Oseltamivir induced Stevens-Johnson syndrome/toxic epidermal necrolysis-case report

Medicine (Baltimore). 2019 May;98(19):e15553. doi: 10.1097/MD.0000000000015553.

Abstract

Rationale: Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are 2 rare but life-threatening diseases characterized by detachment of epidermis, bullous skin lesions, and mucous membrane erosions. Drugs are highly suspected to be the causative agents. We report a case of SJS/TEN induced by oseltamivir, which is a very rare event.

Patient concerns: A 9-year-old girl with upper respiratory tract infections presented with generalized maculopapular rash the second day after taking oseltamivir.

Diagnosis: The diagnosis of SJS/TEN was made based on cytotoxic skin lesions and mucous membrane involvement.

Interventions: After discontinuing of the drug and combination therapy of corticosteroid and human immunoglobulin initiation, the lesions were improved. Human leukocyte antigen (HLA) gene sequencing was done.

Outcomes: The girl was followed-up for 1 year. The skin and mucous membranes symptoms were relieved.

Lessons: We report this case to attract attention to the rare but serious side effect of this antiviral drug.

Publication types

  • Case Reports

MeSH terms

  • Antiviral Agents / adverse effects*
  • Antiviral Agents / therapeutic use
  • Child
  • Female
  • HLA-A2 Antigen / genetics
  • Humans
  • Oseltamivir / adverse effects*
  • Oseltamivir / therapeutic use
  • Respiratory Tract Infections / drug therapy
  • Stevens-Johnson Syndrome / diagnosis
  • Stevens-Johnson Syndrome / etiology*
  • Stevens-Johnson Syndrome / genetics
  • Stevens-Johnson Syndrome / therapy

Substances

  • Antiviral Agents
  • HLA-A*02:06 antigen
  • HLA-A2 Antigen
  • Oseltamivir