مرگ یک بیمار به دلیل سندرم استیون جانسون بخاطر تجویز نامناسب پنی سیلین
کد: G-1103
نویسندگان: Alireza Ghassemi Toussi © ℗
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خلاصه مقاله:
خلاصه مقاله
Introduction: A 13-year-old girl goes to the doctor with a sore throat, runny nose and fever. The doctor prescribes penicillin to the patient due to the insistence of the parents who claim that she will not get well without penicillin. In the course of the disease, the body becomes red, especially the palms and the mucous membrane of the gums. The eyes are dry. Lung problems worsen. she is hospitalized with an unfavorable general condition. The patient is treated with the diagnosis of Steven Johnson syndrome. Unfortunately, she dies after a few days. Metod and material: The initial symptoms of Stevens-Johnson are very simple and may be confused with a simple cold at first, and this is the reason for the development of this disease in many cases. In this patient, the diagnosis of a cold has been raised from the beginning. Therefore, the patient's symptoms are still related to a common cold. Result: In this patient, the doctor has committed medical errors and negligence in the form of 1- Carelessness, Something was not necessary, was done (prescribe penicillin for common cold) 2- failure to comply with government regulations. (accepted advice of non-involved and not expert) Conclusion: The doctor should consider scientific and technical principles in prescribing medicine. The patient's or parents' insistence and request for a special drug or test has no place. In the above patient, the initial symptoms were in favor of a viral infection. Penicillin administration is not indicated. The cause of her death was Steven Johnson syndrome due to improper administration of penicillin.
کلمات کلیدی
Steven Johnson, penicillin, medical error
