Síndrome de piel escaldada estafilocócica en un lactante menor: reporte de un caso
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Fecha
2018
Autores
Chacín, Maricarmen
Bermúdez, Valmore
Bucete, Basilio
Rojas, Joselyn
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Editor
Sociedad Venezolana de Farmacología Clínica y Terapéutica
Resumen
El síndrome de piel escaldada estafilocócica es una entidad
descrita por primera vez en 1878 por Ritter Von Rittershain
quien la denominó dermatitis exfoliativa neonatal. Esta condición
pertenece a un grupo de patologías que son ocasionadas
por toxinas producidas por el Staphylococcus aureus
conocidas como exfoliatina A y B, que se caracteriza por lesiones
ampulosas generalizadas con denudación en áreas
de gran tamaño. No es una patología común, pero se observa
con más frecuencia en recién nacidos y niños menores
de 5 años.
El presente estudio describe un caso clínico de un lactante
menor trasladado por su madre al servicio de emergencias
por un cuadro clínico caracterizado por la aparición de rash
generalizado y posterior aparición de lesiones vesiculares
cuya presentación coincidió con el brote de fiebre por virus
Chikungunya (ChikV) reportado desde junio del 2014 en la
ciudad de Maracaibo.
The staphylococcal scalded skin syndrome (SSSS) is an entity first described by Ritter Von Rittershain in 1878 who called neonatal exfoliative dermatitis. This condition belongs to a group of diseases caused by Staphylococcus aureus toxins characterized causing vesicular skin lesions and large denudation areas. SSSS is not a common disease, but it is seen more frequently seen in infants and children less than five years. Its pathophysiological basis is supported on two epidermolitic toxins produced by Staphylococcus aureus known as exfoliatin A and B. The present study describes a clinical case of an infant patient transferred by his mother to the Emergency Service which was characterized by generalized rash and subsequent onset of vesicular lesions whose presentation occurred during Chikungunya fever virus outbreak of (CHIKV) reported since June 2014 in our city, Maracaibo.
The staphylococcal scalded skin syndrome (SSSS) is an entity first described by Ritter Von Rittershain in 1878 who called neonatal exfoliative dermatitis. This condition belongs to a group of diseases caused by Staphylococcus aureus toxins characterized causing vesicular skin lesions and large denudation areas. SSSS is not a common disease, but it is seen more frequently seen in infants and children less than five years. Its pathophysiological basis is supported on two epidermolitic toxins produced by Staphylococcus aureus known as exfoliatin A and B. The present study describes a clinical case of an infant patient transferred by his mother to the Emergency Service which was characterized by generalized rash and subsequent onset of vesicular lesions whose presentation occurred during Chikungunya fever virus outbreak of (CHIKV) reported since June 2014 in our city, Maracaibo.
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Palabras clave
Staphylococcus aureus, Exfoliatina, Fiebre Chikungunya, Dermatitis exfoliativa neonatal, Exfoliatin, Chikungunya fever, Neonatal exfoliative dermatitis