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Article
November 1980

Nosocomial Scalded Skin Syndrome: Ritter's Disease Caused by Phage Group 3 Staphylococcus aureus

Author Affiliations

From the Departments of Pediatrics (Dr Florman) and Medicine (Dr Holzman), New York University Medical Center, New York.

Am J Dis Child. 1980;134(11):1043-1045. doi:10.1001/archpedi.1980.02130230023006
Abstract

• Three cases of generalized exfoliative staphylococcal scalded skin syndrome (SSSS) were encountered during a 25-day period in a nursery for premature infants. A single strain of Staphylococcus aureus, phage type 42E/54/75 (group 3), was recovered from each of the three infants and from no others. Two of the three isolates were tested and both produced epidermolytic toxin (ET). Most cases of SSSS have been associated with phage group 2 strains. To our knowledge, this is the first report of a nursery outbreak caused by a phage group 3 staphylococcus. It illustrates that ET production and not phage type distinguishes S aureus strains that are associated with SSSS.

(Am J Dis Child 134:1043-1045, 1980)

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