Staphylogenic scarlet feverA48.3

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Nonmenstrual staphylococcal toxic shock syndrome; Non-menstrual staphylogenic toxin shock syndrome; SSF; Staphylococcal scarlet Fever; Staphylococcus-associated TSS

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HistoryThis section has been translated automatically.

Dukes 1900; Stevens 1927

DefinitionThis section has been translated automatically.

Rare infectious skin disease caused by the staphylococcal toxins SEB, SEA, SEG, SEI, TSST-1 (toxic shock syndrome toxin 1) (see exfoliatins below)

EtiopathogenesisThis section has been translated automatically.

The disease has been described in connection with otitis media or purulent pharyngitis (Mun SJ et al. 2019; Andrey DO et al. 2015; Lu YC et al. 2011). Furthermore, staphylogenic infections after insect bites, after intra-articular injections or bursitis can be causative.

ManifestationThis section has been translated automatically.

Affected are mainly children with an age peak around the age of 3 years. Only rarely are adults affected (Mun SJ et al. 2019)

Clinical featuresThis section has been translated automatically.

Maculopapular exanthema. No enanthema (!). No blistering or exfoliation. Skin lesions are morphologically indistinguishable from a scarlet exanthema. Not infrequently multiple small abscesses of the skin can occur.

Differential diagnosisThis section has been translated automatically.

Staphylogenic scarlet fever (SSF), also known as non-menstrual staphylogenic toxin shock syndrome, differs from staphylogenic toxin shock syndrome (STSS) in that it is caused by a variety of very different factors. TSST-1 is the triggering erythrogenic toxin in only 50% of cases.

Note(s)This section has been translated automatically.

The disease is considered a (non-menstrual) minus variant of STSS (Godoy Gijón E et al. 2010).

LiteratureThis section has been translated automatically.

  1. Andrey DO et al (2015) Unusual staphylococcal toxic shock syndrome presenting as a scarlet-like fever. New Microbes New Infect 8:10-13.
  2. Feldman CA (1962) Staphylococcal scarlet fever. N Engl J Med 267:877-878.
  3. Godoy Gijón E et al. (2010) Scarlet fever variant of staphylococcal scalded skin syndrome.An Pediatr (Barc) 72:434-435.
  4. Lu YC et al (2011) Scarlet fever caused by community-associated methicillin-resistant Staphylococcus aureus. Indian Pediatrics 48:563-565.
  5. Mun SJ et al (2019) Staphylococcal scarlet fever associated with staphylococcal enterotoxin M in an elderly patient.Int J Infect Dis 85:7-9.

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer