Based on his clinical presence and previous medication the patient was
presumed diagnosed as Stevens–Johnson syndrome-toxic epidermal
necrolysis (SJS-TEN) and the cause of SJS-TEN was found to be the rare
adverse drug reaction of carbamazepine.
The patient was admitted in emergency ward and carbamazepine was
immediately discontinued; immediately the patient received nutritional
support as multivitamins, eye care, wound care, and intravenous fluids
(like NS and Paracetamol) for maintaining positive balance. In eye care,
Zymer eye drop (Gatifloxacin 0.3% w/v) and Refresh Tears Eye Drop was
given and in wound care, Cosvate G Cream [Clobetasol (0.05% w/w) +
Gentamicin (0.1% w/w)], Mucopain Gel (Benzocaine 20% w/w), Oraways
Oral Paste (Triamcinolone 0.1% w/w), Betadine mouth wash, azithromycin,
and Q-Sone Cream (Fluticasone Propionate 0.05% w/w) was given. For his
epilepsy, tablet Valproate [Sodium Valproate (200mg) + Valproic Acid
(87mg)] was continued.