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Staphylococcal Scalded Skin Syndrome (SSSS) 
(aka Ritter disease)

#Staphylococcal #Scalded #Skin #Syndrome #SSSS #Diagnosis #Pediatrics #Dermatology #Ritter
Staphylococcal Scalded ... Skin Syndrome (SSSS ... Ritter disease) #Staphylococcal ... Skin #Syndrome #SSSS
Staphylococcal Scalded Skin Syndrome (SSSS) 
(aka Ritter disease) 
Nikolsky positive 
Clinical 
• Typically occurs 3 to
Staphylococcal Scalded ... Skin Syndrome (SSSS ... failure) #Staphylococcal ... Skin #Syndrome #SSSS ... Staphylococcus
Staphylococcal Scalded Skin Syndrome (SSSS)

A 5-year-old girl presents to the ED with a rash that started
Staphylococcal Scalded ... Skin Syndrome (SSSS ... #Staphylococcal ... Skin #Syndrome #SSSS
Erythematous Rashes - THE ALGORITHMIC APPROACH

Characterized by diffuse redness of the skin due to
capillary congestion, erythematous
in adults and staphylococcal ... skin syndrome (SSS
IDSA - Antimicrobial Therapy for Staphylococcal and Streptococcal Skin and Soft Tissue Infections
 • Impetigo (Staphylococcus
Antimicrobial Therapy for Staphylococcal ... • Impetigo (Staphylococcus ... Infections #SSTIs #Staphylococcal
IDSA Surgical Wound Infection Algorithm
Algorithm for the management and treatment of surgical site infections (SSIs). 
*For
site infections (SSIs ... methicillin-resistant Staphylococcus ... IDSA #management #SSIs
Common Childhood Exanthems - Differential Diagnosis
1) Rubeola (Measles) - Measles morbillivirus (MeV)
2) Scarlet Fever - Streptococcus
Rubella Virus 4) Staphylococcal ... Skin Syndrome - Staphylococcus
Transplant Infections Timeline
Pre-transplant:
 • Common bacteria (endogenous): Staphylococci (skin), Gram-negative bacilli (gut)
 • Viruses: HSV (reactivation)
Engraftment:
(endogenous): Staphylococci ... Streptococci (oral), Staphylococci ... Streptococcus pneumonia, Staphylococcus
Colonoscopy Followup Intervals 
10 years: Normal colonoscopy, ≥ 20 HP < 10mm
7-10 years: 1-2 adenomas <
-10 years: 1-2 SSPs ... adenomas < 10mm, 3-4 SSPs ... adenomas, 5-10 SSPs ... 10 adenomas SSPs
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Valve - Acute: • Staphylococcus ... streptococci • Staphylococcus ... gallolyticus • Staphylococcus ... aureus • Staphylococcus ... aureus • Staphylococcus