書誌事項
- タイトル別名
-
- A case of toxic epidermal necrolysis complicated with severe respiratory failure
この論文をさがす
抄録
We present a case of severe respiratory failure associated with toxic epidermal necrolysis (TEN). A 3-year-old girl was administered antibiotics (cefditoren pivoxil) and NSAID (acetaminophen) for acute upper airway infection. Two days later, erythema, erosion and bullae developed widely on her body. She was diagnosed as TEN probably caused by the antibiotics, and transferred to our hospital. Steroid pulse therapy and γ-globulin therapy were started. On the 6th day, she was admitted to our ICU because of severe acute respiratory failure. Although mechanical ventilation was started, hypoxemia and acidosis deteriorated. Nitric oxide inhalation was tried, which was not effective on her oxygenation. On the 9th day, extracorporeal lung assist (ECLA) was performed for the rest of the lungs. On the 20th day, ECLA was discontinued because of the complication of consumptive coagulopathy. Although the lung compliance appeared to be gradually improved, irreversible respiratory failure developed. She had bacterial pneumonia and recurrent pneumothorax. On the 24th day, she died of respiratory failure. The rate of pulmonary complications in TEN is about 25%. The complications may incidentally take a fatal course. Adequate respiratory care is required from the earlier stage of TEN.
収録刊行物
-
- 日本集中治療医学会雑誌
-
日本集中治療医学会雑誌 12 (3), 201-206, 2005
一般社団法人 日本集中治療医学会
- Tweet
詳細情報 詳細情報について
-
- CRID
- 1390282679422790528
-
- NII論文ID
- 130003641422
- 10026917865
-
- NII書誌ID
- AN10474053
-
- ISSN
- 1882966X
- 13407988
-
- 本文言語コード
- ja
-
- データソース種別
-
- JaLC
- Crossref
- CiNii Articles
-
- 抄録ライセンスフラグ
- 使用不可