Staphylococcal-Scalded Skin Syndrome

Abstract

Staphylococcal-scalded skin syndrome (SSSS) is also known as Ritter's disease. The symptoms produced by the strains of staphylococcus occur due to exfoliative toxins. Here, we have presented a case series of four children aged <2 years, who were admitted in MGM Medical College and Hospital, Aurangabad, for fever in association with superficial fluid-filled lesions leaving large denuded areas behind Nikolsky's sign – positive. The mucosal area was spared. Blood culture served as diagnostic test, besides clinical history and examination. All the children were treated with cephalosporin and responded well. Hydration was maintained with topical mupirocin over the eroded areas. A high degree of suspicion has to be there for SSSS. We emphasize the importance of interdisciplinary management, association with dermatologist, pediatrics, and plastic surgeon for better outcome. Although considered rare, we came across four cases of SSSS with classical presentation.