No Epidermis: Is it the drug, COVID-19 or Something Else?
- Author:
Vivian Tai
1
;
Chiaw Ting Tee
1
;
Min Moon Tang
1
Author Information
- Publication Type:Case Reports
- Keywords: Epidermal detachment; Toxic shock syndrome; Staphylococcus aureus; Staphylococcal scalded skin syndrome
- MeSH: Staphylococcal Infections; Shock, Septic
- From:Malaysian Journal of Dermatology 2022;48(Jun 2022):87-93
- CountryMalaysia
- Language:English
- Abstract: Summary:Staphylococcal toxic shock syndrome (TSS) is a clinical disease with acute onset of fever, rash, hypotension and multi-organ system involvement. Staphylococcal scalded skin syndrome (SSSS), mostly described in neonate and children, is a superficial blistering disease caused by the exfoliative toxin of specific strains of Staphylococcus aureus. TSS and SSSS rarely occur concurrently in adults. We here describe a 35-year-old woman who was initially referred to dermatology team as toxic epidermal necrolysis. She presented with a rapid epidermal detachment without mucosal involvement, fever and shock, associated with acute kidney injury and transaminitis, severe metabolic acidosis, complicated by COVID-19 infection, and finally succumbed within 36 hours of hospitalization. Early recognition and prompt treatment are the key factors in the management as TSS itself can lead to mortality. Staphylococcal TSS and SSSS are important differential diagnosis to consider in acute epidermal detachment, as not all cases are drug-induced.
- Full text:15.2022my0011.pdf
