Staphylococcal Scalded Skin Syndrome Superinfection in a Child with COVID-19: A Brief Case Report
Background: While the exact prevalence of bacterial co-infection and superinfection in children with coronavirus disease 2019 (COVID-19) remains unclear, numerous scattered reports of it are on the rise. Case Presentation: Our case was a 14-month-old infant with fever, truncal erythema, and scalded...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Kerman University of Medical Sciences
2022-06-01
|
| Series: | Journal of Kerman University of Medical Sciences |
| Subjects: | |
| Online Access: | https://jkmu.kmu.ac.ir/article_92097.html |
| _version_ | 1811175252493860864 |
|---|---|
| author | Ali Hoseininasab Reza Sinaei Maedeh Jafar Parvin Abbaslu |
| author_facet | Ali Hoseininasab Reza Sinaei Maedeh Jafar Parvin Abbaslu |
| author_sort | Ali Hoseininasab |
| collection | DOAJ |
| description | Background: While the exact prevalence of bacterial co-infection and superinfection in children with coronavirus disease 2019 (COVID-19) remains unclear, numerous scattered reports of it are on the rise.
Case Presentation: Our case was a 14-month-old infant with fever, truncal erythema, and scalded skin in flexor folds and also in perianal and perioral regions. A positive Nikolsky’s sign was observed. The oropharyngeal mucosa was intact. The patient was diagnosed with staphylococcal scalded skin syndrome (SSSS) according to clinical features and a skin culture report. Due to the general impact of COVID-19 these days, the patient was evaluated for coronavirus via a polymerase chain reaction (PCR) test, and the result was positive. The patient successfully responded to the treatment which included hydration, wet compress, topical emollient, topical mupirocin for periorificial regions, and intravenous clindamycin. He was discharged after nine days without any complications.
Conclusion: This case highlights a clear bacterial infection superimposed on COVID-19. Nevertheless, inconspicuous cases of co-infections remain obscure and require a more diagnostic suspicion. |
| first_indexed | 2024-04-10T19:32:42Z |
| format | Article |
| id | doaj.art-2d0dd981411c47829a4853bbd033a26f |
| institution | Directory Open Access Journal |
| issn | 2008-2843 |
| language | English |
| last_indexed | 2024-04-10T19:32:42Z |
| publishDate | 2022-06-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | Journal of Kerman University of Medical Sciences |
| spelling | doaj.art-2d0dd981411c47829a4853bbd033a26f2023-01-30T09:38:59ZengKerman University of Medical SciencesJournal of Kerman University of Medical Sciences2008-28432022-06-01296565-56756710.34172/JKMU.2022.70Staphylococcal Scalded Skin Syndrome Superinfection in a Child with COVID-19: A Brief Case ReportAli Hoseininasab0Reza Sinaei 1Maedeh Jafar2Parvin Abbaslu31 Infectious and Tropical Research Center, Kerman University of Medical Sciences, Kerman, Iran & Clinical Research Development Unit, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, IranDepartment of Pediatrics, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran & Endocrinology and Metabolism Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, IranDepartment of Pediatrics, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran Department of Pediatrics, School of Medicine, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, IranBackground: While the exact prevalence of bacterial co-infection and superinfection in children with coronavirus disease 2019 (COVID-19) remains unclear, numerous scattered reports of it are on the rise. Case Presentation: Our case was a 14-month-old infant with fever, truncal erythema, and scalded skin in flexor folds and also in perianal and perioral regions. A positive Nikolsky’s sign was observed. The oropharyngeal mucosa was intact. The patient was diagnosed with staphylococcal scalded skin syndrome (SSSS) according to clinical features and a skin culture report. Due to the general impact of COVID-19 these days, the patient was evaluated for coronavirus via a polymerase chain reaction (PCR) test, and the result was positive. The patient successfully responded to the treatment which included hydration, wet compress, topical emollient, topical mupirocin for periorificial regions, and intravenous clindamycin. He was discharged after nine days without any complications. Conclusion: This case highlights a clear bacterial infection superimposed on COVID-19. Nevertheless, inconspicuous cases of co-infections remain obscure and require a more diagnostic suspicion.https://jkmu.kmu.ac.ir/article_92097.htmlcoronavirus disease 2019 covid-19 staphylococcal scalded skin syndrome bacterial co-infections bacterial superinfection nikolsky’s sign |
| spellingShingle | Ali Hoseininasab Reza Sinaei Maedeh Jafar Parvin Abbaslu Staphylococcal Scalded Skin Syndrome Superinfection in a Child with COVID-19: A Brief Case Report Journal of Kerman University of Medical Sciences coronavirus disease 2019 covid-19 staphylococcal scalded skin syndrome bacterial co-infections bacterial superinfection nikolsky’s sign |
| title | Staphylococcal Scalded Skin Syndrome Superinfection in a Child with COVID-19: A Brief Case Report |
| title_full | Staphylococcal Scalded Skin Syndrome Superinfection in a Child with COVID-19: A Brief Case Report |
| title_fullStr | Staphylococcal Scalded Skin Syndrome Superinfection in a Child with COVID-19: A Brief Case Report |
| title_full_unstemmed | Staphylococcal Scalded Skin Syndrome Superinfection in a Child with COVID-19: A Brief Case Report |
| title_short | Staphylococcal Scalded Skin Syndrome Superinfection in a Child with COVID-19: A Brief Case Report |
| title_sort | staphylococcal scalded skin syndrome superinfection in a child with covid 19 a brief case report |
| topic | coronavirus disease 2019 covid-19 staphylococcal scalded skin syndrome bacterial co-infections bacterial superinfection nikolsky’s sign |
| url | https://jkmu.kmu.ac.ir/article_92097.html |
| work_keys_str_mv | AT alihoseininasab staphylococcalscaldedskinsyndromesuperinfectioninachildwithcovid19abriefcasereport AT rezasinaei staphylococcalscaldedskinsyndromesuperinfectioninachildwithcovid19abriefcasereport AT maedehjafar staphylococcalscaldedskinsyndromesuperinfectioninachildwithcovid19abriefcasereport AT parvinabbaslu staphylococcalscaldedskinsyndromesuperinfectioninachildwithcovid19abriefcasereport |