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May 1981

Staphylococcal Scalded Skin Syndrome After Herniorrhaphy

Am J Dis Child. 1981;135(5):471-472. doi:10.1001/archpedi.1981.02130290067021

Staphylococcal scalded skin syndrome (SS) is caused by coagulasepositive staphylococci, generally of phage group 2. This illness has been previously described as a complication of circumcision in neonates,1[ill]2 but to our knowledge there have not been cases reported after other operations performed during the neonatal period. We recently treated an infant in whom SS developed on the first post-operative day after inguinal herniorrhaphy. Physicians who care for infants should be aware of this potential complication of surgical procedures.

Report of a Case.—An 18-day-old boy was admitted to another hospital for elective repair of bilateral inguinal hernias. The infant had been circumcised without difficulty on the second day of life. Before herniorrhaphy, the infant had been thriving, afebrile, and feeding well at home. However, the child was noted to have a small erythematous pustule in the right inguinal region on the day prior to surgery. The pustule ruptured spontaneously

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