Amoxycillin and clavulanic acid induced Stevens-Johnson syndrome: A case report

Authors

  • Maheen Zaidi Jinnah Sindh Medical University, Karachi, Pakistan
  • Syeda Kashaf Zaidi Dow University of Health Sciences, Karachi, Pakistan
  • Moomal Bhutto Jinnah Postgraduate Medical Centre, Karachi, Pakistan
  • Mohammad Yasir Umer Baqai Medical University, Karachi, Pakistan

DOI:

https://doi.org/10.17179/excli2017-345

Keywords:

Stevens-Johnson syndrome, amoxycillin and clavulanic acid, hypersensitivity, lesions, Naranjo Adverse Drug Reaction Probability scale

Abstract

Stevens-Johnson syndrome (SJS) is an immune mediated hypersensitivity reaction. Significant involvement of oral, nasal, eye, vaginal, urethral, GI and lower respiratory tract mucous membrane may develop. It is usually a reaction due to a medication or due to an infection. In 95 % of case reports, drugs were found to be an important cause for the development of SJS. In this case report, a 32 year old female reported chief complaint of itch skin eruptions all over the body along with erosive lesions on tongue, lips, buccal mucosa and genital mucosa. The reaction occurred after administration of augmentin (containing amoxycillin and clavulanic acid). She was treated with antimicrobials, antiallergics and conservative management. The patient improved and was discharged from the hospital. Causality assessment using Naranjo Adverse Drug Reaction Probability Scale revealed that amoxycillin and clavulanic acid combination was a possible cause for the adverse reaction with a score of 4.

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Published

2017-05-18

How to Cite

Zaidi, M., Zaidi, S. K., Bhutto, M., & Umer, M. Y. (2017). Amoxycillin and clavulanic acid induced Stevens-Johnson syndrome: A case report. EXCLI Journal, 16, 748–751. https://doi.org/10.17179/excli2017-345

Issue

Vol. 16 (2017)

Section

Case reports

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