Table 3.
Diagnosis | Gender | Age in years | Culprit drug(s) | Primary Comorbidities | Latent interval (in days) | Hospital Presentation (in days) | Casualty by ALDEN algorithm score and WHO-UMC scale | Complications | Treatment given as per protocol | Remarks |
---|---|---|---|---|---|---|---|---|---|---|
SJS | M | 56 | Nevirapine | HIV infection | 23 | 3 days | Very Probable | Intracranial bleed and deep vein thrombosis right arm | Dexamethasone (i.v.) Supportive therapy | Died 1 week after hospital discharge. He had developed TEN after retaking nevirapine. |
SJS | M | 52 | Nevirapine | HIV infection | 30 | 4 days | Very Probable | Pneumonia, Respiratory distress | Dexamethasone (i.v.) Supportive therapy | Died on 2nd day of hospitalization |
SJS | F | 38 | Allopurinol | CKD | 19 | 20 days | Very Probable | Renal failure | Dexamethasone (i.v.) Supportive therapy Hemodialysis | Died on 10th day of hospitalization |
TEN | F | 26 | Unknown | Major psychiatric disorder | Not known | 3 days | Probable | Multi-organ failure ? sepsis | Dexamethasone (i.v.) Supportive therapy | Died after 12 days of hospitalization |
Overlap | M | 74 | Sulfasalazine | Rheumatoid Arthritis | 21 | 14 days | Very Probable | Multi-organ failure ? sepsis | Dexamethasone (i.v.) Supportive therapy |
Died on 2nd day of hospitalization |
*Drug re-challenge was not performed in any of the patients. ALDEN, algorithm of drug causality for epidermal necrolysis; CKD, chronic kidney disease; HIV, human immunodeficiency virus, SJS, Stevens-Johnson syndrome; TEN, toxic epidermal necrolysis; WHO-UMC, World Health Organization-Uppsala Monitoring Centre