Author(s):
Darshana Kumari Wankhede, Shalini Lokhande, Sonali Kolekar, Suvarna Gughare
Email(s):
Kumaridiya90@gmail.com , Shalini_lokhande@rediffmail.com , shonakolhekar29@gmail.com , suwarna.ghugare1990@gmail.com
DOI:
10.52711/2454-2660.2024.00015
Address:
Darshana Kumari Wankhede1, Shalini Lokhande2, Sonali Kolekar3, Suvarna Gughare
1,2,3Assistant Professor, Smt. Radhika Bai Meghe Memorial College of Nursing, Sawangi (Meghe), Wardha, Maharashtra.
4Clinical Instructor Datta Meghe Institute of Higher Education and Research, Sawangi (Meghe), Wardha, Maharashtra.
*Corresponding Author
Published In:
Volume - 12,
Issue - 1,
Year - 2024
ABSTRACT:
Introduction: Stevens-Johnson syndrome, also known as toxic epidermal necrolysis, is an uncommon and painful skin and mucous membrane condition.SJS is one of the most severe adverse medication responses and can be parainfectious. It was diagnosed in a child with significant ocular and oral medication response involvement. Patient history: The female patient 14 year old who was apparently admitted in AVBRH dated 05/09/2019 with chief complaint was painful red rashes, blister and pus discharge from mouth sine from 7 days. P ast history: Patient was having complaint of three episode of k/c/o seizure disorderwhich was apparently treated with valparin and eptoin. Clinical finding: The patient has been undergonewith various investigations like skin and oral culture, x-ray imaging and blood tests. The culture report in which results are growth of inducibalampc producer psedumonous species. Medicalmanagement: Patient was treated with antibiotics, oral steroids, antacids and local anesthetic. Nursing management: Administered fluid replacement DNS and RL, wound care was done with betadine, hydrogen peroxide and NS solutions, eye care by administering eye drops and monitored all vital signs hourly. Conclusion: Patient was admitted with chief complaint of three episode of k/c/oseizure attackand was treated by drugs like valprin and eptoin due to this the body has shown adverse reaction, the symptoms found likepainful red rashes, blisters, pus discharge from mouth and her condition was very critical and patient was admitted in AVBR Hospital, immediate and possible required treatment were given and now the patient condition is satisfactory.
Cite this article:
Darshana Kumari Wankhede, Shalini Lokhande, Sonali Kolekar, Suvarna Gughare. Case report on Steven Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN). International Journal of Nursing Education and Research. 2024; 12(1):67-0. doi: 10.52711/2454-2660.2024.00015
Cite(Electronic):
Darshana Kumari Wankhede, Shalini Lokhande, Sonali Kolekar, Suvarna Gughare. Case report on Steven Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN). International Journal of Nursing Education and Research. 2024; 12(1):67-0. doi: 10.52711/2454-2660.2024.00015 Available on: https://ijneronline.com/AbstractView.aspx?PID=2024-12-1-15
REFERENCE:
1. Stevens-Johnson syndrome - Symptoms and causes - Mayo Clinic [Internet]. [cited 2021 Nov 25]. Available from: https://www.mayoclinic.org/diseases-conditions/stevens-johnson-syndrome/symptoms-causes/syc-20355936
2. Rixe N, Tavarez MM. Serum Sickness. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 [cited 2021 Nov 25]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK538312/
3. Erythema Multiforme - StatPearls - NCBI Bookshelf [Internet]. [cited 2021 Nov 25]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470259/
4. Mechanisms of Microbial Infections [Internet]. [cited 2021 Nov 25]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158295/
5. Oakley AM, Krishnamurthy K. Stevens Johnson Syndrome. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 [cited 2021 Nov 25]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK459323/
6. Tang C-H, Ramcharran D, Yang C-WW, Chang C-C, Chuang P-Y, Qiu H, et al. A nationwide study of the risk of all-cause, sudden death, and cardiovascular mortality among antipsychotic-treated patients with schizophrenia in Taiwan. Schizophr Res. 2021 Nov; 237:9–19.
7. Purnamawati S, Febriana S, Danarti R, Saefudin T. Topical Treatment for Stevens -Johnson Syndrome and Toxic Epidermal Necrolysis: A Review. Bali Med J. 2016; 5:92–101.
8. Parveen S, Javed MA. Stevens Johnson Syndrome associated with Lamotrigine. Pak J Med Sci. 2013; 29(6):1450–2.
9. Koh M, Tay Y-K. Stevens Johnson syndrome and toxic epidermal necrolysis in Asian children. J Am Acad Dermatol. 2009; 62:54–60.
10. Çekiç Ş, Canıtez Y, Sapan N. Evaluation of the patients diagnosed with Stevens Johnson syndrome and toxic epidermal necrolysis: a single center experience. Turk Arch Pediatr Pediatri Arş. 2016; 51(3): 152–8.
11. Treatment of Oral Fistulas | IntechOpen [Internet]. [cited 2021 Nov 25]. Available from: https://www.intechopen.com/chapters/50217