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甲氧苄啶-磺胺甲恶唑诱发的史蒂文斯-约翰逊综合征:一例报告

Trimethoprim-sulfamethoxazole-induced Stevens-Johnson syndrome: a case report.

作者信息

Langlois Michael R, Derk Francis, Belczyk Ronald, Zgonis Thomas

机构信息

Orthopaedics/Division of Podiatric Medicine and Surgery, The University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.

出版信息

J Am Podiatr Med Assoc. 2010 Jul-Aug;100(4):299-303. doi: 10.7547/1000299.

Abstract

Stevens-Johnson syndrome and toxic epidermal necrolysis are rare; however, when they occur, they usually present with severe reactions in response to medications and other stimuli. These reactions are characterized by mucocutaneous lesions, which ultimately lead to epidermal death and sloughing. We present a unique case report of Stevens-Johnson syndrome and associated toxic epidermal necrolysis in a 61-year-old man after treatment for a peripherally inserted central catheter infection with trimethoprim-sulfamethoxazole. This case report reviews a rare adverse reaction to a commonly prescribed antibiotic drug used in podiatric medical practice for the management of diabetic foot infections.

摘要

史蒂文斯 - 约翰逊综合征和中毒性表皮坏死松解症较为罕见;然而,一旦发生,通常会因药物及其他刺激而出现严重反应。这些反应的特征为皮肤黏膜病变,最终导致表皮死亡和脱落。我们报告一例独特病例,一名61岁男性在接受甲氧苄啶 - 磺胺甲恶唑治疗外周静脉中心静脉导管感染后发生史蒂文斯 - 约翰逊综合征及相关的中毒性表皮坏死松解症。本病例报告回顾了在足病医疗实践中用于治疗糖尿病足感染的一种常用处方抗生素药物罕见的不良反应。

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