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A Case of Drug-Induced Stevens-Johnson Syndrome. WMJ 2022 Oct;121(3):E63-E65

Date

10/28/2022

Pubmed ID

36301663

Scopus ID

2-s2.0-85140863225 (requires institutional sign-in at Scopus site)

Abstract

INTRODUCTION: Stevens-Johnson syndrome is a rare but consequential and often life-threatening disorder that is most often drug-induced.

CASE PRESENTATION: An 81-year-old Black man presented with 5 days of dysphagia, odynophagia, and rash. He said he had begun a course of trimethoprim-sulfamethoxazole 6 days prior for a presumed urinary tract infection. Owing to the cutaneous lesions and punch biopsy findings, he was diagnosed with drug-induced Stevens-Johnson syndrome.

DISCUSSION: Stevens-Johnson syndrome is associated with a relatively high mortality rate. It is most commonly drug-induced and presents with extensive erythema, erosions, and blisters throughout the body.

CONCLUSIONS: Stevens-Johnson syndrome is a rare and often life-threatening disease. Early diagnosis and management is important for delivering high-quality patient care.

Author List

Lyon DR, Akinboboye O, Jain PV, Jha P

Author

Pinky Jha MD Associate Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aged, 80 and over
Humans
Male
Stevens-Johnson Syndrome
Trimethoprim, Sulfamethoxazole Drug Combination