Skin Findings of Impetigo Neonatorum and Staphylococcal Scalded Skin Syndrome

A 4-week-old male infant presented with 5 days of honey-crusted facial rash (Figure A). He was admitted to a local children ’s hospital to initiate therapy. Initial intravenous line placement attempts triggered Nikolskys sign, with skin exfoliation at sites of lateral pressure on the patient’s feet (Figure B). Over the next two days, skin desquamation progressed over the legs and torso. A facial swab grew abundant me thicillin-susceptible Staphylococcus aureus (MSSA), supporting the diagnosis of local impetigo neonatorum with disseminated, toxin-mediated Staphylococcal scalded skin syndrome (SSSS).

Source: The Journal of Pediatrics - August 14, 2022 Category: Pediatrics Authors: Elizabeth A. Daniels, David A. Rosen Tags: Rediscovering the Physical Exam Source Type: research