Cargando…
Nursing care of a boy seriously infected with Steven–Johnson syndrome after treatment with azithromycin: A case report and literature review
RATIONALE: Stevens–Johnson syndrome (SJS) is an acute blistering disease of the skin and mucous membranes. SJS in children is not common but potentially serious disease. But the epidemiology of SJS in China is not well defined. PATIENT CONCERNS: A 6-year-old boy was initially diagnosed as pneumonia...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943129/ https://www.ncbi.nlm.nih.gov/pubmed/29505509 http://dx.doi.org/10.1097/MD.0000000000009112 |
_version_ | 1783321577546317824 |
---|---|
author | Xu, Lili Zhu, Yueniu Yu, Jing Deng, Mengyan Zhu, Xiaodong |
author_facet | Xu, Lili Zhu, Yueniu Yu, Jing Deng, Mengyan Zhu, Xiaodong |
author_sort | Xu, Lili |
collection | PubMed |
description | RATIONALE: Stevens–Johnson syndrome (SJS) is an acute blistering disease of the skin and mucous membranes. SJS in children is not common but potentially serious disease. But the epidemiology of SJS in China is not well defined. PATIENT CONCERNS: A 6-year-old boy was initially diagnosed as pneumonia admitted to hospital after admission, and the body appears red rash with blisters, skin damage, lip debaucjed, repeated high fever, and rapid progression. DIAGNOSES: SJS often results from an allergy reaction response to a range of drugs. It is a clinical diagnosis suggested by fever and malaise followed by an extensive painful, nonblanching, macular rash that commonly progresses to blistering or sloughing, and mucositis. INTERVENTIONS: The boy was treated with continuous renal replacement therapy, anti-infection therapy, high-dose glucocorticoid treatment, and symptomatic treatment. OUTCOMES: The patient was recovered after 33 days of treatment. LESSONS: The current treatment is mainly symptomatic treatment, and for the patient, it is important to make skin care related well, included early out blisters at effusion, reducing skin ulceration of the mucosa area, keeping skin clean, removing mucosa secretion and blood clots, doing eye care related, preventing the complications, ensuring adequate intake of nutrition and warm and so on. |
format | Online Article Text |
id | pubmed-5943129 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-59431292018-05-15 Nursing care of a boy seriously infected with Steven–Johnson syndrome after treatment with azithromycin: A case report and literature review Xu, Lili Zhu, Yueniu Yu, Jing Deng, Mengyan Zhu, Xiaodong Medicine (Baltimore) Research Article RATIONALE: Stevens–Johnson syndrome (SJS) is an acute blistering disease of the skin and mucous membranes. SJS in children is not common but potentially serious disease. But the epidemiology of SJS in China is not well defined. PATIENT CONCERNS: A 6-year-old boy was initially diagnosed as pneumonia admitted to hospital after admission, and the body appears red rash with blisters, skin damage, lip debaucjed, repeated high fever, and rapid progression. DIAGNOSES: SJS often results from an allergy reaction response to a range of drugs. It is a clinical diagnosis suggested by fever and malaise followed by an extensive painful, nonblanching, macular rash that commonly progresses to blistering or sloughing, and mucositis. INTERVENTIONS: The boy was treated with continuous renal replacement therapy, anti-infection therapy, high-dose glucocorticoid treatment, and symptomatic treatment. OUTCOMES: The patient was recovered after 33 days of treatment. LESSONS: The current treatment is mainly symptomatic treatment, and for the patient, it is important to make skin care related well, included early out blisters at effusion, reducing skin ulceration of the mucosa area, keeping skin clean, removing mucosa secretion and blood clots, doing eye care related, preventing the complications, ensuring adequate intake of nutrition and warm and so on. Wolters Kluwer Health 2018-01-05 /pmc/articles/PMC5943129/ /pubmed/29505509 http://dx.doi.org/10.1097/MD.0000000000009112 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-No Derivatives License 4.0, which allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author. http://creativecommons.org/licenses/by-nd/4.0 |
spellingShingle | Research Article Xu, Lili Zhu, Yueniu Yu, Jing Deng, Mengyan Zhu, Xiaodong Nursing care of a boy seriously infected with Steven–Johnson syndrome after treatment with azithromycin: A case report and literature review |
title | Nursing care of a boy seriously infected with Steven–Johnson syndrome after treatment with azithromycin: A case report and literature review |
title_full | Nursing care of a boy seriously infected with Steven–Johnson syndrome after treatment with azithromycin: A case report and literature review |
title_fullStr | Nursing care of a boy seriously infected with Steven–Johnson syndrome after treatment with azithromycin: A case report and literature review |
title_full_unstemmed | Nursing care of a boy seriously infected with Steven–Johnson syndrome after treatment with azithromycin: A case report and literature review |
title_short | Nursing care of a boy seriously infected with Steven–Johnson syndrome after treatment with azithromycin: A case report and literature review |
title_sort | nursing care of a boy seriously infected with steven–johnson syndrome after treatment with azithromycin: a case report and literature review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943129/ https://www.ncbi.nlm.nih.gov/pubmed/29505509 http://dx.doi.org/10.1097/MD.0000000000009112 |
work_keys_str_mv | AT xulili nursingcareofaboyseriouslyinfectedwithstevenjohnsonsyndromeaftertreatmentwithazithromycinacasereportandliteraturereview AT zhuyueniu nursingcareofaboyseriouslyinfectedwithstevenjohnsonsyndromeaftertreatmentwithazithromycinacasereportandliteraturereview AT yujing nursingcareofaboyseriouslyinfectedwithstevenjohnsonsyndromeaftertreatmentwithazithromycinacasereportandliteraturereview AT dengmengyan nursingcareofaboyseriouslyinfectedwithstevenjohnsonsyndromeaftertreatmentwithazithromycinacasereportandliteraturereview AT zhuxiaodong nursingcareofaboyseriouslyinfectedwithstevenjohnsonsyndromeaftertreatmentwithazithromycinacasereportandliteraturereview |