Cutaneous Manifestations of Novel Coronavirus Disease (COVID-19): A Case with Staphylococcal Scalded Skin Syndrome (SSSS)

Background: The coronavirus disease 2019 (COVID128;19) was first reported in December 2019 in Wuhan, China. Skin manifestations of COVID-19 have been reported sporadically. Staphylococcus aureus occurs after viral infection due to unregulated IFN-α. We designed this reported case to pay more attention to the rare skin manifestations following COVID-19.

Case Report: The patient was a 12-month-old girl who presented with fever and skin rashes. Two days before admission, erythematous rashes spread around the mouth, nose, eyes, and trunk. Erythematous lesions begin to peel the next day. RT-PCR of the nasopharynx was positive for COVID- 19. Treatment with vancomycin and clindamycin was started. The patient was discharged with complete recovery of skin lesions.

Conclusion: One of the early manifestations of COVID-19 in children can be fever and rash. Clinical suspicion led to more attention to complications of bacterial superinfection such as staphylococcal scalded skin syndrome.