Toxic epidermal necrolysis induced by exposure to S,S-dimethyl cyanoimidodithiocarbonate: case report and nursing experience
By
Xue-Qing Liu
Xiao-Lan Dong
Yue-Tong Qian
Chang Shu
May 28, 2026
Clinical Scorecard: Toxic Epidermal Necrolysis Triggered by S,S-Dimethyl Cyanoimidodithiocarbonate: A Case Study and Nursing Insights
At a Glance
Category Detail
Condition
Key Mechanisms Severe skin and mucosal reaction characterized by blistering and epidermal detachment, often drug-induced.
Target Population
Care Setting
Key Highlights
Patient presented with >60% body surface area involvement. Key treatments included systemic glucocorticoids, cyclosporine, intravenous immunoglobulin, and infliximab.
Guideline-Based Recommendations
Diagnosis
Diagnosis based on clinical presentation and history of exposure to triggering agents.
Management
Use of systemic glucocorticoids, cyclosporine, intravenous immunoglobulin, and infliximab.
Monitoring & Follow-up
Regular assessment of skin integrity and signs of infection.
Risks
High risk of infection and potential for multiorgan failure.
Patient & Prescribing Data
Patients with TEN, particularly those with significant epidermal detachment.
Clinical Best Practices
Implement strict aseptic techniques during wound care. Maintain a controlled environment to enhance patient comfort during procedures.
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