Staphylococcal scalded skin syndrome in a preterm newborn presenting within first 24 h of life

Prem Arora, Vaneet K Kalra, Sharayu Rane, Eric J. McGrath, Ricardo Zegarra-Linares, Sanjay Chawla

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
JournalBMJ Case Reports
DOIs
StatePublished - Jan 1 2011
Externally publishedYes

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Staphylococcal Scalded Skin Syndrome
Blister
Petrolatum
Skin
Wounds and Injuries
Vancomycin
Erythema
Bandages
Pharynx
Intravenous Administration
Cicatrix
Cerebrospinal Fluid
Mouth
Staphylococcus aureus
Neck
Urine
Growth

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Staphylococcal scalded skin syndrome in a preterm newborn presenting within first 24 h of life. / Arora, Prem; Kalra, Vaneet K; Rane, Sharayu; McGrath, Eric J.; Zegarra-Linares, Ricardo; Chawla, Sanjay.

In: BMJ Case Reports, 01.01.2011.

Research output: Contribution to journalArticle

Arora, Prem ; Kalra, Vaneet K ; Rane, Sharayu ; McGrath, Eric J. ; Zegarra-Linares, Ricardo ; Chawla, Sanjay. / Staphylococcal scalded skin syndrome in a preterm newborn presenting within first 24 h of life. In: BMJ Case Reports. 2011.
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