Neonatal Med.  2019 Aug;26(3):174-178. 10.5385/nm.2019.26.3.174.

Sequential Cases of Staphylococcal Scalded Skin Syndrome in Very Low Birth Weight Infants

• Kim YJ
• Choi JH
• Yoon YM

• KMID: 2457186
• DOI: http://doi.org/10.5385/nm.2019.26.3.174

Abstract

Staphylococcal scalded skin syndrome (4S) is an exfoliative skin disease caused by Staphylococcus aureus toxins. 4S usually has a benign course in young infants and children; however, it could be fatal in preterm infants, especially very low birth weight infants. We experienced two sequential 4S cases that occurred in the neonatal intensive care unit. One of the patients had complications such as bacteremia and acute kidney injury.

Keyword

Staphylococcal scaled skin syndrome; Infant, premature; Intensive care units, neonatal

MeSH Terms

Acute Kidney Injury
Bacteremia
Child
Humans
Infant*
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight*
Intensive Care Units, Neonatal
Intensive Care, Neonatal
Skin Diseases
Staphylococcal Scalded Skin Syndrome*
Staphylococcus aureus

Figure

• 

  Figure 1. Placement of a continuous positive-airway pressure mask over a lesion with extensive skin peeling (use of the photo was permitted by the parents).

• 

  Figure 2. Placement of an arterial line catheter in a positive Nikolsky sign (A) and heel puncture site (B).

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