Staphylococcal scalded skin syndrome in a preterm newborn presenting within first 24 h of life.
A preterm neonate was noted to have diffuse blanching erythema around the mouth followed by appearance of bullous lesions on the upper back, lower neck and right scapular areas at 23 h of life. The bullae subsequently ruptured leaving an extremely tender, erythematous, denuded area of the skin, which extended over next few hours to involve most of the upper back and right shoulder regions. Nikolsky sign was positive. Clinical diagnosis of staphylococcal scalded skin syndrome was made. The throat, blood, urine and cerebrospinal fluid cultures did not yield any growth, but wound culture was positive for Staphylococcus aureus. Treatment included administration of intravenous fluids and vancomycin for 10 days. The wound area was covered with vaseline and sterile gauge dressings. On day 5 of life, epithelialisation began and was complete on the seventh day of life. She was discharged home with intact skin, without scars, on day 12 of life.
The Carman and Ann Adams Department of Pediatrics, Division of Infectious Diseases, Wayne State University, School of Medicine, Detroit Medical Center, Children's Hospital of Michigan, Detroit, Michigan, United States. premarora96@yahoo.com
Prem
P
Arora
Vaneet Kumar
VK
Kalra
Sharayu
S
Rane
Eric J
EJ
McGrath
Ricardo
R
Zegarra-Linares
Sanjay
S
Chawla
D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D013206:Staphylococcal Scalded Skin Syndrome / Q000473:pathology; D013997:Time Factors