Cefadroxil Induced Toxic Epidermal Necrolysis: A Case Report

被引:0
作者
Hegde, Megha [1 ]
Raj, Saurav [1 ,3 ]
Ashvil, Anil [2 ]
Tikadar, Dhananjay [1 ]
Nyamagoud, Sanatkumar Bharamu [1 ]
机构
[1] KLE Acad Higher Educ & Res, KLE Coll Pharm, Dept Pharm Practice, Hubballi, Karnataka, India
[2] NITTE Univ, NGSM Inst Pharmaceut Sci, Dept Pharm Practice, Mangaluru, Karnataka, India
[3] KLE Acad Higher Educ & Res, KLE Coll Pharm, Dept Pharm Practice, Hubballi, Karnataka, India
关键词
Toxic epidermal necrolysis; Stevens-Johnson syndrome; Case report; Systemic steroids; STEVENS-JOHNSON-SYNDROME; POPULATION; MANAGEMENT; MORTALITY;
D O I
10.5530/ijpi.14.1.33
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Background: Toxic Epidermal Necrolysis (TEN), also known as Lyell's syndrome, is a rare but severe connective tissue condition that is a common cause of substantial skin damage as well as mucous membrane breakdown. This condition is distinguished by the detachment of the epidermis presenting as blisters and denuded skin areas along with erythema. Supportive care is typically the mainstay in the primary treatment of TEN. The effectiveness of systemic steroids remains uncertain due to the limited availability of studies that directly compare the utility of these therapeutic approaches. Here, we report a case where TEN was successfully treated with dexamethasone. Case Presentation: We present a case of an 18-year-old female patient who presented with complaints of itchy skin lesions, multiple purpuras and petechiae following ingestion of a dose of a cefadroxil tablet. A diagnosis of cefadroxil-induced Toxic Epidermal Necrolysis was made. Hydration therapy along with systemic steroids and topical treatments were administered to the patient. The lesions healed gradually and the condition of the patient improved.
引用
收藏
页码:263 / 267
页数:5
相关论文
共 31 条
[1]   Skin lesions in the ICU [J].
Badia, M ;
Trujillano, J ;
Gascó, E ;
Casanova, JM ;
Alvarez, M ;
León, M .
INTENSIVE CARE MEDICINE, 1999, 25 (11) :1271-1276
[2]   Toxic epidermal necrolysis:: Use of Biobrane® for skin coverage reduces pain, improves mobilisation and decreases infection in elderly patients [J].
Boorboor, P. ;
Vogt, P. M. ;
Bechara, F. G. ;
Alkandari, Q. ;
Aust, M. ;
Gohritz, A. ;
Spies, M. .
BURNS, 2008, 34 (04) :487-492
[3]   Cephalosporin-Induced Toxic Epidermal Necrolysis Treated with Intravenous Immunoglobulin [J].
Boroda, Konstantin ;
Li, Li ;
Riina, Louis ;
Ahmed, Shadab .
CUREUS, 2015, 7 (10)
[4]   Plasmapheresis in toxic epidermal necrolysis [J].
Chaidemenos, GC ;
Chrysomallis, F ;
Sombolos, K ;
Mourellou, O ;
Ioannides, D ;
Papakonstantinou, M .
INTERNATIONAL JOURNAL OF DERMATOLOGY, 1997, 36 (03) :218-221
[5]   Recent advances in the genetics and immunology of Stevens-Johnson syndrome and toxic epidermal necrosis [J].
Chung, Wen-Hung ;
Hung, Shuen-Iu .
JOURNAL OF DERMATOLOGICAL SCIENCE, 2012, 66 (03) :190-196
[6]  
Devi K, 2005, Indian J Dermatol Venereol Leprol, V71, P325
[7]   Fatal case of cephalexin-induced toxic epidermal necrolysis [J].
Hafermann, Matthew J. ;
Barber, Gerard R. ;
Dreskin, Stephen C. ;
Lindberg, Gordon K. .
SAGE OPEN MEDICAL CASE REPORTS, 2014, 2
[8]   IMPROVED BURN CENTER SURVIVAL OF PATIENTS WITH TOXIC EPIDERMAL NECROLYSIS MANAGED WITHOUT CORTICOSTEROIDS [J].
HALEBIAN, PH ;
CORDER, VJ ;
MADDEN, MR ;
FINKLESTEIN, JL ;
SHIRES, GT .
ANNALS OF SURGERY, 1986, 204 (05) :503-512
[9]  
HEIMBACH DM, 1987, JAMA-J AM MED ASSOC, V257, P2171
[10]  
HERNDON DN, 1995, J AM COLL SURGEONS, V180, P340