Staphylococcal scalded skin syndrome - Sindrom Kulit Scalded Staphylococcal
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Orok kalayan Sindrom Kulit Scalded Staphylococcal (Staphylococcal scalded skin syndrome)
References
Staphylococcal Scalded Skin Syndrome mangrupakeun kaayaan dimana kulit sheds alatan racun dihasilkeun ku tipe tangtu baktéri Staphylococcus. Ieu ilahar di kids leuwih genep. Éta ogé tiasa lumangsung dina déwasa anu ngagaduhan sistem imun anu lemah atanapi masalah ginjal anu serius. Fitur utama nyaéta peeling kulit éksténsif saatos peradangan. Severity rupa-rupa ti sababaraha lepuh nepi ka leungitna kulit nyebar, nu bisa ngabalukarkeun tetes parna dina suhu awak jeung instability dina tekanan getih.
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.
Hiji budak umur 10 bulan datang kalayan irung runny sarta teu dahar ogé. Dokter nyatakeun yén éta inféksi saluran pernapasan luhur. Dua dinten saatosna, anjeunna uih deui kusabab anjeunna henteu pulih sareng ngagaduhan masalah anyar sapertos raray ngabareuhan sareng kulit jengkel di sabudeureun sungut. Dina dua poé ka hareup, budak lalaki beuki parah. Leungeun jeung sukuna bareuh jeung kulitna mimiti kaluar. Balik deui ka rumah sakit, dokter ningali ruam beureum dina beungeutna sareng dina lipatan kulitna, anu janten pucat nalika dirampa. Aranjeunna didiagnosis anjeunna sareng staphylococcal scalded skin syndrome (SSSS) sareng ngamimitian anjeunna nganggo antibiotik ngalangkungan urat.
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.
Budak awéwé umur 2 taun muncul kalayan ruam dina awakna anu parantos mekar langkung ti 48 jam, saatos gigitan serangga dina rarayna dinten sateuacanna. Salila pamariksaan, anjeunna ngalaman ruam nyebar anu diwangun ku nabrak leutik anu ngahiji, sareng nalika digosok, kulitna nunjukkeun tanda-tanda Nikolsky. Teu aya tanda-tanda baruntus mangaruhan mémbran mukosa na. Tés getihna henteu nunjukkeun tanda-tanda inféksi.
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.
Sindrom ieu disababkeun ku exotoxins epidermolytic (exfoliatin) A jeung B, nu dileupaskeun ku S. aureus. Prognosis sindrom kulit scalded staphylococcal (staphylococcal scalded skin syndrome) di barudak alus teuing, kalawan resolusi lengkep dina 10 poé perlakuan, sarta tanpa scarring signifikan. Sanajan kitu, sindrom kulit scalded staphylococcal (staphylococcal scalded skin syndrome) kudu dibédakeun sacara saksama tina necrolysis épidermal toksik, nu mawa prognosis goréng.
○ Diagnosis sareng Perawatan
Misdiagnosis salaku lesi éksim kayaning dermatitis atopik, sarta aplikasi salep stéroid exacerbates lesions. Mangga neangan perhatian médis pas mungkin bari nerapkeun salep antibiotik.
#Bacitracin
#First-generation cephalosporins (e.g. Cefradine)
#Bacterial culture
#Third-generation cephalosporins (e.g. Cefditoren Pivoxil)