Journal of Nepal Medical Association (Sep 2024)
Pediatric Staphylococcal Scalded Skin Syndrome Complicated by Methicillin-Resistant Staphylococcus Aureus and Steroid Abuse: A Case Report
Abstract
Staphylococcal Scalded Skin Syndrome is a severe exfoliative skin condition primarily affecting children, caused by the toxins produced by Staphylococcus aureus. A pediatric patient presented with a two-week history of pruritic vesiculobullous eruptions that progressively worsened. Despite initial treatments with various topical and oral medications including steroid and antibiotic ointments, the lesions continued to progress. A wound culture identified heavy growth of Methicillin-Resistant Staphylococcus aureus, prompting a change in the treatment regimen, resulting in significant clinical improvement. The successful outcome with appropriate antibiotic therapy highlights the need for a multidisciplinary approach and emphasizes the value of culture and sensitivity testing in guiding effective treatment strategies.
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