Mikkelsen Carsten Sauer, Mikkelsen Dorthe Bisgaard, Jensen Thøger Gorm, Vestergaard Vibeke
Odense Universitetshospital, Dermatovenereologisk Afdeling, Denmark.
Ugeskr Laeger. 2010 Mar 1;172(9):717-9.
We describe a case of adult staphylococcal scalded skin syndrome (SSSS) in a 91-year-old woman. The patient had a Staphylococcus aureus infection in her right ear with redness and yellow secretion. A few days later she developed Nikolsky sign-positive tender enlarged flaccid bullae involving most parts of her body. The bullae ruptured easily and left a erythematous base. The histopathological changes were characteristic for adult SSSS. The patient was well-treated with intravenous dicloxacillin, topical antibiotic and antiseptic treatment. The patient had marked thrombocytosis, but no interest in further examination.
我们描述了一例91岁女性成人葡萄球菌性烫伤样皮肤综合征(SSSS)。患者右耳发生金黄色葡萄球菌感染,伴有发红和黄色分泌物。几天后,她出现尼氏征阳性的触痛性肿大松弛水疱,累及身体大部分部位。水疱容易破裂,留下红斑基底。组织病理学变化是成人SSSS的特征性表现。患者接受了静脉注射双氯西林、局部抗生素和防腐治疗,病情得到良好控制。患者有明显的血小板增多症,但对进一步检查不感兴趣。