Staphylococcal scalded skin syndrome and toxic shock syndrome after tooth extraction - 24/04/13
, Michelle D. Hundley, MD b, Alexander Meves, MD a, James Hargreaves, DO b, Marian T. McEvoy, MD a, Mark R. Pittelkow, MD a
Reprint requests: Jerry D. Brewer, MD, Department of Dermatology, Mayo Clinic, 200 First St SW, Rochester, MN 55905.Abstract |
Staphylococcus aureus may cause cutaneous and systemic infections such as staphylococcal scalded skin syndrome (SSSS) and toxic shock syndrome (TSS). Although exfoliative toxins A and B, which cause SSSS, and TSS toxin-1 may be produced by different strains of S aureus, the two syndromes rarely occur simultaneously. We describe a patient admitted to the intensive care department with an exfoliative generalized erythroderma, signs of shock, and biopsy specimen findings consistent with SSSS. This patient presented after a tooth extraction. Symptoms recurred after dismissal, and he was readmitted. Subsequent test results were positive for exfoliative toxin B and TSS toxin-1, suggesting concurrent SSSS and TSS. For patients with acute, exfoliative, generalized erythroderma, TSS and SSSS should be considered. Although rare, it is possible to see both syndromes present concurrently.
Le texte complet de cet article est disponible en PDF.Abbreviations used : ET, ETA, ETB, SSSS, TSS, TSST
Plan
| Funding sources: None. |
|
| Conflicts of interest: None declared. |
Vol 59 - N° 2
P. 342-346 - août 2008 Retour au numéro
Article précédent
- July Iotaderma (#174)
- Robert I. Rudolph
- Unusual granulomatous variant of scleromyxedema
- Galina Y. Stetsenko, Jay C. Vary, John E. Olerud, Zsolt B. Argenyi
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?