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On-line version ISSN 1029-3019


RODRIGUEZ HERNANDEZ, Rolando; RODRIGUEZ DEL TORO, Mercedes  and  PANTOJA PROSPER, Carlos. Epidermic toxic necrolysis induced by co-trimoxazole. MEDISAN [online]. 2016, vol.20, n.11, pp.2373-2377. ISSN 1029-3019.

The case report of a 60 years patient with a history of hypertension, reason why she had treatment with nifedipine, who went to the Emergency Room of "Orlando Pantoja Tamayo" Teaching General Hospital in Contramaestre, Santiago de Cuba, due to diarrheical stools, vomits, hyperthermia (38 0C) and generalized skin injuries in the type of erythemato-scabby pustules with flictenas and pain is described. The patient referred that she was accustomed to self-medication with co-trimoxazole due to repeated urinary infections and that she was consuming this medication for 3 days. The pathological study showed an epidermic toxic necrolysis (Lyell syndrome). In spite of the medical cares, she had an unfavorable clinical course and she complicated with an acute renal failure, leading to death

Keywords : epidermic toxic necrolysis; Lyell syndrome; co-trimoxazole; self-medication.

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