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Scarlatiniform Rash Due to Phage Group I Staphylococcus aureus

Howard S. Faden, MD; John P. Burke, MD; Lowell A. Glasgow, MD; James R. Everett III, MD; Linda Book, MD; Bill B. Wiley, PhD; Richard Warren, PhD; Liz Hirose

Am J Dis Child. 1976;130(3):265-268.

Abstract
• From Aug 6 to 14, 1973, scarlatiniform eruptions that were considered to be mild forms of the staphylococcal scalded-skin syndrome developed in four neonates. One infant had mild epidermal peeling. All had generalized, finely papular erythema that cleared rapidly after treatment with antibiotics.

Cultures from the umbilical stumps or anterior nares of three of the infants yielded colonies of group I Staphylococcus aureus, phage type 29/52/79/86/D11/81, that were able to produce epidermal exfoliation in suckling mice. These data indicate that the nursery outbreak was caused by phage group I staphylococci rather than group II organisms previously associated with staphylococcal scalded-skin syndrome. The demonstration that a group I Staphylococcus can produce exfoliative toxin suggests that the same mechanism for toxin production may exist for phage groups I and II staphylococci.

(Am J Dis Child 130:265-268, 1976)

Author Affiliations
This investigation was supported in part by grants AI 10217 and 3T01 A100039-15S1 from the National Institute of Allergy and Infectious Diseases.

From the departments of pediatrics (Drs Faden and Glasgow) and medicine (Drs Faden and Burke), University of Utah College of Medicine, and the Utah State Division of Health, Salt Lake City (Dr Everett); and the Bureau of Epidemiology, Center for Disease Control, Atlanta (Dr Everett).

Footnotes
Received for publication Dec 11, 1974; accepted April 10, 1975.

Reprint requests to Division of Infectious Diseases, University of Utah Medical Center, 50 N Medical Dr, Salt Lake City, UT 84132 (Dr Faden).

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