Bridging Resource Gaps in Toxic Epidermal Necrolysis Management: A Case Report Highlighting Innovative Care.
Uchenna Chiagoziem Nnajekwu, Chinwe Vivian Achike, Ikechukwu Obiorah Okongwu et al.
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Case in brief
A 2-year-old girl presented with a 6-day history of fever and a rash that progressed to extensive exfoliation of over 70% of her body surface area after starting amoxicillin and clavulanic acid. She exhibited multiple bullae, intraoral ulcers, and excoriation of the eyelids and genitals. Managed in the Pediatric Intensive Care Unit, she received supportive care and improvised dressings, leading to resolution of skin ulcers and discharge after 6 weeks.
What made this case unusual
The case highlights the use of improvised, locally available materials for dressing in a resource-poor setting, which contributed to the successful management of toxic epidermal necrolysis.
Diagnostic / clinical pearl
Clinicians should consider toxic epidermal necrolysis in pediatric patients presenting with extensive skin exfoliation following medication use, especially when traditional dressings are unavailable.
Why it matters
This case underscores the importance of innovative care strategies in managing severe dermatological conditions in resource-limited environments.