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Staphylococcal scalded skin syndrome with prosthetic valve endocarditis


European Journal of Dermatology. Volume 10, Number 8, 630-2, December 2000, Cas cliniques

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Author(s) : S.I. Ansai, T. Shimanuki , H. Uchino, C. Nakamura, S. Arai

Summary : We report staphylococcal scalded skin syndrome (SSSS) in a 67-year-old man. He showed diffuse erythema with erosion on his face and erythema with giant desquamation on his neck, axilla, genitalia, chest and abdomen 39 days after a coronary artery bypass graft and aortic valve replacement. He died of cardiac rupture caused by myocardial necrosis, and autopsy findings demonstrated prosthetic valve endocarditis due to a strain of exfoliative toxin-B producing methicillin-resistant Staphylococcus aureus. To the best of our knowledge, this is the first case of SSSS caused by prosthetic valve endocarditis.

Keywords : endocarditis, methicillin-resistant Staphylococcus aureus, prosthetic valve endocarditis, staphylococcal scaled skin syndrome.

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