PMID- 34157739 OWN - NLM STAT- MEDLINE DCOM- 20210624 LR - 20220716 IS - 1833-3516 (Print) IS - 2209-1491 (Electronic) IS - 1833-3516 (Linking) VI - 51 IP - 2 DP - 2021 Jun 30 TI - Hyperbaric oxygen treatment for toxic epidermal necrolysis: A case report. PG - 216-219 LID - 10.28920/dhm51.2.216-219 [doi] AB - Toxic epidermal necrolysis (TEN) is a potentially life-threatening muco-cutaneous disease, largely caused by an idiosyncratic reaction to medication or infectious disease, and is characterised by acute necrosis of the epidermis. No definitive consensus regarding the treatment of TEN has been agreed. A 60-year-old woman, diagnosed with multiple myeloma three months prior, was admitted with signs of TEN to the intensive care burns unit. She had been given ciprofloxacin to treat a urinary tract infection. She complained of malaise and pain, with maculopapular and bullous eruptions over her whole body on the third day of ciprofloxacin administration. Her supportive cares included intravenous immunoglobulins, pain control with analgesics, wound care, nutrition, and fluid support. Hyperbaric oxygen treatment (HBOT) was added on the second day of admission. The patient underwent 5 sessions of HBOT at 243.1 kPa (2.4 atmospheres absolute). Desquamation was noted to stop after the first session of HBOT and re-epithelisation commenced rapidly. The patient was discharged from the burn unit after 14 days of hospital admission. Improvement in this case was temporally related to the initiation of HBOT. CI - Copyright: This article is the copyright of the authors who grant Diving and Hyperbaric Medicine a non-exclusive licence to publish the article in electronic and other forms. FAU - Gamze Sumen, Selin AU - Gamze Sumen S AD - University of Health Sciences, Hamidiye Medical Faculty, Department of Underwater and Hyperbaric Medicine, Istanbul, Turkey. AD - Corresponding author: Dr Selin Gamze Sumen, Saglik Bilimleri Universitesi, Hamidiye Tip Fakultesi, Sultan 2. Abdulhamid Han Egitim ve Arastirma Hastanesi, Selimiye Mh., Tibbiye Cd., 34668, Uskudar/Istanbul, Turkey, sgsumen@gmail.com. FAU - Yakupoglu, Sezer AU - Yakupoglu S AD - University of Health Sciences, Kartal Dr Lutfi Kirdar City Hospital, Department of Anesthesiology and Reanimation, Istanbul, Turkey. FAU - Gumus, Tuna AU - Gumus T AD - University of Health Sciences, Kartal Dr Lutfi Kirdar City Hospital, Department of Underwater and Hyperbaric Medicine, Istanbul, Turkey. FAU - Benzonana, Nur AU - Benzonana N AD - University of Health Sciences, Kartal Dr Lutfi Kirdar City Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey. LA - eng PT - Case Reports PL - Australia TA - Diving Hyperb Med JT - Diving and hyperbaric medicine JID - 101282742 RN - S88TT14065 (Oxygen) SB - IM MH - Critical Care MH - Female MH - Humans MH - *Hyperbaric Oxygenation MH - Middle Aged MH - Oxygen MH - *Stevens-Johnson Syndrome/therapy PMC - PMC8426128 OTO - NOTNLM OT - Case reports OT - Drugs OT - Hyperbaric medicine OT - Outcome OT - Side effects OT - Skin OT - Toxicity COIS- Conflict of interest and funding: nil EDAT- 2021/06/23 06:00 MHDA- 2021/06/25 06:00 PMCR- 2022/06/30 CRDT- 2021/06/22 20:27 PHST- 2021/01/11 00:00 [received] PHST- 2021/02/27 00:00 [accepted] PHST- 2021/06/22 20:27 [entrez] PHST- 2021/06/23 06:00 [pubmed] PHST- 2021/06/25 06:00 [medline] PHST- 2022/06/30 00:00 [pmc-release] AID - 10.28920/dhm51.2.216-219 [doi] PST - ppublish SO - Diving Hyperb Med. 2021 Jun 30;51(2):216-219. doi: 10.28920/dhm51.2.216-219.