Staphylococcal Scalded Skin
Syndrome
What is staphylococcal scalded skin syndrome?Staphylococcal scalded skin syndrome is a response to a
staphylococcal infection and is characterized by peeling skin. The disease
mostly affects infants, young children, and individuals with a depressed
immune system or renal insufficiency. The disease can be life threatening.
What are the symptoms of staphylococcal scalded skin
syndrome?The following are the most common symptoms of staphylococcal
scalded skin syndrome. However, each child experiences symptoms
differently. The disease usually begins with a fever and redness of the
skin. Then, a fluid-filled blister may form. This blister ruptures very
easily, leaving an area of moist skin. Other symptoms may include the
following:
- crusted infection site, often around the nose or ears
- red, painful areas around infection site
- blistering
- fever
- chills
- weakness
- fluid loss
- top layer of skin begins peeling off in sheets
After the top layer of skin has peeled off, the following symptoms may
be present:
- fever
- chills
- weakness
- fluid loss
In newborns, the lesions are often found in the diaper area or around
the umbilical cord. Older children more commonly have the lesions on their
arms, legs, and trunk.
The symptoms of staphylococcal scalded skin syndrome may resemble other
skin conditions. Always consult your child's physician for a diagnosis.
How is staphylococcal scalded skin syndrome
diagnosed?In addition to a medical history and physical examination of
your child, the diagnosis may be confirmed with a biopsy (taking a tissue
sample to be examined under a microscope) and bacterial culture.
Treatment for staphylococcal scalded skin syndrome:Treatment usually requires hospitalization, often in the burn
unit of the hospital. Specific treatment for staphylococcal scalded skin
syndrome will be determined by your child's physician based on:
- your child's age, overall health, and medical history
- severity of the condition
- your child's tolerance of specific medications, procedures, or
therapies
- expectations for the course of the condition
- your opinion or preference
Treatment may include one, or both, of the following:
- oral antibiotics
- intravenous (IV), penicillin-type antibiotics
More Information
Schneider Children's Hospital
Division of Infectious Diseases
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