Staph Scalded Skin Syndrome
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þ Drugs
 - Mostly NOT MRSA (2007): use Clinda rather than Vanco

þ Blood Cultures
 - Usually + if strep
 - Usually - if staph

þ Toxic Shock Syndrome (TSS)
  <P-Food.TXT -Staph>
  - Strep (Group A) TSS: if Varicella AND strep TSS, high mortality

þ Synonyms:
 - Ritter's disease
 - dermatitis exfoliativa neonatorum

þ Rash of Staph Scalded Skin Syndrome
 - + Nikolsky sign (lateral skin pressure causing)
 - fisuring periorally, axilla, perineum
 - raw, weepy lesions

þ Treatment of Staph Scalded Skin Syndrome
 - admit for IV antistaph antibiotics
 - Penicillinase-resistant penicillins are considered standard therapy in
   cases of SSSS, but the prognosis is good even when antibiotics are not used.
 - Antibiotics have not been shown to alter the course of SSSS.
   Ref: Rosen 3rd ed. p 2405-6, Tintinalli 3rd ed. p 874

See also Toxic Epidermal Necrolysis (TEN): <TEN.TXT>