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Infection control consequences – early Staphylococcal Scalded Skin Syndrome or Kawasaki Syndrome?

Childhood exanthemata are caused by a broad spectrum of common pathogens. Many exanthemata initially present very similarly, even though caused by different organisms, ranging from virus to bacteria and their respective toxins. In the majority of cases the diagnosis is only of academic value, since...

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Detalles Bibliográficos
Autores principales: Assadian, Afshin, Assadian, Ojan, Simon, Arne, Kramer, Axel
Formato: Texto
Lenguaje:English
Publicado: German Medical Science GMS Publishing House 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831247/
https://www.ncbi.nlm.nih.gov/pubmed/20204087
http://dx.doi.org/10.3205/dgkh000130
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author Assadian, Afshin
Assadian, Ojan
Simon, Arne
Kramer, Axel
author_facet Assadian, Afshin
Assadian, Ojan
Simon, Arne
Kramer, Axel
author_sort Assadian, Afshin
collection PubMed
description Childhood exanthemata are caused by a broad spectrum of common pathogens. Many exanthemata initially present very similarly, even though caused by different organisms, ranging from virus to bacteria and their respective toxins. In the majority of cases the diagnosis is only of academic value, since therapy does hardly differ. However, in some cases accurate and prompt diagnosis is paramount, since therapy and appropriate hygiene measures prevent morbidity and mortality. We present a case with two differential diagnoses, Staphylococcal Scalded Skin Syndrome and Kawasaki Syndrome, which demonstrates the importance of considering relatively rare conditions as the cause of a childhood exanthema and discuss differences in therapeutic and infection control management. From an infection control point of view, Staphylococcal Scalded Skin Syndrome is, in contrast to Kawasaki Syndrome, highly transmittable to other paediatric patients via the hands of the staff. Therefore maintaining correct hand hygiene as well as other infection control measures are of importance until the final diagnosis is established.
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spelling pubmed-28312472010-03-04 Infection control consequences – early Staphylococcal Scalded Skin Syndrome or Kawasaki Syndrome? Assadian, Afshin Assadian, Ojan Simon, Arne Kramer, Axel GMS Krankenhhyg Interdiszip Article Childhood exanthemata are caused by a broad spectrum of common pathogens. Many exanthemata initially present very similarly, even though caused by different organisms, ranging from virus to bacteria and their respective toxins. In the majority of cases the diagnosis is only of academic value, since therapy does hardly differ. However, in some cases accurate and prompt diagnosis is paramount, since therapy and appropriate hygiene measures prevent morbidity and mortality. We present a case with two differential diagnoses, Staphylococcal Scalded Skin Syndrome and Kawasaki Syndrome, which demonstrates the importance of considering relatively rare conditions as the cause of a childhood exanthema and discuss differences in therapeutic and infection control management. From an infection control point of view, Staphylococcal Scalded Skin Syndrome is, in contrast to Kawasaki Syndrome, highly transmittable to other paediatric patients via the hands of the staff. Therefore maintaining correct hand hygiene as well as other infection control measures are of importance until the final diagnosis is established. German Medical Science GMS Publishing House 2009-12-16 /pmc/articles/PMC2831247/ /pubmed/20204087 http://dx.doi.org/10.3205/dgkh000130 Text en Copyright © 2009 Assadian et al. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free to copy, distribute and transmit the work, provided the original author and source are credited.
spellingShingle Article
Assadian, Afshin
Assadian, Ojan
Simon, Arne
Kramer, Axel
Infection control consequences – early Staphylococcal Scalded Skin Syndrome or Kawasaki Syndrome?
title Infection control consequences – early Staphylococcal Scalded Skin Syndrome or Kawasaki Syndrome?
title_full Infection control consequences – early Staphylococcal Scalded Skin Syndrome or Kawasaki Syndrome?
title_fullStr Infection control consequences – early Staphylococcal Scalded Skin Syndrome or Kawasaki Syndrome?
title_full_unstemmed Infection control consequences – early Staphylococcal Scalded Skin Syndrome or Kawasaki Syndrome?
title_short Infection control consequences – early Staphylococcal Scalded Skin Syndrome or Kawasaki Syndrome?
title_sort infection control consequences – early staphylococcal scalded skin syndrome or kawasaki syndrome?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831247/
https://www.ncbi.nlm.nih.gov/pubmed/20204087
http://dx.doi.org/10.3205/dgkh000130
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