STAPHYLOCOCCAL SCALDED SKIN SYNDROME MIMICKING TOXIC EPIDERMAL NECROLYSIS IN A HEALTHY ADULT
Introduction: Staphylococcal scaled skin syndrome (SSSS) presents generalized form bullous impetigo caused by Staphylococcus aureus (S. aureus) infection, typically seen in infants and children. SSSS may occur also in adults; however, the majority of adult cases are those with immunosuppression. Aty...
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| Format: | Article |
| Language: | English |
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Our Dermatology Online
2013-07-01
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| Series: | Nasza Dermatologia Online |
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| Online Access: | http://www.odermatol.com/issue-in-html/2013-3-22-staphylococcal/ |
| _version_ | 1818228567263150080 |
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| author | Tomoko Oishi Yuka Hanami Yasunobu Kato Mikio Otsuka Toshiyuki Yamamoto |
| author_facet | Tomoko Oishi Yuka Hanami Yasunobu Kato Mikio Otsuka Toshiyuki Yamamoto |
| author_sort | Tomoko Oishi |
| collection | DOAJ |
| description | Introduction: Staphylococcal scaled skin syndrome (SSSS) presents generalized form bullous impetigo caused by Staphylococcus aureus (S. aureus) infection, typically seen in infants and children. SSSS may occur also in adults; however, the majority of adult cases are those with immunosuppression. Atypical clinical features of impetigo in adults sometimes make it difficult to diagnose correctly. Case Report: A 74-year-old healthy woman was hospitalized, complaining of extensive desquamative erythema and a number of erosions. She was administered oral antiviral drugs under suspicion of herpes zoster prior to 10 days. Initial diagnosis on the admission was toxic epidermal necrolysis (TEN) due to antiviral tablets; however, steroid pulse therapy resulted in no effect. Bacterial culture yielded coagulase-positive methicillin-resistent S. aureus, producing exfoliative toxin B. A biopsy specimen showed subcorneal splitting of the epidermis. The diffuse erosions gradually improved over 10 days by the treatment with intravenous antibiotics. Conclusions: The differentiation between streptococcal scaled skin syndrome (SSSS) and TEN is sometimes difficult. It is important to remind SSSS when we suspect TEN, even in healthy adults.. |
| first_indexed | 2024-12-12T10:04:45Z |
| format | Article |
| id | doaj.art-dbc04b3f41d14719945188d4f3336cb3 |
| institution | Directory Open Access Journal |
| issn | 2081-9390 |
| language | English |
| last_indexed | 2024-12-12T10:04:45Z |
| publishDate | 2013-07-01 |
| publisher | Our Dermatology Online |
| record_format | Article |
| series | Nasza Dermatologia Online |
| spelling | doaj.art-dbc04b3f41d14719945188d4f3336cb32022-12-22T00:27:55ZengOur Dermatology OnlineNasza Dermatologia Online2081-93902013-07-014334734810.7241/ourd.20133.86STAPHYLOCOCCAL SCALDED SKIN SYNDROME MIMICKING TOXIC EPIDERMAL NECROLYSIS IN A HEALTHY ADULTTomoko OishiYuka HanamiYasunobu KatoMikio OtsukaToshiyuki YamamotoIntroduction: Staphylococcal scaled skin syndrome (SSSS) presents generalized form bullous impetigo caused by Staphylococcus aureus (S. aureus) infection, typically seen in infants and children. SSSS may occur also in adults; however, the majority of adult cases are those with immunosuppression. Atypical clinical features of impetigo in adults sometimes make it difficult to diagnose correctly. Case Report: A 74-year-old healthy woman was hospitalized, complaining of extensive desquamative erythema and a number of erosions. She was administered oral antiviral drugs under suspicion of herpes zoster prior to 10 days. Initial diagnosis on the admission was toxic epidermal necrolysis (TEN) due to antiviral tablets; however, steroid pulse therapy resulted in no effect. Bacterial culture yielded coagulase-positive methicillin-resistent S. aureus, producing exfoliative toxin B. A biopsy specimen showed subcorneal splitting of the epidermis. The diffuse erosions gradually improved over 10 days by the treatment with intravenous antibiotics. Conclusions: The differentiation between streptococcal scaled skin syndrome (SSSS) and TEN is sometimes difficult. It is important to remind SSSS when we suspect TEN, even in healthy adults..http://www.odermatol.com/issue-in-html/2013-3-22-staphylococcal/SSSSTENMRSAadult |
| spellingShingle | Tomoko Oishi Yuka Hanami Yasunobu Kato Mikio Otsuka Toshiyuki Yamamoto STAPHYLOCOCCAL SCALDED SKIN SYNDROME MIMICKING TOXIC EPIDERMAL NECROLYSIS IN A HEALTHY ADULT Nasza Dermatologia Online SSSS TEN MRSA adult |
| title | STAPHYLOCOCCAL SCALDED SKIN SYNDROME MIMICKING TOXIC EPIDERMAL NECROLYSIS IN A HEALTHY ADULT |
| title_full | STAPHYLOCOCCAL SCALDED SKIN SYNDROME MIMICKING TOXIC EPIDERMAL NECROLYSIS IN A HEALTHY ADULT |
| title_fullStr | STAPHYLOCOCCAL SCALDED SKIN SYNDROME MIMICKING TOXIC EPIDERMAL NECROLYSIS IN A HEALTHY ADULT |
| title_full_unstemmed | STAPHYLOCOCCAL SCALDED SKIN SYNDROME MIMICKING TOXIC EPIDERMAL NECROLYSIS IN A HEALTHY ADULT |
| title_short | STAPHYLOCOCCAL SCALDED SKIN SYNDROME MIMICKING TOXIC EPIDERMAL NECROLYSIS IN A HEALTHY ADULT |
| title_sort | staphylococcal scalded skin syndrome mimicking toxic epidermal necrolysis in a healthy adult |
| topic | SSSS TEN MRSA adult |
| url | http://www.odermatol.com/issue-in-html/2013-3-22-staphylococcal/ |
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