title: Staphylococcal scalded skin syndrome in an adult associated with methicillin-resistant Staphylococcus aureus.
abstract: We report the first adult case of staphylococcal scalded skin syndrome (SSSS) due to methicillin-resistant Staphylococcus aureus (MRSA). This case is particularly unusual as the MRSA produced toxic shock syndrome toxin 1 and enterotoxin, but not exfoliatoxin. SSSS was originally described in neonates and is thought to result from exfoliatins which produce subcorneal splitting of the epidermis and are only produced by certain strains of S. aureus. This case reflects the range of toxins that can be associated with SSSS and the clinical manifestations of MRSA infection in adult patients.
authors.affiliation: Department of Dermatology, Ealing Hospital Uxbridge Road, Middlesex UB1 3HW, UK.
authors.forename: K M
authors.initials: KM
authors.lastname: Acland
authors.forename: A
authors.initials: A
authors.lastname: Darvay
authors.forename: C
authors.initials: C
authors.lastname: Griffin
authors.forename: S A
authors.initials: SA
authors.lastname: Aali
authors.forename: R
authors.initials: R
authors.lastname: Russell-Jones
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D012772:Shock, Septic; D013206:Staphylococcal Scalded Skin Syndrome / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology*; D013208:Staphylococcal Toxoid / Q000032:analysis; D013211:Staphylococcus aureus
chemical_list: D013208:Staphylococcal Toxoid