Phenytoin-Associated Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis Overlap in Focus: A Case Report

Cureus. 2023 Sep 27;15(9):e46075. doi: 10.7759/cureus.46075. eCollection 2023 Sep.

Abstract

Stevens-Johnson syndrome and toxic epidermal necrolysis overlap is a rare but severe cutaneous hypersensitivity reaction that can lead to death if not treated aggressively and adequately. Drug-induced hypersensitivity reactions are often related to drug exposure, with sulfonamides, anti-epileptics, fluoroquinolones, cephalosporins, and nonsteroidal anti-inflammatory drugs being the most common culprits. This case report describes a 10-year-old boy who was administered phenytoin at a local clinic to manage his seizures. This treatment led to the onset of SJS-TEN overlap, ultimately resulting in his demise.

Keywords: head injury and epilepsy; phenytoin; side effects of medical treatment; stevens-johnson syndrome (sjs); toxic epidermal necrolysis (ten).

Publication types

  • Case Reports