Staphylococcal scalded skin syndrome and impetigo Quiz: Ace Your Exams

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An 8-month-old boy is brought to the emergency department by his parents for evaluation of a fever and rash. The parents report that the patient developed a rash covering his body and has been increasingly fussy and difficult to console for the past four days. He has had a fever of 38.3°C (101°F). The parents became concerned today because the skin began to slough off. The patient was born full-term and has not had any significant medical issues since birth. Vaccinations are up-to-date. Temperature is 38°C (100.4°F), blood pressure is 90/67mm Hg, pulse is 155/min, respiratory rate is 25/min, and oxygen saturation is 98% on room air. The patient is crying in his mother’s arms and is difficult to console. Skin examination reveals moist, erythematous, denuded skin, as well as perioral and perinasal crusting. There is no mucous membrane involvement. Cardiopulmonary and abdominal examinations are within normal limits. Which of the following is the best next step in management? 


Reproduced from: Wikipedia  

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