51:
196:
from blood, mucous membranes, or skin biopsy; however, these are often negative. Skin biopsy may show separation of the superficial layer of the epidermis (intraepidermal separation), differentiating SSSS from TEN, wherein the separation occurs at the dermo-epidermal junction (subepidermal
124:
Children with SSSS may exhibit fussiness or irritability, tiredness, fever, redness of the skin, easily broken fluid-filled blisters that leave an area of moist, tender, painful skin, and large sheets of the top layer of skin that easily peel away.
641:
626:
264:
In 1885, Nil
Filatow, and in 1894, Clement Dukes, described an exanthematous disease which they thought to be a form of rubella, but in 1900, Dukes identified it to be a separate entity which came to be known by the names
287:
261:
The clinical features were first described in 1878 by Baron
Gottfried Ritter von Rittershain, who observed 297 cases among children in a single Czechoslovakian children's home over a 10-year period.
357:
755:
249:
The prognosis of SSSS in children is excellent, with complete resolution within 10 days of treatment, and without significant scarring. However, SSSS must be differentiated carefully from
1590:
253:, which carries a poor prognosis. The prognosis in adults is generally much worse, and depends upon various factors such as time to treatment, host immunity, and comorbidities.
1860:
205:
The mainstay of treatment for SSSS is supportive care along with eradication of the primary infection. Conservative measures include rehydration, antipyretics (e.g.,
2611:
748:
273:
caused by staphylococcal exotoxin after Keith Powell proposed equating it with the condition currently known as staphylococcal scalded skin syndrome in 1979.
1583:
1176:
486:
Powell, KR (January 1979). "Filatow-Dukes' disease. Epidermolytic toxin-producing staphylococci as the etiologic agent of the fourth childhood exanthem".
101:
The disease presents with the widespread formation of fluid-filled blisters that are thin walled and easily ruptured, and the patient can be positive for
2575:
2162:
741:
1670:
1680:
1576:
1032:
1955:
2616:
1894:
316:
105:. Ritter's disease of the newborn is the most severe form of SSSS, with similar signs and symptoms. SSSS often includes a widespread painful
2073:
362:
2523:
1868:
2055:
332:
2481:
2219:
2078:
1981:
1402:
783:
269:, Filatov's disease, or fourth disease. Although Dukes identified it as a separate entity, it is thought not to be different from
1889:
1876:
2387:
1963:
1007:
987:
955:
936:
2128:
1950:
1904:
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1805:
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2152:
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2181:
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927:
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1205:
416:
Dukes, Clement (30 June 1900). "On the confusion of two different diseases under the name of rubella (rose-rash)".
250:
118:
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1884:
960:
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2045:
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1391:
1102:
897:
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2025:
1914:
1599:
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1290:
949:
904:
853:
721:
197:
separation). SSSS may be difficult to distinguish from toxic epidermal necrolysis and pustular psoriasis.
2535:
2513:
2426:
1739:
1518:
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1110:
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876:
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645:
2503:
2414:
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1364:
1247:
589:
468:
181:
173:
164:. One of the exotoxins is encoded on the bacterial chromosome, while the other is encoded on a
102:
2528:
2208:
1919:
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1267:
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63:
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388:
177:
129:
42:
2459:
2347:
2171:
2103:
2010:
1830:
1709:
1261:
975:
802:
128:
The condition is most common in children under 6 years, but can be seen in adults who are
499:
50:
2585:
2464:
2367:
2197:
2063:
2005:
1990:
1850:
1781:
1419:
650:
133:
117:
might be present. Perioral crusting and fissuring are seen early in the course. Unlike
110:
577:
538:
456:
429:
2600:
2545:
2362:
2258:
2214:
1899:
1698:
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1056:
965:
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393:
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222:
17:
593:
472:
2550:
2476:
2372:
2144:
2035:
2015:
1820:
1734:
1397:
1082:
707:
213:), management of thermal burns, and stabilization. Parenteral antibiotics to cover
169:
114:
106:
661:
2555:
2263:
2157:
2123:
2113:
1945:
1755:
1725:
1551:
1326:
1296:
710:
691:
238:
210:
180:
layers together, similar to the pathophysiology of the autoimmune skin disease,
84:
68:
672:
2443:
2438:
1766:
1716:
1689:
1479:
1464:
1453:
1316:
1197:
1125:
970:
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153:
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996:
774:
766:
702:
635:
230:
226:
206:
161:
585:
464:
402:
546:
192:
SSSS is a clinical diagnosis. This is sometimes confirmed by isolation of
2518:
2469:
2332:
2327:
2176:
1665:
1640:
1568:
1356:
1280:
1237:
1130:
837:
807:
716:
507:
149:
145:
2498:
2409:
2337:
2253:
1840:
1370:
1253:
793:
165:
618:
523:"Staphylococcal scalded skin syndrome: the expanded clinical syndrome"
443:
Weisse, Martin E (31 December 2000). "The fourth disease, 1900-2000".
375:
Mockenhaupt M, Idzko M, Grosber M, Schöpf E, Norgauer J (April 2005).
160:
and cause detachment within the epidermal layer, by breaking down the
2493:
630:
561:
2352:
377:"Epidemiology of staphylococcal scalded skin syndrome in Germany"
2421:
2342:
1572:
737:
560:
Morens, David M; Katz, Alan R; Melish, Marian E (31 May 2001).
241:
is sometimes also used because of its inhibition of exotoxins.
288:
List of conditions caused by problems with junctional proteins
225:, so are penicillin resistant. Therefore, treatment with
608:
2400:
2320:
2299:
2190:
2137:
1998:
1989:
1980:
1933:
1789:
1780:
1748:
1723:
1707:
1654:
1624:
1615:
1606:
1535:
1487:
1478:
1451:
1417:
1381:
1340:
1324:
1315:
1278:
1235:
1187:
1150:
1139:
1124:
1080:
1047:
1018:
986:
935:
926:
864:
836:
827:
816:
801:
792:
682:
612:
62:
58:
37:
32:
41:Pemphigus neonatorum, Ritter's disease, localized
109:, often involving the face, diaper, and other
1584:
749:
8:
168:. These exotoxins are proteases that cleave
307:Rapini RP, Bolognia JL, Jorizzo JL (2007).
2576:Recurrent toxin-mediated perineal erythema
1995:
1986:
1862:Mycobacterium avium–intracellulare complex
1786:
1621:
1612:
1591:
1577:
1569:
1484:
1337:
1321:
1147:
1136:
932:
833:
824:
813:
798:
756:
742:
734:
609:
49:
29:
1671:Cutaneous group B streptococcal infection
392:
488:American Journal of Diseases of Children
217:should be administered. Most strains of
1033:Cutaneous Streptococcus iniae infection
299:
2612:Bacterium-related cutaneous conditions
333:"Staphylococcal Scalded Skin Syndrome"
1895:Rapid growing mycobacterium infection
521:Melish, ME; Glasgow, LA (June 1971).
121:, SSSS spares the mucous membranes.
7:
2074:Human granulocytotropic anaplasmosis
1636:Staphylococcal scalded skin syndrome
1167:Staphylococcal scalded skin syndrome
562:"The fourth disease, 1900–1881, RIP"
500:10.1001/archpedi.1979.02130010094020
77:Staphylococcal scalded skin syndrome
33:Staphylococcal scalded skin syndrome
2524:Chronic undermining burrowing ulcer
25:
2482:Superficial pustular folliculitis
2079:Human monocytotropic ehrlichiosis
1403:Clostridial necrotizing enteritis
156:) A and B, which are released by
1890:Primary inoculation tuberculosis
394:10.1111/j.0022-202X.2005.23642.x
2388:Gram-negative toe web infection
1964:Group JK corynebacterium sepsis
1008:Group B streptococcal infection
956:Group A streptococcal infection
2129:Ehrlichiosis ewingii infection
1951:Cutaneous diphtheria infection
1905:Tuberculosis cutis orificialis
1816:Borderline tuberculoid leprosy
1806:Borderline lepromatous leprosy
1:
2153:Primary gonococcal dermatitis
2099:Flinders Island spotted fever
578:10.1016/S0140-6736(00)05151-5
539:10.1016/S0022-3476(71)80425-0
457:10.1016/S0140-6736(00)03623-0
430:10.1016/S0140-6736(00)65681-7
2617:Syndromes caused by microbes
2541:Blistering distal dactylitis
2069:Rocky Mountain spotted fever
1957:Arcanobacterium haemolyticum
1910:Tuberculosis verrucosa cutis
1694:Chronic recurrent erysipelas
1546:Erysipelothrix rhusiopathiae
363:Dorland's Medical Dictionary
283:List of cutaneous conditions
148:is induced by epidermolytic
2561:Blastomycosis-like pyoderma
2182:Chromobacteriosis infection
2094:Mediterranean spotted fever
172:, which normally holds the
2633:
2581:Tick-borne lymphadenopathy
2383:Gram-negative folliculitis
251:toxic epidermal necrolysis
119:toxic epidermal necrolysis
113:areas. Extensive areas of
1885:Papulonecrotic tuberculid
1870:Mycobacterium haemophilum
961:Streptococcal pharyngitis
527:The Journal of Pediatrics
309:Dermatology: 2-Volume Set
57:
48:
2378:Lymphogranuloma venereum
2084:Flea-borne spotted fever
2057:Rickettsia aeschlimannii
2051:American tick bite fever
1761:Erysipeloid of Rosenbach
1676:Streptococcal intertrigo
1441:Pseudomembranous colitis
1435:Clostridioides difficile
237:is typically indicated.
221:implicated in SSSS have
2509:Trichomycosis axillaris
2046:African tick bite fever
2021:North Asian tick typhus
1941:Cutaneous actinomycosis
1392:Clostridium perfringens
1103:Urinary tract infection
2221:Haemophilus influenzae
2165:Pasteurella hemolytica
2089:Japanese spotted fever
2041:Bacillary angiomatosis
2031:Flying squirrel typhus
2026:Queensland tick typhus
1915:Tuberculous cellulitis
1878:Mycobacterium kansasii
1600:Bacterial skin disease
1498:Ureaplasma urealyticum
1291:Listeria monocytogenes
995:bacitracin resistant,
854:Pneumococcal infection
337:Johns Hopkins Medicine
2536:Elephantiasis nostras
2514:Necrotizing fasciitis
2427:Hospital furunculosis
2109:Brill–Zinsser disease
1740:Dermatitis gangrenosa
1519:Mycoplasma pneumoniae
1512:Mycoplasma genitalium
1351:Clostridium botulinum
1097:Enterococcus faecalis
872:Viridans streptococci
90:Staphylococcus aureus
18:Scalded skin syndrome
2571:Chronic lymphangitis
2240:Hot tub folliculitis
2229:Pseudomonal pyoderma
1856:Miliary tuberculosis
1846:Lichen scrofulosorum
1646:Toxic shock syndrome
1525:Mycoplasma pneumonia
1504:Ureaplasma infection
1214:novobiocin resistant
1172:Toxic shock syndrome
1111:Enterococcus faecium
311:. St. Louis: Mosby.
87:condition caused by
2460:Acute lymphadenitis
2453:Perianal cellulitis
2448:Pyogenic paronychia
2358:Chlamydia infection
2274:Granuloma inguinale
2248:Green nail syndrome
2244:Ecthyma gangrenosum
2119:Cat-scratch disease
1925:Tuberculoid leprosy
1836:Lepromatous leprosy
1683:Streptococcus iniae
1457:(non-spore forming)
1067:Streptococcus bovis
1027:Streptococcus iniae
775:Infectious diseases
381:J. Invest. Dermatol
2607:Bacterial diseases
2504:Pitted keratolysis
2415:Periapical abscess
1826:Erythema induratum
1811:Borderline leprosy
1801:Aquarium granuloma
1365:Clostridium tetani
1248:Bacillus anthracis
865:optochin resistant
780:Bacterial diseases
683:External resources
339:. 19 November 2019
182:pemphigus vulgaris
97:Signs and symptoms
2594:
2593:
2529:Fournier gangrene
2396:
2395:
2295:
2294:
2236:hot-foot syndrome
2209:Vibrio vulnificus
1976:
1975:
1972:
1971:
1920:Tuberculous gumma
1776:
1775:
1566:
1565:
1562:
1561:
1537:Anaeroplasmatales
1474:
1473:
1413:
1412:
1311:
1310:
1307:
1306:
1231:
1230:
1120:
1119:
1076:
1075:
1043:
1042:
922:
921:
731:
730:
451:(9252): 299–301.
318:978-1-4160-2999-1
74:
73:
27:Medical condition
16:(Redirected from
2624:
2566:Bullous impetigo
2487:Sycosis vulgaris
2301:Campylobacterota
2250:
1996:
1987:
1787:
1622:
1613:
1593:
1586:
1579:
1570:
1489:Mycoplasmataceae
1485:
1465:Finegoldia magna
1338:
1322:
1220:S. saprophyticus
1148:
1137:
933:
834:
825:
814:
799:
758:
751:
744:
735:
610:
598:
597:
557:
551:
550:
518:
512:
511:
483:
477:
476:
440:
434:
433:
413:
407:
406:
396:
372:
366:
355:
349:
348:
346:
344:
329:
323:
322:
304:
130:immunosuppressed
53:
43:bullous impetigo
30:
21:
2632:
2631:
2627:
2626:
2625:
2623:
2622:
2621:
2597:
2596:
2595:
2590:
2402:
2392:
2316:
2291:
2227:
2186:
2172:Meningococcemia
2133:
2104:Verruga peruana
2011:Epidemic typhus
1968:
1929:
1831:Histoid leprosy
1792:
1772:
1744:
1719:
1710:Corynebacterium
1703:
1650:
1602:
1597:
1567:
1558:
1531:
1470:
1447:
1409:
1377:
1303:
1274:
1262:Bacillus cereus
1227:
1183:
1128:
1116:
1072:
1039:
1014:
982:
976:Rheumatic fever
918:
860:
805:
803:Lactobacillales
788:
762:
732:
727:
726:
678:
677:
621:
607:
602:
601:
559:
558:
554:
520:
519:
515:
485:
484:
480:
442:
441:
437:
424:(4011): 89–95.
415:
414:
410:
374:
373:
369:
356:
352:
342:
340:
331:
330:
326:
319:
306:
305:
301:
296:
279:
259:
247:
203:
190:
142:
140:Pathophysiology
103:Nikolsky's sign
99:
28:
23:
22:
15:
12:
11:
5:
2630:
2628:
2620:
2619:
2614:
2609:
2599:
2598:
2592:
2591:
2589:
2588:
2586:Tropical ulcer
2583:
2578:
2573:
2568:
2563:
2558:
2553:
2548:
2543:
2538:
2533:
2532:
2531:
2526:
2516:
2511:
2506:
2501:
2496:
2491:
2490:
2489:
2484:
2473:
2472:
2467:
2465:Pilonidal cyst
2462:
2457:
2456:
2455:
2450:
2436:
2431:
2430:
2429:
2419:
2418:
2417:
2406:
2404:
2398:
2397:
2394:
2393:
2391:
2390:
2385:
2380:
2375:
2370:
2368:Rat-bite fever
2365:
2360:
2355:
2350:
2345:
2340:
2335:
2330:
2324:
2322:
2318:
2317:
2315:
2314:
2305:
2303:
2297:
2296:
2293:
2292:
2290:
2289:
2281:
2276:
2271:
2266:
2261:
2256:
2251:
2225:
2217:
2212:
2205:
2200:
2198:Pasteurellosis
2194:
2192:
2188:
2187:
2185:
2184:
2179:
2174:
2169:
2160:
2155:
2141:
2139:
2135:
2134:
2132:
2131:
2126:
2121:
2116:
2111:
2106:
2101:
2096:
2091:
2086:
2081:
2076:
2071:
2066:
2064:Rickettsialpox
2061:
2053:
2048:
2043:
2038:
2033:
2028:
2023:
2018:
2013:
2008:
2006:Endemic typhus
2002:
2000:
1993:
1991:Pseudomonadota
1984:
1978:
1977:
1974:
1973:
1970:
1969:
1967:
1966:
1961:
1953:
1948:
1943:
1937:
1935:
1931:
1930:
1928:
1927:
1922:
1917:
1912:
1907:
1902:
1897:
1892:
1887:
1882:
1874:
1866:
1858:
1853:
1851:Lupus vulgaris
1848:
1843:
1838:
1833:
1828:
1823:
1818:
1813:
1808:
1803:
1797:
1795:
1791:Mycobacterium-
1784:
1782:Actinomycetota
1778:
1777:
1774:
1773:
1771:
1770:
1763:
1758:
1752:
1750:
1746:
1745:
1743:
1742:
1737:
1731:
1729:
1721:
1720:
1715:
1713:
1705:
1704:
1702:
1701:
1696:
1687:
1678:
1673:
1668:
1662:
1660:
1652:
1651:
1649:
1648:
1643:
1638:
1632:
1630:
1627:Staphylococcus
1619:
1610:
1604:
1603:
1598:
1596:
1595:
1588:
1581:
1573:
1564:
1563:
1560:
1559:
1557:
1556:
1555:
1554:
1541:
1539:
1533:
1532:
1530:
1529:
1528:
1527:
1515:
1508:
1507:
1506:
1493:
1491:
1482:
1476:
1475:
1472:
1471:
1469:
1468:
1460:
1458:
1449:
1448:
1446:
1445:
1444:
1443:
1430:
1428:
1420:Clostridioides
1415:
1414:
1411:
1410:
1408:
1407:
1406:
1405:
1400:
1387:
1385:
1379:
1378:
1376:
1375:
1374:
1373:
1361:
1360:
1359:
1346:
1344:
1335:
1319:
1313:
1312:
1309:
1308:
1305:
1304:
1302:
1301:
1300:
1299:
1286:
1284:
1276:
1275:
1273:
1272:
1271:
1270:
1268:Food poisoning
1258:
1257:
1256:
1243:
1241:
1233:
1232:
1229:
1228:
1226:
1225:
1224:
1223:
1211:
1210:
1209:
1206:S. epidermidis
1193:
1191:
1185:
1184:
1182:
1181:
1180:
1179:
1174:
1169:
1156:
1154:
1145:
1142:Staphylococcus
1134:
1122:
1121:
1118:
1117:
1115:
1114:
1107:
1106:
1105:
1088:
1086:
1078:
1077:
1074:
1073:
1071:
1070:
1059:
1053:
1051:
1045:
1044:
1041:
1040:
1038:
1037:
1036:
1035:
1022:
1020:
1016:
1015:
1013:
1012:
1011:
1010:
992:
990:
984:
983:
981:
980:
979:
978:
973:
968:
963:
958:
941:
939:
930:
924:
923:
920:
919:
917:
916:
908:
901:
894:
887:
880:
868:
866:
862:
861:
859:
858:
857:
856:
843:
841:
831:
822:
811:
796:
790:
789:
787:
786:
777:
763:
761:
760:
753:
746:
738:
729:
728:
725:
724:
713:
699:
687:
686:
684:
680:
679:
676:
675:
664:
653:
638:
622:
617:
616:
614:
613:Classification
606:
605:External links
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1926:
1923:
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1913:
1911:
1908:
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1903:
1901:
1900:Scrofuloderma
1898:
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1699:Scarlet fever
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1657:Streptococcus
1653:
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1199:
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1017:
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1003:
1002:S. agalactiae
998:
994:
993:
991:
989:
985:
977:
974:
972:
969:
967:
966:Scarlet fever
964:
962:
959:
957:
954:
953:
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947:susceptible:
946:
943:
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938:
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869:
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855:
852:
851:
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849:
848:S. pneumoniae
845:
844:
842:
839:
835:
832:
830:
826:
823:
821:
820:
819:Streptococcus
815:
812:
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797:
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624:
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595:
591:
587:
583:
579:
575:
571:
567:
563:
556:
553:
548:
544:
540:
536:
533:(6): 958–67.
532:
528:
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517:
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509:
505:
501:
497:
493:
489:
482:
479:
474:
470:
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293:
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271:scarlet fever
268:
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139:
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126:
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108:
104:
96:
94:
92:
91:
86:
82:
78:
70:
67:
65:
61:
56:
52:
47:
44:
40:
36:
31:
19:
2551:Malakoplakia
2477:Folliculitis
2401:Unspecified
2373:Lyme disease
2310:Helicobacter
2309:
2284:
2233:
2220:
2207:
2164:
2145:Gonococcemia
2056:
2036:Trench fever
2016:Scrub typhus
1956:
1877:
1869:
1861:
1821:Buruli ulcer
1790:
1765:
1735:Gas gangrene
1724:
1708:
1682:
1655:
1635:
1625:
1544:
1517:
1510:
1496:
1463:
1452:
1433:
1418:
1398:Gas gangrene
1390:
1382:
1363:
1349:
1341:
1325:
1289:
1279:
1260:
1246:
1236:
1218:
1213:
1204:
1196:
1166:
1159:
1140:
1109:
1095:
1083:Enterococcus
1081:
1065:
1025:
1000:
948:
912:S. anginosus
911:
903:
898:S. sanguinis
896:
889:
882:
875:
846:
817:
715:
701:
690:
666:
655:
640:
625:
569:
565:
555:
530:
526:
516:
494:(1): 88–91.
491:
487:
481:
448:
444:
438:
421:
417:
411:
387:(4): 700–3.
384:
380:
370:
361:
358:"exfoliatin"
353:
341:. Retrieved
336:
327:
308:
302:
263:
260:
248:
218:
214:
204:
193:
191:
170:desmoglein-1
157:
143:
127:
123:
115:desquamation
107:erythroderma
100:
88:
80:
76:
75:
2556:Pyomyositis
2264:Shigellosis
2234:Pseudomonas
2158:Melioidosis
2124:Oroya fever
2114:Brucellosis
1946:Nocardiosis
1756:Listeriosis
1726:Clostridium
1552:Erysipeloid
1327:Clostridium
1297:Listeriosis
1200:susceptible
950:S. pyogenes
905:S. sobrinus
840:susceptible
692:MedlinePlus
239:Clindamycin
211:paracetamol
69:Dermatology
38:Other names
2601:Categories
2444:Paronychia
2439:Cellulitis
2312:cellulitis
2223:cellulitis
2163:Cutaneous
1767:Mycoplasma
1717:Erythrasma
1690:Erysipelas
1681:Cutaneous
1480:Mollicutes
1454:Finegoldia
1383:nonmotile:
1317:Clostridia
1198:novobiocin
1126:Bacillales
971:Erysipelas
945:bacitracin
668:DiseasesDB
566:The Lancet
445:The Lancet
418:The Lancet
294:References
235:vancomycin
174:granulosum
162:desmosomes
154:exfoliatin
2434:Carbuncle
2287:infection
2285:Aeromonas
2279:Chancroid
2203:Tularemia
2167:infection
2149:Gonorrhea
2059:infection
1959:infection
1880:infection
1872:infection
1864:infection
1685:infection
1617:Bacillota
1427:-forming)
1334:-forming)
1161:S. aureus
1019:ungrouped
997:CAMP test
891:S. oralis
884:S. mutans
767:Bacillota
711:emerg/782
703:eMedicine
245:Prognosis
231:oxacillin
227:nafcillin
219:S. aureus
215:S. aureus
207:ibuprofen
201:Treatment
194:S. aureus
188:Diagnosis
158:S. aureus
150:exotoxins
64:Specialty
2519:Gangrene
2470:Pyoderma
2403:pathogen
2333:Syphilis
2328:Syphilid
2177:Glanders
1982:Gram -ve
1666:Impetigo
1641:Impetigo
1608:Gram +ve
1357:Botulism
1281:Listeria
1238:Bacillus
877:S. mitis
838:optochin
717:Orphanet
708:derm/402
594:35925579
586:11441870
473:35896288
465:11214144
403:15816826
277:See also
178:spinosum
146:syndrome
132:or have
2499:Ecthyma
2410:Abscess
2338:Chancre
2254:Q fever
1841:Leprosy
1793:related
1371:Tetanus
1342:motile:
1254:Anthrax
794:Bacilli
662:D013206
547:4252715
343:1 March
257:History
166:plasmid
83:) is a
2494:Pimple
2269:Plague
1934:Others
1749:Others
697:001352
651:695.81
592:
584:
545:
508:367152
506:
471:
463:
401:
315:
2353:Bejel
2348:Pinta
2321:Other
2191:Gamma
1999:Alpha
1425:spore
1332:spore
914:group
769:(low-
722:36236
673:29437
590:S2CID
469:S2CID
233:, or
2343:Yaws
2138:Beta
1177:MRSA
1131:Cat+
808:Cat-
657:MeSH
646:9-CM
582:PMID
543:PMID
504:PMID
461:PMID
399:PMID
345:2023
313:ISBN
176:and
144:The
81:SSSS
1189:Cg-
1152:Cg+
1094:+:
1092:BEA
1064:+:
1062:BEA
999:+:
771:G+C
642:ICD
636:L00
627:ICD
574:doi
570:357
535:doi
496:doi
492:133
453:doi
449:357
426:doi
422:156
389:doi
385:124
360:at
209:or
2603::
2446:/
2246:/
2242:/
2238:/
2231:/
1692:/
874::
784:G+
782::
773:)
720::
706::
695::
671::
660::
649::
634::
631:10
588:.
580:.
568:.
564:.
541:.
531:78
529:.
525:.
502:.
490:.
467:.
459:.
447:.
420:.
397:.
383:.
379:.
335:.
229:,
184:.
136:.
93:.
2151:/
2147:/
1592:e
1585:t
1578:v
1423:(
1330:(
1133:)
1129:(
1057:D
1049:Îł
988:B
937:A
928:β
829:α
810:)
806:(
757:e
750:t
743:v
644:-
629:-
619:D
596:.
576::
549:.
537::
510:.
498::
475:.
455::
432:.
428::
405:.
391::
347:.
321:.
152:(
79:(
20:)
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
