54. Pyodermas and Toxin-Mediated Syndromes

  1. Alan D. Irvine MD, FRCPI, FRCP2,3,
  2. Peter H. Hoeger MD4,5 and
  3. Albert C. Yan MD, FAAP, FAAD6,7
  1. Christian R. Millett MD,
  2. Warren R. Heymann MD and
  3. Steven M. Manders MD

Published Online: 24 MAY 2011

DOI: 10.1002/9781444345384.ch54

Harper's Textbook of Pediatric Dermatology, Volume 1, 2, Third Edition

Harper's Textbook of Pediatric Dermatology, Volume 1, 2, Third Edition

How to Cite

Millett, C. R., Heymann, W. R. and Manders, S. M. (2011) Pyodermas and Toxin-Mediated Syndromes, in Harper's Textbook of Pediatric Dermatology, Volume 1, 2, Third Edition (eds A. D. Irvine, P. H. Hoeger and A. C. Yan), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444345384.ch54

Editor Information

  1. 2

    Trinity College, Dublin, Ireland

  2. 3

    Our Lady's Children's Hospital, Dublin, Ireland

  3. 4

    University of Hamburg, Hamburg, Germany

  4. 5

    Catholic Children's Hospital Wilhelmstift, Hamburg, Germany

  5. 6

    University of Pennsylvania School of Medicine, Philadelphia, PA, USA

  6. 7

    The Children's Hospital of Philadelphia, Philadelphia, PA, USA

Author Information

  1. Division of Dermatology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Camden, NJ, USA

Publication History

  1. Published Online: 24 MAY 2011
  2. Published Print: 3 JUN 2011

ISBN Information

Print ISBN: 9781405176958

Online ISBN: 9781444345384



  • cellulitis;
  • folliculitis;
  • impetigo;
  • necrotizing fasciitis;
  • pyoderma;
  • scalded skin syndrome;
  • staphylococcus;
  • streptococcus;
  • toxin-mediated;
  • toxic shock syndrome


Staphylococcal and streptococcal infections are among the most frequently encountered diseases in paediatric dermatology, causing a wide range of clinical illnesses. These infections commonly involve the skin, producing diverse clinical syndromes, including localized superficial infections, deeper cutaneous and subcutaneous infections, toxin-mediated illnesses, as well as postinfectious complications. This chapter will discuss the pathophysiology and epidemiology of streptococcal and staphylococcal infections as well as reviewing localized infections (pyodermas) and toxin-mediated diseases.