E-ISSN 2149-9934
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A Case of Staphylococcal Scalded Skin Syndrome in A 1-Year Old Boy with Otitis Media
1 Department of Dermatology, Necmettin Erbakan University School of Medicine, Konya, Turkey  
2 Department of Pathology, Necmettin Erbakan University School of Medicine, Konya, Turkey  
JEMCR ; : -
DOI: 10.5152/jemcr.2018.2238
Key Words: Staphylococcal scalded skin syndrome, staphylococcus aureus, otitis media
Abstract

 

Introduction: Staphylococcal scalded skin syndrome(SSSS), also known as Ritter’s Disease, is a severe disease seen mostly in newborns and children younger than 5 years of age, and the mortality rate might reach to 4% despite of an appropriate treatment.Exfoliative toxins cause intraepidermal separation in the stratum granulosum and generate a condition that is characterized with widespread epidermolysis all over the body and bullae with positive Nikolsky’s sign. SSSS might be fatal due to loss of skin barrier. It is required to initiate anti-staphylococcal drug therapy immediately for the treatment of toxin-dependent disease which is the emergency of dermatology practices.

 

Case Report: A 1-year old boy was referred to dermatology clinic from pediatric emergency service with wide spreading rash all over the body, erosion and bullous formation that had been appeared in the inguinal region.Staphylococcal scalded skin syndrome was suspected in the case and skin biopsy was performed to confirm the diagnosis.He was hospitalized in Pediatric Infectious Diseases Service and the treatment of intravenous(i.v.) vancomycin(40 mg/kg/day) and 3 gr IVIG were added.

 

Conclusion: S aerius, a rather rare agent of otitis media, is remarkable in terms of causing the complication of SSSS, which is very rare.In our case report, we aimed to remark to this rare condition.

 

 

Cite this article as: Temiz SA, Özer İ, Ataseven A, Fındık S. A Case of Staphylococcal Scalded Skin Syndrome in A 1-Year Old Boy with Otitis Media. J Emerg Med Case Rep DOI: 10.5152/jemcr.2018.2238

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