Human Care Journal
Vol 5, No 2 (2020): Human Care Journal Special Edition

STEVENS JOHNSON SYNDROME PADA PASIEN HIV

bevi dewi citra (BAGIAN ILMU PENYAKIT DALAM RSUP M.DJAMIL/FAKULTAS KEDOKTERAN UNIVERSITAS ANDALAS)
Raveinal masri (Consultant in Allergy Immunology Subdivision of Internal Medicine, Medical Faculty of Andalas University/M.Djamil Hospital)



Article Info

Publish Date
25 May 2020

Abstract

Stevens Johnson Syndrome (SJS) are form of drugs hypersensitivity reaction with high morbidity besides Toxic Epidermal Necrolysis (TEN). HIV-patients are one of the population with higher risk. Its due to, in this population had multifactorial aspects and related with drug metabolism, dysregulation of the immune systems (immune hyperactivation, patients cytokine profile and CD4 cell count), oxidative stress, genetic predisposition,and viral factors. A case of female, 42 years old, who had been known as HIV patients with clinical stage 3 had Stevens Johnson Syndrome. Allegedly, it caused by antiretroviral drugs (nevirapine), which she consumed for 3 weeks. Patient also has fever and  hepatitis drug induced. For the the treatment, we stopped previous  combination of antiretroviral drugs immediately and replaced by another combination. Furthermore, patient also had corticosteroid therapy and others supportive treatments, such as intra venous fluid, adequate nutrition, antibiotic, antifungal and also had eyelid, oral, nose and skin treatment. Patient showed clinical improvements and and improvement of liver function test after received treatments for one week in hospital  Keywords: Stevens Johnson Syndrome, HIV, antiretroviral

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Journal Info

Abbrev

humancare

Publisher

Subject

Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

Description

Jurnal Human Care akan menerbitkan artikel tentang, keperawatan, kesehatan masyarakat, kebidanan, fisioterapy, farmacologi dan analis kesehatan, ilmu kedokteran jurnal ini akan terbit 3 kali dalam satu tahun pada bulan Februari, Juni dan Oktober, jurnal Human Care diterbitkan oleh Stikes Fort De ...