Staphylococcal Scalded Skin Syndrome
Description
● Commonly seen in infancy and early childhood
Cause
● Production of a circulating epidermolytic toxin from phage group II, benzylpenicillin-resistant (coagulase positive) staphylococci
Presentation
● Develops within a few hours to a few days, and may be worse over the face, neck, axillae or groins
● A scald-like skin appearance is followed by large flaccid bulla
● Perioral crusting is typical
● There is intraepidermal blistering in this condition
● Lesions are very painful
● Sometimes the eruption is more localised
● Recovery is usually within 5-7 days
Management
● Antibiotics (e.g. a systemic penicillinase-resistant penicillin, fusidic acid, erythromycin or appropriate cephalosporin)
● Analgesia
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