Toxic epidermal necrolysis induced by exposure to S,S-dimethyl cyanoimidodithiocarbonate: case report and nursing experience - Takeaways - MDSpire

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

  • 0 min

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  • 1

    Toxic epidermal necrolysis (TEN) can be triggered by chemical agents like S,S-dimethyl cyanoimidodithiocarbonate (DCT), leading to severe skin and mucosal damage.

  • 2

    The patient admitted with TEN had over 60% body surface area involvement and required intensive treatment and personalized nursing care for recovery.

  • 3

    Key treatments included systemic glucocorticoids, cyclosporine, intravenous immunoglobulin, and infliximab, alongside comprehensive nursing interventions.

  • 4

    Wound care involved careful management of blisters, infection control, and application of topical treatments to promote healing and comfort.

  • 5

    The patient's condition improved significantly after 20 days of treatment, allowing for discharge with nearly healed skin lesions.

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