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KMID : 1143020180230040271
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Archives of Hand and Microsurgery
2018 Volume.23 No. 4 p.271 ~ p.276
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Staphylococcal Scalded Skin Syndrome in a Healthy Adult: Easy to Misdiagnose
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Kim Hong-Il
Kwak Chan-Yee
Park Eon-Ju
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Abstract
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A 60-year-old male presented with a three-month history of redness and swelling on his left little finger. His medical history was not informative. Wound culture revealed methicillin-resistant Staphylococcus aureus. After vancomycin administration, the skin lesions became worse and whole body bullae and desquamation occurred. This was initially suspected to be a drug eruption; thus, we switched antibiotics from vancomycin to teicoplanin. However, biopsy revealed Staphylococcal scalded skin syndrome (SSSS). After several days, generalized skin symptoms improved. The patient recovered and is in good physical health without recurrence six months later. We describe a localized form of SSSS, which is very rare in healthy adults. Consequently, there is a high risk of misdiagnosis. Thus, we report a rare case of SSSS in a healthy adult and the importance of early histological examination for accurate diagnosis.
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KEYWORD
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Cellulitis, Drug eruption, Staphylococcal scalded skin syndrome, Vancomycin
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