из носа и није добро јео. Лекари су рекли да је у питању инфекција горњих дисајних путева. Два дана касније вратио се јер му није било боље и имао је нове проблеме попут отеченог лица и иритиране коже око уста. У наредна два дана, дечаку је било горе. Руке и ноге су му натекле и кожа му је почела да се скида. По повратку у болницу, лекари су приметили црвени осип на његовом лицу и наборима коже, који је бледео на додир. Дијагностиковали су му staphylococcal scalded skin syndrome (SSSS) и дали му антибиотике кроз вену.
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.
Двогодишња девојчица појавила се са осипом по целом телу који се појавио током 48 сати, након уједа инсеката на лицу дан раније. Током прегледа, имала је раширен осип састављен од малих квржица које су се спојиле, а када се лагано трља, њена кожа је показивала знаке знака Николског. Није било знакова да је осип захватио њену слузокожу. Тестови њене крви нису показали никакве знаке инфекције.
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.
Синдром је изазван епидермолитичким егзотоксинима (ексфолиатин)А и Б, које ослобађа С. ауреус. Прогноза staphylococcal scalded skin syndrome код деце је одлична, са потпуним решавањем у року од 10 дана од лечења и без значајних ожиљака. Међутим, staphylococcal scalded skin syndrome мора се пажљиво разликовати од токсичне епидермалне некролизе, која има лошу прогнозу.
○ Дијагноза и лечење
Погрешна дијагноза као што су лезије екцема као што је атопијски дерматитис и примена стероидне масти погоршавају лезије. Молимо вас да потражите медицинску помоћ што је пре могуће док примењујете антибиотску маст.
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#First-generation cephalosporins (e.g. Cefradine)
#Bacterial culture
#Third-generation cephalosporins (e.g. Cefditoren Pivoxil)