A 9-year-old male, with no history of interest, complained of two-day history of myodesopsias in the left eye.
Visual acuity (VA) in left eye (LE) 1 stood out in the emergency room.
Mild anterior uveitis and funduscopic image of an active chorioretinitis foci at the papilla were found in the biomycosis.
Due to the characteristics of the focus and its location, the patient was diagnosed with toxoplasmic chorioretinitis. She was prescribed conservative treatment adjusted adiazecin, kg of folinic acid administered orally.
After 9 days of treatment, the patient came back to the emergency department with a 39o C fever, a rash on the chest, back and face, blisters on the oral mucosa, pneumonitis and balanitis.
Pathological level presents bilateral upper hyposphagma, membranous conjunctivitis with exudative component and superficial keratopathy in both eyes.
Blood culture, hepatorenal profile, oral mucosa smear for viruses, herpes serology and mycoplasma were requested.
All results were negative and serology for toxoplasma was IgG>500, IgM negative.
suspect SJS secondary to parodyazine is immediately withdrawn, all medication for ocular toxoplasmosis is immediately withdrawn and periodic check-ups are carried out from her eye, which is characterized by spontaneous healing without complications.
Since the day of admission he required comprehensive care of skin and mucosa, parenteral nutrition and analgesia with intravenous chloride (iv).
Methylprednisolone 1 mg/kg/day i.v. was then prescribed, and the regimen decreased until discharge.
Signs of seizures were defined as episodes of seizures without preservatives such as hyaluronate sodium every hour, ointment to diminish mucocturnal changes, rifamycin eye drops and dexamethasone every 4 hours.
Symbolic-lysis was performed every 12 hours of membranes initially very exudative, abundant and extractable and later more adhered, fibrotic requiring scarification to remove them.
After 3 weeks of treatment, a residual hyposphagma was observed, engrossing the internal canthus, which resulted in thickening of the free edge and slight weakening of the fold.
