Staphylococcus: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate staphylococcal disease:

  • Localized or generalized pyogenic infections:
    • Abscess formation (encapsulated collection of pus) as well as empyema (collection of pus in a preformed body cavity or hollow organ) in body cavities (pleura, joints)
    • Purulent parotitis (inflammation of the parotid gland).
    • Endocarditis (inflammation of the inner lining of the heart)
    • Foreign body infections
    • Furuncle – folliculitis (inflammation of a hair follicle), which melts centrally abscess-like.
    • Carbuncle – boil; deep and usually very painful suppuration of several adjacent hair follicles or the confluence of several adjacent boils.
    • Mastitis puerperalis – inflammation of the mammary glands in the puerperium.
    • Mastoiditis (mastoid process inflammation).
    • Osteomyelitis (bone marrow inflammation)
    • Otitis media (inflammation of the middle ear)
    • Pneumonia (pneumonia)
    • Pyoderma – purulent inflammation of the skin.
    • Pyomyositis (synonyms: pyomyositis tropicans; myositis purulenta, Bungpagga; Lambo Lambo) referred to is an acute bacterial infection of skeletal muscle, usually caused by the pathogen Staphylococcus aureus.
    • (Secondary) meningitis (meningitis).
    • Sepsis (blood poisoning; lethality / mortality in itself antibiotic-sensitive strains still up to 15%!)
    • Sinusitis (sinusitis)
    • Wound infections
  • Toxin-mediated diseases:
    • Staphylococcal scalded skin syndrome (SSSS; scalded skin [skɔːldəd skɪn]): caused by the exfoliative toxins produced by certain S. -aureus strains (ETA, ETB, ETC), staphylogenic toxic epidermal necrolysis (TEN; synonym: staphylococcal scalded skin syndrome, SSSS); skin toxicosis in infants and young children caused by hematogenous (“by the bloodstream”) dissemination of the previously mentioned staphylococcal exotoxins, characterized by extensive, burn-like erythema with blistering and subsequent skin detachment.
    • Toxic shock syndrome (TSS, Engl. Toxic shock syndrome; synonym: tampon disease); severe circulatory and organ failure due to bacterial toxins (usually enterotoxin of the bacterium Staphylococcus aureus/superantigen effect of toxic-shock-syndrome toxin (TSST-1), more rarely streptococci, then called streptococcal-induced toxic shock syndrome); for the diagnosis of “TSS” three or more of the following organ systems must be involved: Gastrointestinal tract/gastrointestinal tract (vomiting, nausea, or diarrhea/diarrhea), musculature (marked myalgias/muscle pain with elevation of serum creatinine or phosphokinase), mucous membranes (vaginal, oropharyngeal, or conjunctival hyperemia)/increased accumulation of blood, kidneys (elevation of serum urea or creatinine, pyuria/excretion of pus in urine without evidence of urinary tract infection), liver (elevation of transaminases, bilirubin, or alkaline phosphatase), CNS (disorientation, impaired consciousness)
    • Food intoxications: Food poisoning is caused by ingestion of enterotoxins produced by S. aureus in contaminated food before ingestion:Due to high heat stability, S. aureus enterotoxins are not killed even during food preparation. Nausea, vomiting, crampy abdominal pain, and diarrhea occur abruptly as early as 2-6 hours after ingestion of the contaminated food. In most cases, the illness is self-limiting and ends after 8-24 hours. In severe cases, hypovolemia (decrease in the amount of blood circulating, that is, in the bloodstream) and hypotension (low blood pressure) may occur.