NeonatalPseudomonas putida infection presenting as staphylococcal scalded skin syndrome

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Abstract
A case of neonatalPseudomonas putida sepsis presenting as staphylococcal scalded skin syndrome is described. Staphylococcal scalded skin syndrome is a clinical term used for a spectrum of primarily neonatal blistering skin disorders caused by the exfoliative toxins ofStaphylococcus aureus. The disease typically begins with general erythema and fever, followed by the formation of large fluid-filled bullae that coalesce and rupture on slightest pressure to leave extensive areas of denuded skin. The 9-day-old male infant described presented with a generalised non-tender, macular, erythematous rash that later developed into large, flaccid, clear fluid-filled bullae to leave extensive erythematous, weeping, and denuded areas covering over 90% of the total body surface. Despite aggressive antibiotic and symptomatic treatment, he died 11 days after admission. WhilePseudomonas infections may present with vesico-bullous eruptions, this is believed to be the first case of neonatalPseudomonas putida sepsis presenting as staphylococcal scalded skin syndrome.