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Staphylococcal Scalded Skin Syndrome in a Healthy Adult
Author(s) -
Oyake Shinichi,
Ohi Tsunao,
Koga Michiyuki
Publication year - 2001
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/j.1346-8138.2001.tb00108.x
Subject(s) - staphylococcal scalded skin syndrome , desquamation , rash , medicine , staphylococcus aureus , dermatology , toxic shock syndrome , erythema , antibiotics , enterotoxin , microbiology and biotechnology , bacteria , biology , biochemistry , escherichia coli , gene , genetics
We report a case of staphylococcal scalded skin syndrome (SSSS) in a 65‐year‐old healthy woman. Fever, purulent conjunctivitis, and exfoliation of the skin in the gluteal region were noted. A scarlatiniform rash was observed on the body, and this erythema was followed by generalized desquamation. Staphylococcus aureus was isolated from her eye discharge, posterior nasopharynx, and the erosive surface of the skin. All the investigated strains produced exfoliative toxin B, but none produced toxic shock toxin‐1 (TSST‐1) or enterotoxin. The patient was treated with antibiotics and fluid supplementation, resulting in subsidence. This case is thought to have been caused by an abortive form of SSSS or a scarlatiniform variant, which is very rare in healthy adults.