Texts: Case #3.
1. John, a 41-year-old HIV-positive male, presented to the emergency room at 11 pm with reddening and wrinkling of the skin near his mouth. The ER was extremely busy, so John left and returned the next day. Unfortunately, his condition had now spread over his entire body. ER physician Dr. James Johansen admitted John later that day.
1. What is John’s diagnosis?
A. Necrotizing fasciitis
B. Erysipelas
C. Staphylococcal Scalded Skin Syndrome (SSSS)
D. Measles
Within three days, John’s skin was covered in large blisters containing clear fluid. By the end of his first week, the outer epidermis began to peel off in sheets.
2. What virulence factors are responsible for this outcome?
A. Exfoliative toxins
B. Pyrogenic toxins
C. M proteins
D. Lipases
3. Treatment in this case involves the use of _____.
A. a vaccine
B. intravenous methicillin
C. topical mupirocin
D. oral erythromycin