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Disease Overview Disease Overview
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Toxic Infectious Exfoliative Conditions Toxic Infectious Exfoliative Conditions
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Toxic Shock Syndrome Toxic Shock Syndrome
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Disease Description Disease Description
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Diagnosis Diagnosis
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Treatment Treatment
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Streptococcal Toxic Shock Syndrome Streptococcal Toxic Shock Syndrome
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Disease Description Disease Description
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Diagnosis Diagnosis
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Treatment Treatment
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Staphylococcal Scalded Skin Syndrome Staphylococcal Scalded Skin Syndrome
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Disease Description Disease Description
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Treatment Treatment
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Meningococcemia Meningococcemia
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Disease Description Disease Description
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Disseminated Gonococcus Disseminated Gonococcus
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Disease Description Disease Description
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Ecthyma Gangrenosum Ecthyma Gangrenosum
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Rocky Mountain Spotted Fever Rocky Mountain Spotted Fever
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Vibrio Vulnificus Vibrio Vulnificus
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Suggested Readings and References Suggested Readings and References
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44 Dermatologic Manifestations of Infectious Disease
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Published:September 2016
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Abstract
Toxic infectious exfoliative conditions include staphylococcal toxic shock syndrome (TSS), streptococcal toxic shock syndrome (STSS), and staphylococcal scalded skin syndrome (SSSS). All three are mediated by bacterial toxin production and are considerations in the differential diagnosis of a febrile, hypotensive patient with a rash. Meningococcemia is potentially fatal and extremely contagious with a short incubation period. Disseminated gonococcal infection (DGI) presents with tenosynovitis, dermatitis, and polyarthralgias without purulent arthritis or with purulent arthritis but without skin lesions. Ecthyma gangrenosum (EG) is a cutaneous manifestation of Pseudomonas aeruginosa infection. Rocky Mountain Spotted Fever (RMSF) is caused by Rickettsia rickettsii, most commonly transmitted by the American dog tick. Patients present with nonspecific symptoms, such as fever, headache, myalgias, arthralgias, nausea, vomiting, and abdominal pain. Finally, vibrio vulnificus is a gram-negative bacterium that causes serious wound infections, sepsis, and diarrhea in patients exposed to shellfish or marine water.
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