Staphylococcal scalded skin syndrome with prosthetic valve endocarditis.
We report staphylococcal scalded skin syndrome (SSSS) in a 67-year-old man. He showed diffuse erythema with erosion on his face and erythema with giant desquamation on his neck, axilla, genitalia, chest and abdomen 39 days after a coronary artery bypass graft and aortic valve replacement. He died of cardiac rupture caused by myocardial necrosis, and autopsy findings demonstrated prosthetic valve endocarditis due to a strain of exfoliative toxin-B producing methicillin-resistant Staphylococcus aureus. To the best of our knowledge, this is the first case of SSSS caused by prosthetic valve endocarditis.
Ansai
S I
SI
Division of Dermatology, Yamagata Prefectural Nihon-kai Hospital, Sakata, Yamagata, 998-8501, Japan. shinchan@nihonkai.gr.jp
Shimanuki
T
T
Uchino
H
H
Nakamura
C
C
Arai
S
S
D000368:Aged; D001707:Biopsy, Needle; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D017809:Fatal Outcome; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D007564:Japan; D008297:Male; D016106:Methicillin Resistance; D016459:Prosthesis-Related Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D013206:Staphylococcal Scalded Skin Syndrome / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification*