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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 342-346 |
| Number of pages | 5 |
| Journal | Journal of the American Academy of Dermatology |
| Volume | 59 |
| Issue number | 2 |
| DOIs | |
| State | Published - Aug 2008 |
Fingerprint
ASJC Scopus subject areas
- Dermatology
Cite this
Staphylococcal scalded skin syndrome and toxic shock syndrome after tooth extraction. / Brewer, Jerry D.; Hundley, Michelle D.; Meves, Alexander; Hargreaves, James; McEvoy, Marian T.; Pittelkow, Mark R.
In: Journal of the American Academy of Dermatology, Vol. 59, No. 2, 08.2008, p. 342-346.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Staphylococcal scalded skin syndrome and toxic shock syndrome after tooth extraction
AU - Brewer, Jerry D.
AU - Hundley, Michelle D.
AU - Meves, Alexander
AU - Hargreaves, James
AU - McEvoy, Marian T.
AU - Pittelkow, Mark R.
PY - 2008/8
Y1 - 2008/8
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=47049122981&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=47049122981&partnerID=8YFLogxK
U2 - 10.1016/j.jaad.2008.02.032
DO - 10.1016/j.jaad.2008.02.032
M3 - Article
VL - 59
SP - 342
EP - 346
JO - Journal of the American Academy of Dermatology
JF - Journal of the American Academy of Dermatology
SN - 0190-9622
IS - 2
ER -