Bullous impetigo: A rare presentation in fulminant streptococcal toxic shock syndrome

Jainn Jim Lin, Chang Teng Wu*, Shao Hsuan Hsia, Cheng Hsun Chiu

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

6 Scopus citations


Since the mid-1980s, an increase in incidence of invasive disease caused by group A streptococci has been noted among adults and children. The characteristic clinical and laboratory features of the streptococcal toxic shock syndrome include deep-seated infection associated with shock, skin manifestation, and multiorgan failure. However, bullous impetigo is invariably considered to be a staphylococcal disease. Staphylococcus aureus produces an epidermolytic toxin, assumed to be the cause of bullous formation in the skin. Here, we present a case of bullous impetigo in an infant with streptococcal toxic shock syndrome. This is a rare presentation of bullous impetigo caused by group A streptococcus.

Original languageEnglish
Pages (from-to)318-320
Number of pages3
JournalPediatric Emergency Care
Issue number5
StatePublished - 05 2007


  • Bullous impetigo
  • Group A streptococcus
  • Streptococcal toxic shock syndrome


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