Publication:
Cotrimoxazole Induced Steven Johnson Syndrome: A Case Report

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorAcharya, Ayushma
dc.contributor.authorAcharya, Shreedhar Prasad
dc.contributor.authorBhattarai, Tulsi
dc.date.accessioned2026-03-29T08:30:06Z
dc.date.available2026-03-29T08:30:06Z
dc.date.issued2020
dc.descriptionAyushma Acharya Kathmandu Medical College, Sinamagal, Kathmandu, Nepal Shreedhar Prasad Acharya Kathmandu Medical College, Sinamagal, Kathmandu, Nepal Tulsi Bhattarai Department of Internal Medicine, Kathmandu Medical College, Sinamagal, Kathmandu, Nepal
dc.description.abstractAbstract: Steven Johnson syndrome and toxic epidermal necrolysis are severe and rare adverse drug reactions usually caused by drugs like antiepileptics, penicillin and allopurinol and sometimes also due to infections, malignancy or idiopathic in some cases. Here we are reporting a case of a 50 years female who came with complaint of a burning sensation on the upper half of the body with atypical flat target lesion that later coalesced involving her face, chest and bilateral upper limbs. On examination, positive nikolsky sign and tenderness with <10% body surface area involvement was noticed. The diagnosis of cotrimoxazole induced Steven Johnson syndrome was made. Patient was shifted to ICU and given supportive care along with prophylactic teicoplanin, itraconazole and dexamethasone. The mechanism of eruptions in our patient was due to cotrimoxazole. Cotrimoxazole induced Steven Johnson syndrome is rare and the supportive management with broad spectrum antibiotic and the corticosteroid was enough to beat this life-threatening condition.
dc.identifierhttps://doi.org/10.31729/jnma.4999
dc.identifier.urihttps://hdl.handle.net/20.500.14572/5516
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectcotrimoxazole
dc.subjectpneumonia
dc.subjectSteven Johnson syndrome
dc.titleCotrimoxazole Induced Steven Johnson Syndrome: A Case Report
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage704
oaire.citation.startPage702
relation.isJournalIssueOfPublication1212b4fd-665b-47be-9a84-4c7f1e0ca0fb
relation.isJournalIssueOfPublication.latestForDiscovery1212b4fd-665b-47be-9a84-4c7f1e0ca0fb
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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