Retrospective analysis of Steven Johnson syndrome and toxic epidermal necrolysis over a period of 5 years from northern Karnataka, India

Indian J Pharmacol. 2013 Jan-Feb;45(1):80-2. doi: 10.4103/0253-7613.106441.

Abstract

Objective: Cutaneous drug reactions are the most common type of adverse drug reactions. Adverse cutaneous drug reactions form 2-3% of the hospitalized patients. 2% of these are potentially serious. This study aims to detect the drugs commonly implicated in Steven Johnson Syndrome-Toxic Epidermal Necrosis (SJS-TEN).

Materials and methods: A retrospective analysis was done in all patients admitted in the last five years in SDM hospital with the diagnosis of SJS-TEN.

Results: A total of 22 patients with SJS-TEN were studied. In 11 patients anti-epileptics was the causal drug and in 7, anti-microbials was the causal drug. Recovery was much faster in case of anti epileptics induced SJS-TEN as compared to that induced by ofloxacin.

Conclusion: SJS-TEN induced by ofloxacin has a higher morbidity and mortality compared to anti convulsants.

Keywords: Anti-epileptics; Stevens Johnson syndrome; ofloxacin; toxic epidermal necrosis.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / adverse effects*
  • Anticonvulsants / adverse effects*
  • Child
  • Child, Preschool
  • Female
  • Humans
  • India
  • Infant
  • Male
  • Middle Aged
  • Ofloxacin / adverse effects*
  • Retrospective Studies
  • Stevens-Johnson Syndrome / chemically induced*
  • Stevens-Johnson Syndrome / etiology*
  • Young Adult

Substances

  • Anti-Bacterial Agents
  • Anticonvulsants
  • Ofloxacin