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Fatal Nevirapine-Induced Toxic Epidermal Necrolysis in a HIV Infected Patient. | LitMetric

Fatal Nevirapine-Induced Toxic Epidermal Necrolysis in a HIV Infected Patient.

J Clin Diagn Res

Professor, Department of Clinical & Experimental Pharmacology, Calcutta School of Tropical Medicine, Kolkata, India .

Published: March 2016

AI Article Synopsis

  • Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are severe skin reactions primarily triggered by medications, leading to high rates of morbidity and mortality.
  • Nevirapine (NVP), a drug used in HIV treatment, is linked to serious adverse reactions, including potentially fatal cases of TEN.
  • A fatal case of a 72-year-old male developing TEN due to nevirapine highlights the need for vigilant monitoring and patient education to prevent adverse drug reactions and fatalities.

Article Abstract

Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are the most Severe Cutaneous Adverse Reactions (SCARs) which mainly caused by exposure to drugs and having significant morbidity and mortality. TEN represents an immunologic reaction to a foreign antigen and is most often caused by drugs. Nevirapine (NVP), a non-nucleoside reverse transcriptase inhibitor (NNRTI) is an important component of Highly Active Antiretroviral Therapy (HAART). It is sometimes associated with life-threatening adverse reactions. Here, we report the fatal case of 72-year-old male who developed TEN secondary to intake of nevirapine. This fatal case report will increase awareness among treating physicians for careful monitoring of patients on NNRTI-based antiretroviral therapy and better counseling of the patient on NVP regimen for early identification and reporting of SCARs so that fatalities due to adverse drug reactions can be prevented with timely intervention.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843277PMC
http://dx.doi.org/10.7860/JCDR/2016/16360.7415DOI Listing

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