Female patient 46 yo with pruritus and taking unknown medicine for time from Dong nai province. She came to Medic for a check-up and being managed by a kind of antiallergic drug (Rupatadin, Tesafu).
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Blood tests=
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Medic doctor advices her to come Dermatology Hospital but thought about parasite infection, she and family decided going to Hospital of Tropical Diseases. With prescription of parasiticid, but nothing change then, later, she went to Dermatology Hospital.
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At Dermatology Hospital, many skin lesions with cleared fluid-filled bullous appeared, vital signs P=112bpm, TA=110/70mmHg, Temp=38.5 degree of Celsius. Then, bullous exudates and skin detaches 3 days after on full body multiform erythema.
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After 2 hours swallowing drug and days later allergic reaction appeares on face, corpse and limbs.
A diagnostic of Stevens-Johnson was notes with proved histopathologc result. At that time she has been managed as corticosteroid [Medrol] and antibiotics [Vancomycin and Rocephin].
Although there is no evidence of allergic status due to Medic prescription, doctor from Medic came to Dermatology Hospital to keep patient solving her sorrows about hypersensitive illness. That comprehension of medical staff may cordially support better doctor-patient relationship and help patient bounce back soon.
References:
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https://dalieu.vn/di-ung-thuoc-nang-hoi-chung-lyell-va-hoi-chung-steven-johnson/