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Journal of Clinical Microbiology, October 1998, p. 3057-3059, Vol. 36, No. 10
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.

Staphylococcal Scalded-Skin Syndrome Complicating Wound Infection in a Preterm Infant with Postoperative Chylothorax

Bjoern Peters,1 Juliane Hentschel,1 Harald Mau,2 Elke Halle,3 Wolfgang Witte,4 and Michael Obladen1,*

Department of Neonatology,1 Department of Pediatric Surgery,2 and Department of Microbiology,3 Charité-Virchow Hospital, Humbold University, Berlin, and Branch of the Robert Koch Institute, Staphylococcal Reference Center, Wernigerode,4 Germany

Received 9 March 1998/Returned for modification 17 April 1998/Accepted 14 June 1998

The course of infection in a 3-week-old premature newborn suffering from extensive dermatitis with flaccid blisters is described. Staphylococcus aureus was recovered from a local wound infection around a chest tube inserted to drain a postoperative chylothorax. The strain isolated tested positive for the eta gene for exfoliative toxin A, the causative agent of staphylococcal scalded-skin syndrome (SSSS). In this case, prematurity and loss of chylus with consecutive lymphopenia may have contributed to development of SSSS.


* Corresponding author. Mailing address: Department of Neonatology, Charité-Virchow Hospital, Augustenburger Platz 1, D-13353 Berlin, Germany. Phone: 49-30-45066122. Fax: 49-30-45066922. E-mail: bpeters{at}ukrv.de.


Journal of Clinical Microbiology, October 1998, p. 3057-3059, Vol. 36, No. 10
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.



This article has been cited by other articles:

  • Makhoul, I. R., Kassis, I., Hashman, N., Sujov, P. (2001). Staphylococcal Scalded-Skin Syndrome in a Very Low Birth Weight Premature Infant. Pediatrics 108: e16-16 [Abstract] [Full Text]