Case Report: Steven Johnson Syndrome (SIS) Induced By Antibiotics: A Detailed Analysis

Background: Stevens-Johnson Syndrome SJS is a rare but very serious mucocutaneous disease primarily caused by medications that includes antibiotics. This case report is about a 35-year-old male who suffered from SJS due to treatment for urinary tract infection using co-trimoxazole. Case Presentation: The patient began with symptoms of flu, later on followed by rapid progression of erythematous rash and painful mucosal involvement. On clinical examination, there were blisters, skin detachment involving 10% of the body surface area, and oral and ocular mucosal lesions. This reaction developed in a temporal association with co-trimoxazole therapy, making the drug a likely cause. She was systemically treated with corticosteroids and supportive care and showed marked recovery in two weeks from hospitalization. Conclusion: This case underlines the importance of early suspicion of SJS in patients receiving antibiotic treatment. Removal of the offending drug and timely initiation of multi-disciplinary management will only improve the outcome in such patients.

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Publication Details

Journal
IOSR Journal of Dental and Medical Sciences
Published
2024-10-01
DOI
https://doi.org/10.9790/0853-2310100104
Primary Topic
Drug-Induced Adverse Reactions
Type
article
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article

Case Report: Steven Johnson Syndrome (SIS) Induced By Antibiotics: A Detailed Analysis

P. Srinivasa Babu, Panchumarthy Ravisankar, Shaik Aneesa, Kurra Medhani Sri et al.
IOSR Journal of Dental and Medical Sciences
Drug-Induced Adverse Reactions
article

Case Report: Steven Johnson Syndrome (SIS) Induced By Antibiotics: A Detailed Analysis

P. Srinivasa Babu, Panchumarthy Ravisankar, Shaik Aneesa, Kurra Medhani Sri, Marpu Tejaswini
article en

Abstract

Background: Stevens-Johnson Syndrome SJS is a rare but very serious mucocutaneous disease primarily caused by medications that includes antibiotics. This case report is about a 35-year-old male who suffered from SJS due to treatment for urinary tract infection using co-trimoxazole. Case Presentation: The patient began with symptoms of flu, later on followed by rapid progression of erythematous rash and painful mucosal involvement. On clinical examination, there were blisters, skin detachment involving 10% of the body surface area, and oral and ocular mucosal lesions. This reaction developed in a temporal association with co-trimoxazole therapy, making the drug a likely cause. She was systemically treated with corticosteroids and supportive care and showed marked recovery in two weeks from hospitalization. Conclusion: This case underlines the importance of early suspicion of SJS in patients receiving antibiotic treatment. Removal of the offending drug and timely initiation of multi-disciplinary management will only improve the outcome in such patients.

IOSR Journal of Dental and Medical SciencesVol. 23(10)
Openalex Percentile: Top 81%
Drug-Induced Adverse Reactions
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Case Report: Steven Johnson Syndrome (SIS) Induced By Antibiotics: A Detailed Analysis — P. Srinivasa Babu, Panchumarthy Ravisankar, et al. · IOSR Journal of Dental and Medical Sciences (2024) | TGRS Research Map | TGRS