[Staphylococcal toxic syndrome, atypical presentation of Kawasaki syndrome or staphylococcal skin syndrome?].
METHODS
A three-year-old girl was admitted for persistent fever, erythermatous rash with subsequent desquamation, stomatitis, cheleitis and cervical lymphadenopathy following development of a buttock abscess secondary to an insect bite. A TSS-positive Staphylococcus aureus strain was isolated from the abscess.


CONCLUSIONS
Both clinical and bacteriological features led to discuss a "toxic shock syndrome without shock", an atypical form of Kawasaki syndrome without thrombocytosis and coronary arteritis or a staphylococcal skin syndrome. An early treatment with antibiotics could have limited the toxin production explaining both symptomatology and favourable course of the disease.
Odièvre
M H
MH
Service de pédiatrie générale, hôpital Louis-Mourier, 178, rue des Renouillers, 92701 Colombes, France. odievre.mh@wanadoo.fr
Valdès
L
L
Billiard
M
M
Weill
C
C
Michot
A S
AS
Olivier
C
C
D000038:Abscess / Q000188:drug therapy / Q000382:microbiology; D002081:Buttocks; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D009080:Mucocutaneous Lymph Node Syndrome / Q000175:diagnosis* / Q000188:drug therapy; D010404:Penicillin V / Q000627:therapeutic use; D010406:Penicillins / Q000627:therapeutic use; D012772:Shock, Septic / Q000188:drug therapy / Q000209:etiology; D013207:Staphylococcal Skin Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013997:Time Factors
D010406:Penicillins; D010404:Penicillin V
Syndrome toxinique staphylococcique, forme atypique de syndrome de Kawasaki ou scarlatine staphylococcique?