BÁO CÁO CA BỆNH: HỘI CHỨNG BONG VẢY DA DO TỤ CẦU Ở BỆNH NHÂN THỦY ĐẬU SƠ SINH

Abstract

Introduction: Staphylococcal scalded skin syndrome (SSSS) is an acute skin infection caused by Staphylococcal aureus strains of types 3A, 3B, 3C, 55 and 71. They can release exotoxins that cause skin desquamation (exfoliative toxin - ET). SSSS is predominantly seen in children younger than 5 years with a peak age being reported in children under 3 months of age, especially severe neonatal conditions. Chickenpox in newborns is rare but dangerous due to their weak resistance. There are common causes such as transmission from a mother with chickenpox, or from relatives via skin contact or respiratory pathways. We report a case of Staphylococcal scalded skin syndrome from chickenpox in neonates. Case report: A full-term male neonate, his mother presented with chickenpox on day 8 postpartum, he started with chickenpox on day 19 of life. Four days later, his skin lesions worsen with staphylococcal scalded skin syndrome. The neonate was treated with broad-spectrum antibiotics, intravenous antivirals, analgesics, intensive skin care, electrolyte balance. The child was discharged after 10 days hospitalization with stable systemic condition.