{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T19:01:33Z","timestamp":1766516493946,"version":"3.40.4"},"reference-count":20,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:title\/><jats:p>A male term neonate, at day 23 of life, presented with vesicular lesions over the trunk, which spread to allover the body on the next day. Five days later, he started developing blistering of the skin over the trunk and extremities, which subsequently ruptured, leaving erythematous, tender raw areas with peeling of the skin. The mother had vesicular eruptions, which started on the second day of delivery and progressed over the next 3\u2005days. Subsequently, similar eruptions were noticed in two of the siblings before affecting the neonate. On the basis of the exposure history and clinical picture, a diagnosis was made of varicella infection with staphylococcal scalded skin syndrome (SSSS). The blood culture and the wound surface culture grew<jats:italic>Staphylococcus aureus<\/jats:italic>. Treatment included intravenous fluid, antibiotics, acyclovir and wound care. However, after 72\u2005h of hospitalisation, the neonate first developed shock, refractory to fluid boluses, vasopressors and catecholamine along with other supports; and he then succumbed. In all neonates, staphylococcal infection with varicella can be fatal due to SSSS, the toxic shock syndrome or septicaemia.<\/jats:p>","DOI":"10.1136\/bcr-2012-006462","type":"journal-article","created":{"date-parts":[[2012,8,1]],"date-time":"2012-08-01T15:06:33Z","timestamp":1343833593000},"page":"bcr2012006462","source":"Crossref","is-referenced-by-count":3,"title":["Varicella infection in a neonate with subsequent staphylococcal scalded skin syndrome and fatal shock"],"prefix":"10.1136","volume":"2012","author":[{"given":"Shakal Narayan","family":"Singh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Tahazzul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Surabhi","family":"Chandra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,8,1]]},"reference":[{"key":"2025042702471750000_2012.jul31_1.bcr2012006462.1","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-198509000-00013"},{"key":"2025042702471750000_2012.jul31_1.bcr2012006462.2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7210599"},{"key":"2025042702471750000_2012.jul31_1.bcr2012006462.3","first-page":"30","article-title":"Varicella zoster infection in late pregnancy","volume":"71","author":"Sterner","year":"1990","journal-title":"Scand J Infect Dis"},{"key":"2025042702471750000_2012.jul31_1.bcr2012006462.4","doi-asserted-by":"crossref","unstructured":"Nyman AG Wolfenden H Roy P . 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