title: Staphylococcal scalded skin syndrome in a premature newborn caused by methicillin-resistant Staphylococcus aureus: case report.
abstract: BACKGROUND
  Staphylococcal scalded skin syndrome is an exfoliative skin disease. Reports of this syndrome in newborns caused by methicillin-resistant Staphylococcus aureus are rare but, when present, rapid diagnosis and treatment is required in order to decrease morbidity and mortality.
  
  
  METHODS
  A premature newly born girl weighing 1,520 g, born with a gestational age of 29 weeks and 4 days, developed staphylococcal scalded skin syndrome on the fifth day of life. Cultures on blood samples collected on the first and fourth days were negative, but Pseudomonas aeruginosa and Enterococcus sp. (vancomycin-sensitive) developed in blood cultures performed on the day of death (seventh day), and Pseudomonas aeruginosa and Serratia marcescens were identified in cultures on nasopharyngeal, buttock and abdominal secretions. In addition to these two Gram-negative bacilli, methicillin-resistant Staphylococcus aureus was isolated in a culture on the umbilical stump (seventh day). The diagnosis of staphylococcal scalded skin syndrome was based on clinical criteria.
authors.affiliation: Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brasil.
authors.forename: Andreas
authors.initials: A
authors.lastname: Hörner
authors.affiliation: Department of Clinical and Toxicological Analyses, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brasil.
authors.forename: Rosmari
authors.initials: R
authors.lastname: Hörner
authors.affiliation: Hospital Universitário de Santa Maria, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brasil.
authors.forename: Adenilde
authors.initials: A
authors.lastname: Salla
authors.affiliation: Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brasil.
authors.forename: Melise Silveira
authors.initials: MS
authors.lastname: Nunes
authors.affiliation: Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brasil.
authors.forename: Litiérri Razia
authors.initials: LR
authors.lastname: Garzon
authors.affiliation: Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brasil.
authors.forename: Roberta Filipini
authors.initials: RF
authors.lastname: Rampelotto
authors.affiliation: Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brasil.
authors.forename: Rosiéli
authors.initials: R
authors.lastname: Martini
authors.affiliation: Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brasil.
authors.forename: Silvana Oliveira dos
authors.initials: SO
authors.lastname: Santos
authors.affiliation: Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brasil.
authors.forename: Lívia
authors.initials: L
authors.lastname: Gindri
authors.affiliation: Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brasil.
authors.forename: Mônica de Abreu
authors.initials: Mde A
authors.lastname: Rodrigues
authors.affiliation: Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brasil.
authors.forename: Cláudia
authors.initials: C
authors.lastname: Giacomolli
mesh_terms: D016470:Bacteremia; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000382:microbiology*; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D013206:Staphylococcal Scalded Skin Syndrome / Q000382:microbiology*