Download staph scalded skin syndrome (ssss)

STAPH SCALDED SKIN SYNDROME (SSSS)
Exotoxins (epidermolytic toxins A & B)
Ritter's disease or Lyell's disease when it appears in newborns or young infants
Mostly in children < 5 years, particularly neonates
(Ab acquired in early years = protective for older kids/adults)
Immunocompromised = also at risk
CLINICAL:
fever, irritability and widespread redness of the skin
24-48 hours fluid-filled blisters form. These rupture easily, leaving an area that looks
like a burn
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Characteristics of the rash include:
* Tissue paper-like wrinkling of the skin is followed by the appearance of large
fluid-filled blisters (bullae) in the armpits, groin and body orifices such as the nose
and ears.
* Rash spreads to other parts of the body including the arms, legs and trunk. In
newborns, lesions are often found in the diaper area or around the umbilical cord.
* Top layer of skin begins peeling off in sheets, leaving exposed a moist, red and
tender area.
Other symptoms may include tender and painful areas around the infection site,
weakness, and dehydration
DIAGNOSIS:
Clinical – characteristc rash
Culture – of swab/tissue
TREATMENT:
IV Flucloxacillin
Other supportive treatments include:
* Paracetamol when necessary for fever and pain.
* Maintaining fluid and electrolyte intake.
* Skin care (the skin is often very fragile)
PROGNOSIS:
Although the outward signs of SSSS look bad, children generally recover well and
healing is usually complete within 5-7 days of starting treatment.
COMPLICATIONS:
Severe infections such as sepsis, cellulitis, and pneumonia may develop.
Death can follow severe infection