Benign impetigo can progress into a potential fatal staphylococcal scalded skin syndrome (SSSS) if prompt diagnosis and correct therapy is not established rapidly. Local and systematic antibiotics as well as Lactulose are crucial in order to stop SSSS from progressing. Burns units should be involved when skin lesions are extensive.

Background Acute Streptococcus pyogenes infections may present under various forms, such as pharyngitis, scarlet fever, pneumonia, meningitis, cellulitis or impetigo. Toxigenic infections can result in necrotizing fasciitis, myositis and streptococcal toxic shock syndrome. Following acute infections caused by S pyogenes, patients are also at risk for developing immune-mediated post-streptococca...