Tropical Pyomyositis with Staphylococcal Scalded Skin Syndrome

Autor: YS Sarma, SK Kathuria, Manas Chatterjee, GL Tiwari, Atul Gupta
Rok vydání: 2004
Předmět:
Zdroj: Medical Journal Armed Forces India. 60:302-304
ISSN: 0377-1237
DOI: 10.1016/s0377-1237(04)80073-x
Popis: Tropical Pyomyositis (TP) is a bacterial infection of skeletal muscle, more commonly seen in the tropics, characterised by muscle pain and swelling. It is being increasingly recognized in temperate climates as well, wherein 60% of patients are immunocompromised. Staphylococcus aureus is the predominant causative organism in over 80% of cases [1]. A number of other organisms are also found with increasing frequency in nontropical and HIV-associated cases. Early diagnosis and correct management are imperative in this potentially fatal disorder and requires a high degree of clinical suspicion [2]. Staphylococcal Scalded Skin Syndrome (SSSS) is a vesiculobullous disorder commonly occurring in children under the age of five years but rarely in adults having immunosuppression, overwhelming sepsis and kidney failure. Even a distant focus of infection with Staphylococcus (most commonly phage group II) causes damage to the skin by epidermolytic toxin (exfoliatin). A rare instance of an adult with TP caused by methicillin-resistant S aureus (MRSA) causing SSSS while on antibiotic therapy in hospital is reported.
Databáze: OpenAIRE