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Nursing care of a boy seriously infected with Steven-Johnson syndrome after treatment with azithromycin: A case report and literature review.

Abstract 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.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29505509
OWN - NLM
STAT- MEDLINE
DCOM- 20180309
LR  - 20180309
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 1
DP  - 2018 Jan
TI  - Nursing care of a boy seriously infected with Steven-Johnson syndrome after
      treatment with azithromycin: A case report and literature review.
PG  - e9112
LID - 10.1097/MD.0000000000009112 [doi]
AB  - 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.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Xu, Lili
AU  - Xu L
AD  - Department of Children's Critical Care Medicine, Xin-Hua Hospital Affiliated to
      Shanghai Jiao Tong University School of Medicine, Shanghai, China.
FAU - Zhu, Yueniu
AU  - Zhu Y
FAU - Yu, Jing
AU  - Yu J
FAU - Deng, Mengyan
AU  - Deng M
FAU - Zhu, Xiaodong
AU  - Zhu X
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Anti-Bacterial Agents)
RN  - 83905-01-5 (Azithromycin)
SB  - AIM
SB  - IM
MH  - Anti-Bacterial Agents/*adverse effects
MH  - Azithromycin/*adverse effects
MH  - Child
MH  - Humans
MH  - Male
MH  - Pneumonia/drug therapy
MH  - Skin Care/*nursing
MH  - Stevens-Johnson Syndrome/etiology/*nursing
EDAT- 2018/03/06 06:00
MHDA- 2018/03/10 06:00
CRDT- 2018/03/06 06:00
PHST- 2018/03/06 06:00 [entrez]
PHST- 2018/03/06 06:00 [pubmed]
PHST- 2018/03/10 06:00 [medline]
AID - 10.1097/MD.0000000000009112 [doi]
AID - 00005792-201801050-00006 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Jan;97(1):e9112. doi: 10.1097/MD.0000000000009112.