Transcript Alternate Edition with Diseases by Body System

Bubbling of Skin!
By:
Faith Efada
David Hernandez
Zenona Hammond
Case
6 year old girl admitted to hospital
 Acute Blistering of her left arm and hand
 Normal Vital signs
After Examination
 Burns were suspected


Conformation of non exposure to burning
agents
Differentials


Abuse
Burns









Chemical
Thermal
Contact Allergy Dermatis
Folliculitis
SSSS(Staphylococcal
Scalded Skin Syndrome)
Inpetigo
Toxic Epidermal
Necrolysis
Rhus Dermatitis
Urticaria
Questions
Has she been around poison ivy and oak?
 Does she have any allergies?
 Has she traveled anywhere recently?
 Do any of her family members have any
similar symptoms?
 Ask the child if her parents have hurt her
in any way.
 Is she allergic to any medications?
 Is she currently taking any medications?

What is it? And how do we know?

Staphylococcus Scalded Skin Syndrome

Staphylococcus aureus
 GPC
in Clusters
No Abuse
 Not been around poison ivy or oak


Contact Allergy/Rhus Dermatitis
Continued. . .
Not on any meds.
 No Necrosis



Toxic Epidermal Necrosis
Type 1 Hypersensitivity

Urticaria
SSSS

Exotoxin

A&B
 Oral/Nasal
Cavities
 Throat
 Umbilicus

Binding of toxin btwn cells forming a blister
Red Rash
 Separation of Epidermis


Granular Cell Layer
Tests

Culture

MSA
 Yellow

Gram Stain


GPC
Catalase & Coagulase

Positive
Portal of Entry
Person-to-person contact
 Enters skin

Cuts
 Wounds
 Any broken skin


Touching of infected areas can aid in
spreading
Prognosis

Mortality


Children very low 1-5%
Death

Secondary infection
Treatment

Sensitivity test results


Resistant
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Penicillin
Amoxicillin
Tetracycline
Cephalexin
Naficillin
Vancomycin

VRSA (Vancomycin
Resistant
Staphylococcus
Aureus)
Sensitive

Ciprofloxacin
Treatment Cont…
As if she were a burn patient
 Cleaning of the wounds
 Wrapping
 Monitoring Vitals
 Fluid input and output
 Nutrition

Prevention
Isolation
 Proper PPG
 Non-disposable items to use on a specific
individual
 Educate
 Out of school

Work Cited



Anderson, Douglas. Mosby’s Medical Dictionary.
St Louis: Mosby’s Inc., 2002.
Bauman, Robert. Microbiology: Alternate Edition
with Diseases by Body System. San
Francisco.Pearson Education Inc., 2006.
King, Randall, and de Saint Victor, Paul.
“Staphylococcal Scalded Skin Syndrome.”
emedicine Instant Access to the Mind of
Medicine. 1 April 2006.
http://www.emedicine.com/emerg/topic782.htm#
section~introduction