Staphylococcal scalded skin syndrome in adults. A clinical review illustrated with a new case.

Abstract:

:Staphylococcal scalded skin syndrome is rarely observed in adults; only 32 cases have been reported. In contrast to infant cases, the mortality rate is high. Two major risk factors have been identified: kidney failure and immunosuppression. In adults, clinical features are similar to those of the typical pediatric disease, but blood cultures are often positive for Staphylococcus aureus. Detection of the exfoliative toxin is required for diagnosis; the newborn mouse bioassay is, therefore, usually performed. New immunologic methods allow precise characterization of the toxins and oligonucleotide probes can be used for rapid detection of toxigenic strains. We report a case of staphylococcal scalded skin syndrome in an immunocompetent adult in whom blood cultures were positive; this is the first case in which both exfoliative toxins A and B have been identified in an adult.

journal_name

J Am Acad Dermatol

authors

Cribier B,Piemont Y,Grosshans E

doi

10.1016/s0190-9622(94)70032-x

subject

Has Abstract

pub_date

1994-02-01 00:00:00

pages

319-24

issue

2 Pt 2

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(94)70032-X

journal_volume

30

pub_type

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