Staphylococcal scalded skin syndrome in a premature newborn caused by methicillin-resistant Staphylococcus aureus: case report

CONTEXT: Staphylococcal scalded skin syndrome is an exfoliative skin disease. Reports of this syndrome in newborns caused by methicillin-resistant Staphylococcus aureus are rare but, when present, rapid diagnosis and treatment is required in order to decrease morbidity and mortality. CASE REPORT:...

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Main Authors: Andreas Hörner, Rosmari Hörner, Adenilde Salla, Melise Silveira Nunes, Litiérri Razia Garzon, Roberta Filipini Rampelotto, Rosiéli Martini, Silvana Oliveira dos Santos, Lívia Gindri, Mônica de Abreu Rodrigues, Cláudia Giacomolli
Format: Article
Language:English
Published: Associação Paulista de Medicina
Series:São Paulo Medical Journal
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802015000500450&lng=en&tlng=en
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author Andreas Hörner
Rosmari Hörner
Adenilde Salla
Melise Silveira Nunes
Litiérri Razia Garzon
Roberta Filipini Rampelotto
Rosiéli Martini
Silvana Oliveira dos Santos
Lívia Gindri
Mônica de Abreu Rodrigues
Cláudia Giacomolli
author_facet Andreas Hörner
Rosmari Hörner
Adenilde Salla
Melise Silveira Nunes
Litiérri Razia Garzon
Roberta Filipini Rampelotto
Rosiéli Martini
Silvana Oliveira dos Santos
Lívia Gindri
Mônica de Abreu Rodrigues
Cláudia Giacomolli
author_sort Andreas Hörner
collection DOAJ
description CONTEXT: Staphylococcal scalded skin syndrome is an exfoliative skin disease. Reports of this syndrome in newborns caused by methicillin-resistant Staphylococcus aureus are rare but, when present, rapid diagnosis and treatment is required in order to decrease morbidity and mortality. CASE REPORT: A premature newly born girl weighing 1,520 g, born with a gestational age of 29 weeks and 4 days, developed staphylococcal scalded skin syndrome on the fifth day of life. Cultures on blood samples collected on the first and fourth days were negative, but Pseudomonas aeruginosa and Enterococcus sp. (vancomycin-sensitive) developed in blood cultures performed on the day of death (seventh day), and Pseudomonas aeruginosa and Serratia marcescens were identified in cultures on nasopharyngeal, buttock and abdominal secretions. In addition to these two Gram-negative bacilli, methicillin-resistant Staphylococcus aureus was isolated in a culture on the umbilical stump (seventh day). The diagnosis of staphylococcal scalded skin syndrome was based on clinical criteria.
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spelling doaj.art-6ca7c51bd30247d1bb3a19bdf222550c2022-12-22T00:13:11ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-9460133545045310.1590/1516-3180.2013.79400715S1516-31802015000500450Staphylococcal scalded skin syndrome in a premature newborn caused by methicillin-resistant Staphylococcus aureus: case reportAndreas HörnerRosmari HörnerAdenilde SallaMelise Silveira NunesLitiérri Razia GarzonRoberta Filipini RampelottoRosiéli MartiniSilvana Oliveira dos SantosLívia GindriMônica de Abreu RodriguesCláudia GiacomolliCONTEXT: Staphylococcal scalded skin syndrome is an exfoliative skin disease. Reports of this syndrome in newborns caused by methicillin-resistant Staphylococcus aureus are rare but, when present, rapid diagnosis and treatment is required in order to decrease morbidity and mortality. CASE REPORT: A premature newly born girl weighing 1,520 g, born with a gestational age of 29 weeks and 4 days, developed staphylococcal scalded skin syndrome on the fifth day of life. Cultures on blood samples collected on the first and fourth days were negative, but Pseudomonas aeruginosa and Enterococcus sp. (vancomycin-sensitive) developed in blood cultures performed on the day of death (seventh day), and Pseudomonas aeruginosa and Serratia marcescens were identified in cultures on nasopharyngeal, buttock and abdominal secretions. In addition to these two Gram-negative bacilli, methicillin-resistant Staphylococcus aureus was isolated in a culture on the umbilical stump (seventh day). The diagnosis of staphylococcal scalded skin syndrome was based on clinical criteria.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802015000500450&lng=en&tlng=enStaphylococcal scalded skin syndromeMethicillin-resistant Staphylococcus aureusInfant, newbornInfant, prematureImpetigo
spellingShingle Andreas Hörner
Rosmari Hörner
Adenilde Salla
Melise Silveira Nunes
Litiérri Razia Garzon
Roberta Filipini Rampelotto
Rosiéli Martini
Silvana Oliveira dos Santos
Lívia Gindri
Mônica de Abreu Rodrigues
Cláudia Giacomolli
Staphylococcal scalded skin syndrome in a premature newborn caused by methicillin-resistant Staphylococcus aureus: case report
São Paulo Medical Journal
Staphylococcal scalded skin syndrome
Methicillin-resistant Staphylococcus aureus
Infant, newborn
Infant, premature
Impetigo
title Staphylococcal scalded skin syndrome in a premature newborn caused by methicillin-resistant Staphylococcus aureus: case report
title_full Staphylococcal scalded skin syndrome in a premature newborn caused by methicillin-resistant Staphylococcus aureus: case report
title_fullStr Staphylococcal scalded skin syndrome in a premature newborn caused by methicillin-resistant Staphylococcus aureus: case report
title_full_unstemmed Staphylococcal scalded skin syndrome in a premature newborn caused by methicillin-resistant Staphylococcus aureus: case report
title_short Staphylococcal scalded skin syndrome in a premature newborn caused by methicillin-resistant Staphylococcus aureus: case report
title_sort staphylococcal scalded skin syndrome in a premature newborn caused by methicillin resistant staphylococcus aureus case report
topic Staphylococcal scalded skin syndrome
Methicillin-resistant Staphylococcus aureus
Infant, newborn
Infant, premature
Impetigo
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802015000500450&lng=en&tlng=en
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