Staphylococcal scalded skin syndrome: case report
DOI:
https://doi.org/10.11606/issn.1679-9836.v101i6e-189509Keywords:
Scalded skin syndrome., Staphylococcy., Nurseling., Impetigo.Abstract
Staphylococcal scalded skin syndrome is a bullous disorder induced by exfoliative toxins associated with Staphylococcus aureus infection, its exact mechanism of which is still uncertain, manifesting itself with the formation of diffuse bullous lesions throughout the body, that usually affects children under 5 years. The case reported presents a 4-month-old child who presented skin lesions of recent onset, with hyperemia and blisters on the trunk, upper limbs and face, which evolved with scaling, in addition to peripalpebral edema, bilateral eye secretion and crusts in the perioral region. The prognosis is favorable and the treatment consists of systemic or oral antibiotic therapy, in addition to supportive therapy in the presence of hydroelectrolytic changes and thermoregulation. As the patient had improved lesions and was in good general condition, the scheme was replaced by Sulfamethoxazole + Trimethoprim, after the antibiogram showed sensitivity, for another 7 days on an outpatient basis. The patient presented good response to treatment and evolved without scars.
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References
Kliegman MR, Stanton BMD, Geme JS, Schor NF, Behrman RE. Nelson tratado de pediatria. 19ª ed. Rio de Janeiro: Elsevier; 2011.
Cardoso FA, Neves RNP, Fernandes CAA, Oliveira Lopes MO, Romanini AM. Síndrome da pele escaldada estafilocócica em um adulto com endocardite infecciosa: relato de caso e revisão de literatura. Rev Bras Terap Intens. 2002:14(4):124-128. Disponível em: http://www.amib.com.br/rbti/download/artigo_2010712152047.pdf
Souza FC, Feilstrecker S, Hubner IB. Síndrome da pele escaldada: relato de caso. Bol Cient Pediatria. 2015;4(2):49-51. Disponível em: https://www.sprs.com.br/sprs2013/bancoimg/160107101739bcped_v4_n2_a6.pdf.
Pellenz C, Garcia PCR. Síndrome da pele escaldada estafilocócica em crianças. Sci Med. 2004;14(4):346-50. Disponível em: https://www.sprs.com.br/sprs2013/bancoimg/160107101739bcped_v4_n2_a6.pdf
Souza CS. Infecções de tecidos moles - erisipela. Celulite. Síndromes infecciosas mediadas por toxinas. Medicina (Ribeirão Preto). 2003;36:351-6. doi: https://doi.org/10.11606/issn.2176-7262.v36i2/4p351-356
Ross A, Shoff HW. Staphylococcal scalded skin syndrome. StatPearls.net. 2022 january [cited Aug 01, 2021]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448135/
Brazel M, Desai A, Are A, Motaparthi K. Staphylococcal scalded skin syndrome and bullous impetigo. Medicina. 2021;57(11):1157. https://doi.org/10.3390/medicina57111157
Iguchi A, Aoki Y, Kitazawa K. Vancomycin for severe staphylococcal scalded skin syndrome. J Paediatr Child Health. 2021;57(5):747-748. doi: 10.1111/jpc.15027
Yang T, Wang J, Cao J, Zhang X, Lai Y, Li L, Ye X, You C. Antibiotic-resistant profile and the factors affecting the intravenous antibiotic treatment course of generalized Staphylococcal Scalded Skin Syndrome: a retrospective study. Ital J Pediatr. 2021;47(1):169. doi: 10.1186/s13052-021-01120-6
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Copyright (c) 2022 Rebeca dos Santos Veiga do Carmo, Tatiana Vargas Queiroz Verdan, Ana Maria Esteves Cascabulho, Ana Paula Machado Frizzo, Tarcílio Machado Pimentel , Luiza Ramos Kelly Lessa, Maria Irene Rocha Bastos Tinoco, Rafaela Reis Bartels , Mariana Dias Pillo
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