Case report on Steven Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN)

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.