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Case Reports
. 2024 Jul 1;23(3):494-495.
doi: 10.4103/aam.aam_161_23. Epub 2024 Jul 20.

Pyrazinamide-induced Toxic Epidermal Necrolysis

[Article in French, English]
Affiliations
Case Reports

Pyrazinamide-induced Toxic Epidermal Necrolysis

[Article in French, English]
Ananda Datta et al. Ann Afr Med. .

Abstract

The antitubercular drugs are associated with different cutaneous adverse drug reactions. Toxic epidermal necrolysis (TEN) is a severe form of cutaneous reaction. Although it is rare, it carries a high mortality rate. We report a case of a 75-year-old man with abdominal tuberculosis, who developed pyrazinamide-induced TEN.

RésuméLes médicaments antituberculeux sont associés à différents effets indésirables cutanés. La nécrolyse épidermique toxique (TEN) est une forme sévère de réaction cutanée. Bien qu’elle soit rare, elle entraîne un taux de mortalité élevé. Nous rapportons le cas d’un homme de 75 ans atteint de tuberculose abdominale, qui ont développé un TEN induit par le pyrazinamide.

Les médicaments antituberculeux sont associés à différents effets indésirables cutanés. La nécrolyse épidermique toxique (TEN) est une forme sévère de réaction cutanée. Bien qu’elle soit rare, elle entraîne un taux de mortalité élevé. Nous rapportons le cas d’un homme de 75 ans atteint de tuberculose abdominale, qui ont développé un TEN induit par le pyrazinamide.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
The photograph showing the presence of multiple erythematous purpuric macules on the back (a), the macules coalesced to form sheets of erythematous patches on the lower limbs. There is also the presence of excoriated bullae (b)

References

    1. Jin HJ, Kang DY, Nam YH, Ye YM, Koh YI, Hur GY, et al. Severe cutaneous adverse reactions to anti-tuberculosis drugs in Korean patients. Allergy Asthma Immunol Res. 2021;13:245–55. - PMC - PubMed
    1. Frantz R, Huang S, Are A, Motaparthi K. Stevens-Johnson syndrome and toxic epidermal necrolysis: A review of diagnosis and management. Medicina (Kaunas) 2021;57:895. - PMC - PubMed
    1. Peter J, Lehloenya RJ. Cutaneous adverse drug reactions from antituberculosis treatment. In: Shear N, Dodiuk-Gad R, editors. Advances in Diagnosis and Management of Cutaneous Adverse Drug Reactions current and future trends. Singapore: Adis; 2019. pp. 207–15.

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