Vol 86, No 4 (2015)
ARTICLES
Toxic epidermal necrolysis complicating antibiotic treatment of puerperal endometritis: a case report
Ginekol Pol 2015;86(4).
Abstract
The aim of the study is to describe a case report of Lyell syndrome (toxic epidermal necrolysis) involving 63% of
body surface which has been associated with antibiotic therapy of mild peurperal endometritis in woman 3 weeks
postpartum.
Lyell syndrome is a severe life-threatening condition developing due to idiosyncrazy (alergic reaction type IV), most
commonly after administration of drugs. Incidence quoted in literature is around 1:1-2000000. Illness severity can
be assessed using a SCORTEN scoring system, which predicts patient mortality based on seven independent
factors. Lyell syndrome is a very rare but potentially lethal complication of antibiotic treatment.
Keywords: Lyell syndrome / puerperium / exanthema
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