A spectrum of generalized exfoliative skin disease with blistering of the upper layer of skin caused by an epidermolytic toxin produced by certain strains of Staphylococcus aureus
In ...
Diagnosis is primarily clinical; cultures and other diagnostic tests are largely confirmatory; late recognition can lead to delayed therapy and shock.
Differentiation from toxic epiderma...
Hospitalization is necessary for IV antibiotic therapy and supportive care.
Recommend dermatology consultation.
Consider consultation with infectious disease.
Apply principles o...
Close follow-up with primary care provider recommended to ensure patient is recovering as expected
As dermatology is typically involved in these cases, follow up w...
Braunstein I, Wanat KA, Abuabara K, et al. Antibiotic sensitivity and resistance patterns in pediatric staphylococcal scalded skin syndrome. Pediatr Dermatol. 2014;31(3):305–3...
200946001 Staphylococcal scalded skin syndrome (disorder)
402967005 Neonatal staphylococcal scalded skin syndrome (...
Q: Can SSSS recur?
A: Yes, although it is uncommon.
Q: Is SSSS contagious?
A: Yes. The staphylococci are spread primarily from person to person (familial clusters have been reported), even from mothe...
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FIG. 6.10. Staphylococcal scalded skin syndrome. A: The thin, yellow crusting around the mouth and nares of this boy characterizes this syndrome, which is most often secondary to impetigo in the perioral and nasal regions. B: In addition, desquamation secondary to circulating toxin produced by the organism appears on the chest. Toxic epidermal necrolysis may be virtually identical to these truncal lesions but does not cause crusting on the face.
FIG. 6.10. Staphylococcal scalded skin syndrome. A: The thin, yellow crusting around the mouth and nares of this boy characterizes this sy...
FIG. 6.11. Nikolsky sign. The application of mild pressure to this child's chest by the examiner with his thumb has left a clear thumbprint visible. The upper layer of the skin, even in areas that appear visually normal, may be partially disrupted by the toxin and easily induced to cleave from its base by mechanical pressure.
FIG. 6.11. Nikolsky sign. The application of mild pressure to this child's chest by the examiner with his thumb has left a clear thumbprin...
FIG. 13.3. Staphylococcal scalded skin syndrome. A 10-day-old Caucasian boy with staphylococcal scalded skin syndrome. He was treated with fluids, oral dicloxacillin, and wound care. His skin healed completely and without scarring within 2 weeks of this photograph being taken.
FIG. 13.3. Staphylococcal scalded skin syndrome. A 10-day-old Caucasian boy with staphylococcal scalded skin syndrome. He was treated with...
<bold>FIGURE 61-10</bold> Staphylococcal scalded-skin syndrome.