Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
- Children between 2-5 years of age are particularly affected
- Most common bacterial disease in children
- Can cause endemics in schools and kindergartens
- Predisposing factors:
- Atopic eczema
- Wind pox
- Warm, humid climate
- Living with many people
- Poor hygiene
- Staphylococci produce exfoliative toxins which act as serine proteases attacking desmoglein 1. This causes acantholysis of the str. granulosum (also called localised staphylococcal scalded skin syndrome or staphylogenic Lyell syndrome)
- Non-bullous form
- Bullous form
- Primary infections: Infestation of healthy skin
- Secondary infections (impetiginisation): infestation of previously damaged skin (injuries, atopic eczema, scabies etc.)
- Incubation period: 2-10 days
- Transmission occurs through smear infection or direct body contact. In rare cases, objects may also serve as a source of infection. Continuous sniffing can damage the skin and facilitate infection
- Bact. smear
- ASL titer, ASO titer
- U status (e.g. of glomerulonephritis), follow-up after 2-4 weeks recommended
- In adults, HIV infection should be excluded
- Post-infectious glomerulonephritis
- Rheumatic fever
- Purulent conjunctivitis
- Otitis media
Remediate nasal vestibule, strengthen personal hygiene
Healing after 1-2 weeks.
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